                                      
 


                    POSITION TASK BOOK FOR THE POSITION OF





ALL-HAZARDS
PUBLIC INFORMATION OFFICER

	

	Version: April 2011






                                       

                                       

                        Position Task Book Assigned To:

Individual's Name:
Duty Station:
Phone Number:


                       Position Task Book Initiated By:

Official's Name:
Title:
Duty Station:
Phone Number:


Location Position Task Book was Initiated: ____________________

Date Position Task Book was Initiated: _____________________

                                       


                                   EVALUATOR
                                       
DO NOT COMPLETE THIS UNLESS YOU ARE RECOMMENDING THE TRAINEE FOR CERTIFICATION
                                       
                                       
VERIFICATION/CERTIFICATION OF COMPLETED POSITION TASK BOOK FOR THE POSITION OF:
                                       
                       FINAL EVALUATOR'S VERIFICATION
                                       
I verify all tasks have been performed and are documented with appropriate initials.
I also verify_________________________________________________________
has performed as a trainee and should therefore be considered for certification in this 
position.
                                       
                                       
FINAL EVALUATOR'S SIGNATURE: ____________________________________ 

DATE: ____________________

Evaluator's Printed Name:
Title:
Duty Station:
Phone Number:

                                       
                 AGENCY HEAD RECOMMENDATION FOR CERTIFICATION
                                       
I certify ____________________________________________________________
has met all requirements for qualification in this position and I recommend he/she be
certified for the position.
                                       

OFFICIAL'S SIGNATURE: _____________________________________

DATE: ______________________________

Official's Name:
Title:
Duty Station:
Phone Number:
                                       
                                       

 


                  NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS)
                         INCIDENT COMMAND SYSTEM (ICS)
                          POSITION TASK BOOKS (PTBs)
                                       
Position Task Books (PTBs) are designed to be used by any individual (trainee) interested in becoming certified under the National Incident Management System (NIMS). The PTBs are intended to be used to document experiences that indicate successful completion of tasks specific to an Incident Command System (ICS) position. The performance requirements for each position are associated with core ICS competencies, behaviors, and tasks as suggested to the Federal Emergency Management Agency (FEMA) by a multi-disciplined, highly-experienced expert panel. 

Trainees are evaluated during this process by qualified evaluators, and the trainee's performance is documented in the PTB for each task by the evaluator's initials and date of completion. An Evaluation Record will be completed by all evaluators documenting the trainee's progress after each evaluation opportunity. 

Successful performance of all tasks, as observed and recorded by an evaluator, will result in a recommendation to the Authority Having Jurisdiction (AHJ) of the trainee, that the trainee be certified in that position. Evaluation and confirmation of the trainee's performance while completing all tasks will normally require more than one training assignment and several different evaluators. Incidents lasting several days may involve multiple evaluators. Tasks may be evaluated on incidents, in a classroom simulation, in training and exercises, and in other work situations as long as there is a qualified evaluator.  

It is important performances be critically evaluated and accurately recorded by each evaluator. All tasks should be evaluated.  

The NIMS Qualification Process Guide lists the definitions for trainee, evaluator, training officer, and AHJ. 


Responsibilities:

1. Authority Having Jurisdiction (AHJ):
   * Selecting trainees based on the needs of their organization or to fulfill their obligations to contribute to Incident Management Teams (IMTs) or other Mutual Aid agreements.
   * Providing opportunities for evaluation and/or making the trainee available for evaluation.

2. Trainee:
   * Reviewing and understanding instructions in the PTB
   * Identifying desired objectives/goals whenever an opportunity for evaluation is recognized
   * Providing background information to an evaluator
   * Assuring the evaluation record is complete
   * Completing all tasks for an assigned position within the timeframe allowed for that position (all tasks with an approval older than the allowed timeframe should be reevaluated)
   * Notifying the local AHJ/training officer when the PTB is completed, and obtaining a signature recommending certification
   * Retaining the original PTB and providing a copy of the PTB to the appropriate individual/department to obtain a qualification from your agency

