Rescue Technician - Trench Skill Sheets

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PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSTrench Rescue Technician I & II Skill StationsNFPA 1006 – Chapter 8 (2013 Edition)Trench Rescue Technician Level I *Station AScene Size-up & Incident Action Plan (Site Operations)Station BAir Monitoring & Ventilation (Support Operations)Mandatory StationRandom StationStation CGeneral Site Safety (Support Operations)Random StationStation DCut Station Set-up (Support Operations)Random StationStation ESupport Non-Intersecting Trench (Support Operations)Mandatory StationStation FDisentanglement & Removal (Site Operations)Mandatory StationStation GTermination (Site Operations)Mandatory StationTrench Rescue Technician Level II ***Station HSupport Intersecting Trench (Site Operations)Mandatory StationStation ISupplemental Sheeting/Shoring (Site Operations)Station JHeavy Lift Operations (Site Operations)Mandatory StationRandom StationStation KHeavy Equipment Coordination (Site Operations)Random StationLevel I MUST Test 6 Skill Stations 4 Mandatory Stations: A, E, F, G 3 Random Stations: B, C, or D** Level II MUST Test 3 Skill Stations 7 Mandatory Stations: H, I 4 Random Stations: (C or K) and (F or G) and (H, I or J) and (N or O)*** Combined Tests (Level I and II) shall use 9 Skill Stations:If testing both levels together, then all mandatory stations and three random stations must be used.January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION A – Scene Size-up and Incident Action Plan(Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPRs 8.1.1, 8.1.2Candidate #Check the Test TypeInitialRetestDirections: Given a simulated trench rescue with a victim, conduct a size-up so existing and potential conditions areevaluated within the trench and the rescue area, general hazards are identified, a witness or “competent person” issecured; the probably of victim existence, number, condition, and location are determined; potential for rapid non-entryrescues or victim self-rescue is recognized, needed personnel, supply, and equipment resources are evaluated; andutility involvement and location are determined. Do you have any questions?Performance Outcome: Pass / Fail is determined by 16 of 16 tasks being correctly blishes and utilizes an Incident Management SystemEnsures proper use of Personal Protective Equipment (PPE)Utilizes a personnel accountability systemCompletes size-up using observations, victims, bystanders and/or site informationIdentifies and safely controls all present and potential hazardsIdentifies any involved utilitiesDetermines basic soil classificationDetermines trench dimensionsEstablishes safe operating zonesIdentifies collapse patternIdentifies stabilization issues and resources neededDetermines all potential victim locationsEvaluates rescue vs. recovery considerationsRecognizes non-entry rescues or self-rescue of victimFormulates an initial Incident Action Plan and completes a tactical work sheet(ICS 201 Form or an equivalent).Completes the assignment in a professional mannerPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature:January 2019Evaluator #

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION B – Air Monitoring and Ventilation(Support Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Random Station: JPR 8.1.3Candidate #Check the Test TypeInitial RetestDirections: Given a simulated trench rescue and properly placed ground pads, implement atmospheric monitoring andventilation in support of the trench rescue operation. Do you have any questions?Performance Outcome: Pass / Fail is determined by 11 of 11 tasks being correctly performed.No.1234567891011TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Selects appropriate air monitoring equipmentChecks and assures proper operation of selected equipmentProvides a fresh air set-up or zeroes monitor per the manufacturer’s recommendationsMonitors the general area around the trench starting on the upwind sideMonitors the atmosphere in the trench at appropriate levelsSelects appropriate ventilation equipmentAssures proper operation of ventilation equipmentProperly establishes positive pressure ventilation of trenchContinues to monitor atmosphere in trench and record findingsCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #:January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION C – General Site Safety (Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Random Station: JPR 8.1.3Candidate #Check the Test TypeInitial RetestDirections: Given a simulated trench rescue emergency and size-up information, demonstrate the ability to place groundpads around the lip of the trench and make the general area safe to conduct further rescue operations. Do you have anyquestions?Performance Outcome: Pass / Fail is determined by 7 of 10 tasks being correctly performed.No.12345678910TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Selects appropriate size and type of material to use as grounds padsApproaches the trench from the endProperly places ground pads around the lip of the trenchAssures all ground pads are level and contiguousNotes any areas of concern around the trench lipOperates from a location of safety and distributes weight over the ground pads whileconducting operationsCompletes all tasks without compromising