Hazardous Materials Technician Skill Sheets - Pennsylvania Office Of The State Fire Commissioner

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Hazardous Materials Technician 472
Test Date
Candidate #
STATION A – Site Safety Plan
Reference NFPA 472 -
2013
Edition, Chapter 7
Test Site
Mandatory Station JPR 7.1.2.2 (3)(a)(c)(d), (5)(c),
7.6.3 (2)(3)
Directions: Given a hazardous materials scenario, research tools, and hazmat forms, the candidate will develop a
site safety and control plan and perform the control functions identified in the incident action plan consistent with
the organizations standard operating procedures.
Performance Outcome: Pass/ Fail will be determined by 16 of the 19 items being preformed correctly
Initial Test
Retest
No.
Task Steps
Yes
No
Yes
No
Candidate initiates IMS
1.
Candidate determines level of incident
2.
3.
Candidate detects the presence of hazardous materials
Candidate surveys the incident and estimates outcomes.
4.
Candidate determines scope of scene control required and
5.
establishes appropriate scene control actions.
Information Resources
Candidate collects and interprets hazard and response information
6.
Candidate describes condition of the container involved in the
7.
incident
8.
Candidate predicts the behavior of containers and contents
Candidate estimates size of an endangered area.
9.
Candidate estimates potential harm
10.
Action Plans
Candidate identifies and describes response objectives
11.
Candidate identifies pre-entry activities to be performed
12.
Candidate identifies emergency decontamination resources &
13.
procedures.
Candidate identifies potential action options
14.
Candidate selects personal protective equipment
15.
Candidate develops a incident action plan
16.
Evaluation Process
Candidate evaluates the progress of the response activities
17.
Documentation
Candidate completes all forms and reports required by the authority
18.
having jurisdiction including personnel exposure records
Were all tasks completed in a SAFE manner? (“NO” indicates
19.
automatic failure
PASS____
PASS____
FAIL____
FAIL____
July 2014

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00 votes

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