3. Evaluator(s):
   * Being qualified and proficient in the evaluated position
   * Meeting with the trainee and determining past experience, current qualifications and desired objectives/goals
   * Reviewing tasks with the trainee
   * Explaining to the trainee the evaluation procedures that will be utilized and which tasks may be performed during the evaluation period
   * Accurately evaluating and recording demonstrated performance of tasks
   * Dating and initialing completion of the task to indicate satisfactory performance
   * Documenting unsatisfactory performance
   * Completing the Evaluation Form found at the end of each PTB
   * Completing an Incident Personnel Performance Rating (ICS 225) form
   
4. Final Evaluator:
   * Being qualified and proficient in the position being evaluated
   * Reviewing the trainee's record to ensure completeness
   * Signing the verification statement on Page 2 of the PTB when all tasks have been initialed
   * Ensuring all tasks have been completed within the three years prior to submission for final approval
   * Reevaluating any task with an approval older than three years and bringing up to date
      
5. Training Officer:
   * Providing the correct version of the PTB to the individual in order to document performance
   * Explaining to the trainee the purpose and processes of the PTB as well as the trainee's responsibilities
   * Tracking progress of the trainee
   * Identifying incidents or situations where the trainee may have evaluation opportunities
   * Identifying and assigning an evaluator who can provide a positive experience for the trainee, when the evaluation opportunity is within the AHJ's jurisdiction
   * Receiving and filing documentation from the assignment

6. AHJ Designee
   * Issuing the PTB to document task performance
   * Explaining to the trainee the purpose and processes of the PTB, as well as the trainee's responsibilities
   * Tracking progress of the trainee
   * Identifying incident evaluation opportunities
   * Identifying and assigning an evaluator who can provide a positive experience for the trainee and make an accurate and honest appraisal of the trainee's performance
   * Documenting the assignment
   * Conducting progress reviews
   * Conducting a closeout interview with the trainee and evaluator and assuring documentation is proper and complete


Competencies, Behaviors and Tasks:

Each PTB lists the performance requirements (tasks) for specific positions set by the ICS competencies and behaviors (September 2007) recognized by FEMA's National Integration Center and posted to the NIMS Resource Center Web site, http://www.fema.gov/emergency/nims/.

There are numerous bullet statements listed under each task. The bullet statements are listed as guidelines/examples for the evaluator to follow to ensure that the intent of the task has been completed. Not all bullet statements for a task are required to be completed if the overall intent of the task has been satisfied.

Each task has a code associated with the type of training assignment where the task may be completed. These include: O = other, I = incident/event and R = rare event. Definitions for these codes may be found below*. While tasks can be performed in any situation, they should be evaluated on the specific type of incident/event for which they are coded. Tasks coded "I" should be evaluated on an incident/event, and so on. Performance of any task other than the designated assignment is not valid for qualification.

*Code:	
    O 	= Task can be completed in a variety of situations, such as in a classroom, exercise or simulation, incident or event, or daily job.
    I	=	Task should be performed on an incident or event which is managed under the ICS. 
    R	=	Rare events seldom occur and opportunities to evaluate trainee performance in real settings are limited. Examples of rare events include accidents, injuries, vehicle and aircraft crashes. Through interviews, the evaluator may be able to determine if the trainee could perform the task in a real situation.






Competency: Assume position responsibilities
Description: Successfully assume role of Public Information Officer and initiate position activities at the appropriate time according to the following behaviors. 

Behavior: Ensure readiness for assignment. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   1. Obtain and assemble information and materials needed for kit. Kit assembled and prepared prior to receiving an assignment. Kit contains critical items needed for functioning during the assignment. Kit is easily transportable. The basic information and materials needed may include, but are not limited to, any of the following: 

Reference Material
      * Position manual
      * Receiving agency/organization specific policies and procedures
      * Emergency Response Field Operations Guide (ERFOG)

Forms
      * ICS 201, Incident Briefing
      * ICS 202, Incident Objectives
      * ICS 203, Organization Assignment List
      * ICS 209, Incident Status Summary
      * ICS 213, General Message 
      * ICS 214, Activity Log