personal or team safetyChooses the appropriate dewatering techniqueEnsures all personnel are rotated to REHAB as requiredPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION D –Test SiteCut Station Set-up (Support Operations)Test DateReference NFPA 1006 (2013 Edition) Chapter 8Random Station: JPR 8.1.3Candidate #Check the Test TypeInitialRetestDirections: Given a basic equipment cache, demonstrate the ability to establish a cut station in support of a trenchrescue operation. Do you have any questions?Performance Outcome: Pass / Fail is determined by 5 of 5 tasks being correctly performed.No.12345TasksEnsures proper/continued use of Personal Protective Equipment (PPE)Selects appropriate location for cut station given the rescue siteSelects appropriate tools and equipment from cache for cut station. At a minimum, thecandidate should select the following items: Chain saw Circular saw Tape measure/measuring device Speed and/or framing square Carpenter’s pencils or lumber crayons Appropriate PPE for equip. selected Various extension cords Generator or other power source Lighting units (as applicable)YesNoAssures all equipment selected operates and is in a serviceable conditionCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION E –Test SiteSupport Non-Intersecting Trench(Site Operations)Test DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPR 8.1.4Candidate #Check the Test TypeInitialRetestDirections: Functioning as a member on a team, and given a simulated trench rescue scenario, design and construct asupport/shoring system to access and extricate an entrapped victim in a straight/non-intersecting trench. Do you haveany questions?Performance Outcome: Pass / Fail is determined by 15 of 15 tasks being correctly s proper/continued use of Personal Protective Equipment (PPE)Confirms size-up information obtained (hazards, type of collapse, trench dimensions, soiltype/classification)Assures the placement of ground pads around trench lipAssures that ventilation and atmospheric monitoring are in placeLadder placed in trench and secured for accessReferences and interprets tabulated data for type of system being constructedDesigns/constructs a safe and appropriate system for the given scenario that can support theanticipated loadTeam briefing performed prior to shoring operationsSheeting and uprights (or trench box) placed appropriatelyShoring placed in proper order given situationShores secured in place (toe nailed, scabbed)Shoring checked periodically for stabilityCompleted system is capable of adequately supporting the anticipated loadOperations are conducted from within safe zones while in trenchCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION F – Disentanglement and Removal(Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPRs 8.1.5, 8.1.6, 8.2.6Candidate #Check the Test TypeInitialRetestDirections: Functioning as a member of a team and given a simulated trench rescue scenario with a victim, access thevictim, provide for disentanglement, and properly package and remove the victim from the trench. Do you have anyquestions?Performance Outcome: Pass / Fail is determined by 14 of 14 tasks being correctly performed.No.1234567891011121314TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Accesses victim and assesses degree of entrapmentProvides patient protection (head & eye protection, shielding, etc.)Provides for an appropriate medical evaluation and intervention by qualified personnel priorto releasing victim from entrapmentRecognizes the potential for “crush syndrome”Excavates dirt from around patient utilizing approved equipment and methods in order not tocause any additional injury to patientRemoves any entrapping mechanism that may be in placeAssures complete disentanglement of patient prior to attempting to remove patient fromthe trenchSelects appropriate patient packaging and removal equipment given the situationAppropriately applies selected packaging equipment to patientPrepares patient for removal from trenchPatient removed from trench using the ladder-raise removal technique, removal is done in asafe and efficient mannerSystems and devices selected are appropriate for conditionsCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION G – Termination (Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPR 8.1.7Candidate #Check the Test TypeInitialRetestDirections: Functioning as a member of a team and given a simulated trench rescue incident with a victim alreadyextricated from the trench, terminate the incident providing for recovery of equipment and personnel. Do you haveany questions?Performance Outcome: Pass / Fail is determined by 12 of 12 tasks being correctly performed.No.123456789101112TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Assures ongoing atmospheric monitoring and ventilationEvaluates installed system components for integrityConducts briefing of personnel prior to starting equipment recoveryRemoves installed components of shoring/sheeting system in reverse order from which theywere installedConducts operations in the trench while always remaining in safe zoneGround pads, ventilation and air monitoring equipment recoveredTrench and site securedEquipment cleaned and returned to state of readinessPost incident analysis conductedNeed for Critical Incident Stress Debriefing assessedCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION H – Support Intersecting Trench(Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPRs 8.2.1, 8.2.3Candidate #Check the Test TypeInitialRetestDirections: Functioning as a member of a team and given a simulated trench rescue scenario, design andconstruct a support/shoring system to access and extricate an entrapped victim in an intersecting trench. Doyou have any questions?Performance Outcome: Pass / Fail is determined by 15 of 15 tasks being correctly s proper/continued use of Personal Protective Equipment (PPE)Confirms size-up information obtained (hazards, type of collapse, trench dimensions, soiltype/classification)Assures placement of ground pads around trench lipAssures ventilation and atmospheric monitoring in placeLadder placed in the trench and secured for accessReferences and interprets tabulated data for the type of system being constructedDesigns/constructs a safe and appropriate system for the given scenarioTeam briefing performed prior to shoring operationsSheeting and uprights (or trench box) placed appropriatelyShoring placed in proper order given situationShores secured in place (toe nailed, scabbed)Shoring checked periodically for stabilityCompleted system capable of adequately supporting anticipated loadOperations conducted from within safe zones/areas while in trenchCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION I – Supplemental Sheeting/Shoring(Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Mandatory Station: JPRs 8.2.2, 8.2.3Candidate #Check the Test TypeInitialRetestDirections: Functioning as a team member and given a simulated trench rescue scenario, install supplemental sheetingand shoring when excavating below the level of protection initially placed in the trench. Do you have any questions?Performance Outcome: Pass / Fail is determined by 8 of 8 tasks being correctly performed.No.12345678TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Evaluates the need for supplemental sheeting and shoringReferences and appropriately interprets tabulated data for installation of supplementalsheeting and shoring given situationAssures no excavation is made 2 feet below the approved shoring and sheeting alreadyinstalled without providing supplemental sheeting/shoringInstalls supplemental sheeting and shoring utilizing approved devices, techniques andsuppliesEvaluates installed sheeting/shoring for integrityCompleted system is capable of adequately supporting anticipated loadCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION J – Heavy Lift Operations (Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Random Station: JPR 8.2.4Candidate #Check the Test TypeInitialRetestDirections: Functioning as a member of a team and given a simulated trench rescue scenario, coordinate the lifting ofa heavy load/object off a patient to facilitate patient disentanglement and extrication. Do you have any questions?Performance Outcome: Pass / Fail is determined by 11 of 11 tasks being correctly performed.No.1234567891011TasksYesNoEnsures proper/continued use of Personal Protective EquipmentSelects appropriate tools and equipment for presenting situationPerforms load calculation and estimates weight of object to be liftedDetermines appropriate techniques/devices based on weight and configuration of objectAssures object is adequately stabilized prior to beginning lifting operationsAppropriately rigs object to be lifted (if applicable).Lifts object distance needed to extricate patientAppropriate application of principles of mechanical advantage and leverage is used andaccomplished using appropriate class(s) of leversLift and stabilization/cribbing coordinated so the load does not fall greater than 1 inchshould lifting procedure inadvertently failLift is coordinated, and the object can be secured in placeCompletes all tasks without compromising personal or team safetyPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMYTRENCH RESCUE TECHNICIAN SKILLSSTATION K – Heavy Equipment Coordination(Site Operations)Test SiteTest DateReference NFPA 1006 (2013 Edition) Chapter 8Random Station: JPR 8.2.5Candidate #Check the Test TypeInitialRetestDirections: Given a simulated trench rescue scenario, coordinate the use of heavy equipment (e.g., vacuum truck,excavation equipment, crane, etc.) in and around the trench rescue site. Do you have any questions?Performance Outcome: Pass / Fail is determined by 5 of 5 tasks being correctly performed.No.12345TasksYesNoEnsures proper/continued use of Personal Protective Equipment (PPE)Confirms trench is adequately secured prior to having heavy equipment operatein/around immediate area of trenchCoordinates movement of heavy equipment in the hot zone with other rescue relatedactivitiesUtilizes proper hand signals and/or voice communication during the operationCompletes the assignment in a professional mannerPlease indicate skill outcome PASS FAILEvaluator Comments:Evaluator Signature: Evaluator #January 2019

PENNSYLVANIA STATE FIRE ACADEMY TRENCH RESCUE TECHNICIAN SKILLS January 2019 Directions: Given a simulated trench rescue with a victim, conduct a size-up so existing and potential conditions are evaluated within the trench and the rescue area, general hazards are identified, a witness or “competent person” is

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