Training Credit 1/4 point / 2002-QD-063
Created By: Chief John Buckman
Below is list of questions that can be used to help determine what topics each individual student may need additional training in. Have each student answer each question honestly.
Instructor Notes / Equipment / Protective Clothing Requirements:
Pens and Pencil
Additional Reference Material:
Safety Note:
All MEMBERs please complete the evaluation instrument that is attached below. This instrument is designed to assist in developing the training program for the coming year.
YOUR score should be entered in the far right column. If you have performed one of the tasks more than 5 times your score is 6. The other numbers are entered based upon the number of times you have performed the tasks as outlined.
Please complete this electronically and return as soon as possible.
0 / 1 / 3 / 5 / More than 5 / How many times have you flowed the monitor nozzle off the truck?
0 / 1 / 3 / 5 / More than 5 / How many times have you been on the nozzle on the first attack line on a structure fire?
0 / 1 / 3 / 5 / More than 5 / How many times have you been on the nozzle on the first attack line on a vehicle fire?
0 / 1 / 3 / 5 / More than 5 / How many times have you raised a ladder to the second story of a building for the purposes of climbing?
0 / 1 / 3 / 5 / More than 5 / How many times have you opened a fire hydrant to supply water to a vehicle?
0 / 1 / 3 / 5 / More than 5 / How many times have you donned a SCBA for a working fire structure or car?
0 / 1 / 3 / 5 / More than 5 / How many times have you donned a SCBA in training?
0 / 1 / 3 / 5 / More than 5 / How many times have donned your protective clothing for an incident?
0 / 1 / 3 / 5 / More than 5 / How many times have you donned your protective clothing for training?
0 / 1 / 3 / 5 / More than 5 / How many times have you pumped a truck for a working structure or car fire?
0 / 1 / 3 / 5 / More than 5 / How many times have you used the jaws to extricate someone from a car?
0 / 1 / 3 / 5 / More than 5 / How many times have you started the brush rig pump?
0 / 1 / 3 / 5 / More than 5 / How many times have you started the power unit for the extrication equipment?
0 / 1 / 3 / 5 / More than 5 / How many times have you lost a piece of your protective clothing?
0 / 1 / 3 / 5 / More than 5 / How many times have you drove into a field in 4-wheel drive?
0 / 1 / 3 / 5 / More than 5 / How many times have you pulled a 1 ¾” preconnect?
0 / 1 / 3 / 5 / More than 5 / How many times have you pulled a 2 ½” preconnect?
0 / 1 / 3 / 5 / More than 5 / How many times have you flowed water from a 2 ½” preconnect?
0 / 1 / 3 / 5 / More than 5 / How many times have you used the defibrillator in training?
0 / 1 / 3 / 5 / More than 5 / How many times have you used the defibrillator on a real person?
0 / 1 / 3 / 5 / More than 5 / How many times have you performed CPR on a real person? / 22
0 / 1 / 3 / 5 / More than 5 / How many times have you been in Command of extrication event? / 23
0 / 1 / 3 / 5 / More than 5 / How many times have you been in Command of a car fire? / 24
0 / 1 / 3 / 5 / More than 5 / How many times have you been in Command of a structure fire? / 25
0 / 1 / 3 / 5 / More than 5 / How many times have you completed an EMS patient report? / 26
0 / 1 / 3 / 5 / More than 5 / How many times have you completed a NFIRS response report? / 27
0 / 1 / 3 / 5 / More than 5 / How many times have changed the chain on a chain saw? / 28
0 / 1 / 3 / 5 / More than 5 / How many times have you changed the blade on the K-12 saw? / 29
0 / 1 / 3 / 5 / More than 5 / How many times have you repacked the 5” hose bed? / 30
0 / 1 / 3 / 5 / More than 5 / How many times have you raised a pole light? / 31
0 / 1 / 3 / 5 / More than 5 / How many times have you looked a road up in the road book? / 32
0 / 1 / 3 / 5 / More than 5 / How many times have you set up and operated the Pro-Pak foam system? / 33
0 / 1 / 3 / 5 / More than 5 / How many times have you driven the first due engine to an emergency? / 34
0 / 1 / 3 / 5 / More than 5 / How many times have you drafted when pumping? / 35
0 / 1 / 3 / 5 / More than 5 / How many times have you set up the fold-a-tank? / 36
0 / 1 / 3 / 5 / More than 5 / How many times have you established a water supply system using the nose to butt operation? / 37
0 / 1 / 3 / 5 / More than 5 / How many times have you established a water supply to the sprinkler system? / 38
0 / 1 / 3 / 5 / More than 5 / How many times have you worn the ice rescue suit in training? / 39
0 / 1 / 3 / 5 / More than 5 / How many times have you ventilated using the positive pressure ventilation fan? / 40
Professional Volunteers Faithfully Serving German & Armstrong Townships
2002 Training Master07/29/02