Supplies
      * Telephone and contact documentation log sheets 
      * Local media directory
      * Camera/film
      * Appropriate office supplies
                                       O


   2. Arrive properly equipped at incident assigned location within acceptable time limits. Check in according to agency/organization guidelines.
                                       I


   3. Demonstrate familiarity with communications equipment, procedures, and basic functions/ capabilities of:
      * Hand-held, portable, multi-channel radios 
      * Portable scanner 
      * Cellular telephone 
      * Facsimile machine (FAX)
                                       O


Behavior: Ensure availability, qualifications, and capabilities of resources to complete assignment.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   4. Determine immediate staffing and resource needs. 
      * Assess incident complexity and media interest. 
      * Gather additional supplies to support effort, if needed.
                                       I



Behavior: Gather, update, and apply situational information relevant to the assignment.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   5. Obtain complete information from dispatch upon initial activation. 
      * Incident name 
      * Incident order number 
      * Request number 
      * Incident number 
      * Reporting location
      * Phone contacts 
      * Radio frequencies 
      * Transportation arrangements/travel routes 
      * Reporting times
                                       I


   6. Gather all available information necessary to accurately assess incident; make appropriate decisions about immediate needs and actions including: 
      * Incident Commander's (ICs) name/location and agency/organization contact information 
      * Type of incident 
      * Current resource commitments 
      * Current situation status 
      * Expected duration of incident 
      * Topography
      * Weather (current and expected) 
      * Agency Administrator's briefing
                                       I


   7. Establish contact with IC or Lead Information Officer to obtain briefing. Review ICS 201 (Incident Briefing) and ICS 202 (Incident Objectives), if available, ICS 203 (Organization Assignment List), and ICS 209 (Incident Status Summary).
      * Contact responsible agencies' public affairs staff for briefing on local issues. 
      * Obtain local information. 
      * Obtain media contact list.
      * Obtain agency representative list from liaison officer representative.
                                       I


   8. Review available documentation. 
      * Incident Action Plan (IAP)
      * Analysis and projections as appropriate
                                       I


   9. Determine expectations of Incident Commander/Agency Administrator regarding gathering and disseminating of information. 
      * Participation in interviews
      * Media access (e.g. ground and air)
      * Release of sensitive information
      * Investigation and cause
      * Need or location of information center
                                       I



Behavior: Establish effective relationships with relevant personnel.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   10. Maintain positive working relationships with all co-workers, incident personnel, local publics, and agencies. 
                                       I


   11. Employ good listening/responding skills with co-workers, incident personnel, media, and public. 
                                       I


   12. Obviously support cooperating and participating agencies in contacts with the media and public.  Written materials (e.g. news releases, fact sheets) should reflect support of other agencies. 
                                       I


   13. Demonstrate respect for and sensitivity toward all cultures in contacts with incident personnel, public, and media, and in all written materials. 
                                       I


   14. Ensure information personnel maintain a neat and professional appearance at all times. 
                                       I


   15. Practice "service concept" with public/media/incident personnel.
                                       I


   16. Serve as contact point for media calling the incident. 
                                       I



Behavior: Establish organization structure, reporting procedures and chain of command of assigned resources.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   17. Establish system/schedule for obtaining incident information. 
      * ICS 209 (Incident Status Summary)
      * Communication with agency/organization dispatch
      * Follow-up briefings from Incident Commander
      * Obtain IAPs and incident map products
                                       I



Behavior: Understand and comply with ICS concepts and principles.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   18. Maintain appropriate span of control through the assignment of Assistant Public Information Officers from appropriate agencies and/or organizations. 
                                       I


   19. Demonstrate knowledge of ICS structure, principles, positions, and ICS forms.
                                       O


   20. Act as representative of the IC.
                                       I




Competency: Lead assigned personnel 

Description: Influence, guide, and direct assigned personnel to accomplish objectives and desired outcomes in a potentially rapidly changing environment.

