1153 Performance Task Manual - South Carolina Fire Academy
1153 Performance Task Manual - South Carolina Fire Academy
1153 Performance Task Manual - South Carolina Fire Academy
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Competency Profile<br />
(Evaluation Use Only)<br />
Student Name_______________________ Signature__________________________<br />
Organization _______________________ Code /Section ______________________<br />
Course Name:_________________________________________________________<br />
Instructor________________________ Date of Completion ______/______/______<br />
Lead Evaluator_______________________Signature__________________________<br />
Skill<br />
Attempt<br />
1152 Program Mandatory PPE / SCBA Skill 1 st Pass __ Fail __ 2 nd Pass __ Fail __<br />
Skill Station 1<br />
1 st Pass Fail 2 nd Pass Fail<br />
Skill: __________________ <br />
Skill: __________________ <br />
Skill Station 2<br />
Skill: __________________ <br />
Skill: __________________ <br />
Skill Station 3<br />
Skill: __________________ <br />
Skill: __________________ <br />
Skill Station 4<br />
Skill: _________________ <br />
Skill: __________________ <br />
* Justify any failures in writing on the back of evaluator form.<br />
Final Outcome: Pass Fail<br />
** Mandatory PPE / SCBA Skill is for 1152 Program Only **<br />
**White form must be completed and turned in with the course package, yellow copy is<br />
returned to the student at end of evaluation.<br />
<strong>South</strong> <strong>Carolina</strong> <strong>Fire</strong> <strong>Academy</strong><br />
Rev 5 January 2009
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