OHIO DEPARTMENT OF PUBLIC SAFETY PERSONAL PROTECTIVE EQUIPMENT (PPE) DONNING PPE CANDIDATE NAME (Please Print) DATE CHARTER CHARTER # VOLUNTEER FIREFIGHTER PRACTICAL SKILL EVALUATION Primary Task Personal Protective Equipment - Donning PPE (s) 5.1.2 Reference Source NFPA 1001 Standard, 2013 Edition No. 1-2 Candidate Instruction The candidate, given a complete ensemble of personal protective clothing, shall don personal protective clothing according to manufacturer’s recommendations within 1 minute. Candidate shall clap hands or verbalize at completion of skill; this will allow the evaluator to stop time when clap of hands or verbal indication is heard. Timing starts when the candidate touches any article of turnout gear after telling the evaluator he or she is ready to start. Timing will end when all protective clothing is donned and the candidate has clapped hands or verbalized completion of the skill. State Maximum Allotted 1 minute PERFORMANCE STEPS TEST 1 RETEST 2 RETEST 3 Safely performs the following steps: P F P F P F Dons boots, pants, protective hood, coat, helmet, and gloves. — CRITICAL POINT All personal protective clothing donned properly (no exposed skin except for facial area), helmet strap is tightened, coat collar is up, and all fasteners are secured). — CRITICAL Skill shall be completed within 1 minute. — CRITICAL POINT Firefighter must have at least 70% pass mark for each skill and perform all critical points (3 / 3 required). Score: / 3 NUMBER OF ATTEMPTS TEST 1 RETEST 2 RETEST 3 SCORE / 3 / 3 / 3 TIME EVALUATOR COMMENTS
OHIO DEPARTMENT OF PUBLIC SAFETY PERSONAL PROTECTIVE EQUIPMENT (PPE) SCBA EMERGENCY PROCEDURES CANDIDATE NAME (Please DATE CHARTER CHARTER # VOLUNTEER FIREFIGHTER PRACTICAL SKILL EVALUATION Primary Task Personal Protective Equipment - SCBA Emergency Procedures JPR(s) 5.3.1, 5.2.4 Reference Source NFPA 1001 Standard, 2013 Edition No. 1-4 Candidate Instructions The candidate, wearing complete ensemble of personal protective equipment (PPE), shall demonstrate controlled breathing techniques and be able to demonstrate the ability to perform an emergency procedure check on the SCBA. Warning: No emergency breathing procedure is endorsed by manufacturers, IFSTA, ANSI, or any other regulating agency. These procedures should be used only as a last resort in life threatening situations. State Maximum Allotted 5 minutes PERFORMANCE STEPS TEST 1 RETEST 2 RETEST 3 P F P F P F Wearing complete ensemble of PPE. Declares MAYDAY, activates PASS device. — CRITICAL POINT Notifies partner of SCBA problem. — CRITICAL POINT Does not remove face — CRITICAL POINT Hand goes to the face piece and regulator, checking by-pass valve. Uses bypass or cylinder valve to control air flow (depending on free flow or no flow). Corrects problem if possible. Moves to exit as quickly as possible. Firefighter must have at least 70% pass mark for each skill and perform all critical points (6 / 8 required). Score: / 8 NUMBER OF ATTEMPTS TEST 1 RETEST 2 RETEST 3 / 8 / 8 / 8 TIME EVALUATOR COMMENTS
SIGNATURE FIRST EVALUATOR X Overall Skill Sheet Score Pass Fail PRINT NAME SECOND EVALUATOR CERT # SKILL TEST DATE / / SIGNATURE SECOND EVALUATOR X Overall Skill Sheet Score Pass Fail NAME THIRD EVALUATOR CERT # SKILL TEST DATE / / SIGNATURE EVALUATOR X Overall Skill Sheet Score Pass Fail