Behavior: Model leadership values and principles. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   21. Exhibit principles of duty.
      * Be proficient in the job, both technically and as a leader.
      * Make sound and timely decisions.
      * Ensure tasks are understood, supervised, and accomplished.
      * Train and mentor assigned subordinates.
                                       I


   22. Exhibit principles of respect.
      * Know subordinates and look out for their well-being.
      * Keep subordinates informed.
      * Build the team.
      * Assign subordinates in accordance with their capabilities.
                                       I


   23. Exhibit principles of integrity.
      * Know yourself and seek improvement.
      * Seek responsibility and accept responsibility for actions.
      * Set the example.
                                       I



Behavior: Ensure the safety, welfare and accountability of assigned personnel.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   24. Recognize potentially hazardous situations in the working area.
                                       I


   25. Inform subordinates of hazards.
                                       I


   26. Ensure special precautions are taken when extraordinary hazards exist.
                                       I


   27. Ensure adequate rest is provided to all unit personnel.
                                       I



Behavior: Establish work assignments and performance expectations, monitor performance and provide feedback. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   28. Brief and keep subordinates informed and updated.
                                       I


   29. Ensure necessary support staff is aware of planning meeting assignments.
                                       I


   30. Provide ongoing feedback to subordinates during incident and demobilization.
                                       I


   31. Evaluate performance of subordinates as required by agency/organization policy.
                                       I



Behavior: Emphasize teamwork.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   32. Establish cohesiveness among assigned resources.
      * Establish trust through open communication.
      * Require commitment.
      * Set expectations of accountability.
      * Bring focus to the team result.
                                       I



Behavior: Coordinate interdependent activities.
                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   33. Coordinate with other information functions. 
      * MAC group 
      * Area command 
      * Dispatch 
      * Joint Field Operations
      * Joint Information Center
      * Cooperating agencies 
      * Other incidents
                                       I



Competency: Communicate effectively
 
Description: Use suitable communication techniques to share relevant information with appropriate personnel on a timely basis to accomplish objectives in a potentially rapidly changing environment

Behavior: Ensure relevant information is exchanged during briefings and debriefings.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   34. Establish contact with IC or Lead Information Officer to obtain briefing. Review ICs ICS 201 (Incident Briefing) and ICS 202 (Incident Objectives), if available. 
      * Contact responsible agencies' public affairs staff for briefing on local issues. 
      * Obtain local information. 
      * Obtain media contact list.
                                       I


   35. Review available documentation. 
      * IAP
      * Analysis and projections as appropriate
                                       I


   36. Determine expectations of IC/Agency Administrator regarding gathering and disseminating of information. 
      * Participation in interviews
      * Media access (e.g. ground and air)
      * Release of sensitive information 
      * Investigation and cause
      * Need or location of information center
                                       I


   37. Participate in briefings/meetings. 
      * Develop information updates based on information received. 
      * Apprise IC of sensitive information and community needs.
                                       I


   38. Assist with post-incident information strategy and procedure. 
      * Assist in organizing briefing material and documentation materials for jurisdictional agency/organization information staff. 
      * Assist jurisdictional agency/organization with the preparation of a post incident information strategy.
                                       I



Behavior: Ensure documentation is complete and disposition is appropriate.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   39. Document all media contacts on media log. 
                                       I


   40. Document key activities/highlights on Unit Log, ICS 214 (Activity Log).
                                       I


   41. Complete and submit required ICS documentation and other documentation as requested by IC and/or Agency Administrator.
                                       I


   42. Complete and submit ICS 221 (Demobilization  Checkout) if required.
                                       I



Behavior: Gather, produce, and distribute information as required by established guidelines and ensure understanding by recipient.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   43. Obtain updated maps and other visuals to aid PIOs and other incident personnel in briefing the media on incident status. 
                                       I


   44. Take photographs and video of the incident and related activities. 
                                       I


   45. Obtain community street maps and emergency numbers for local contacts. 
                                       I


   46. Update and post-incident fact sheet or newsletter at various locations in community.
                                       I


   47. Prepare and disseminate information internally to personnel on incident. 
      * Establish bulletin boards(s) at ICP and other incident locations. 
      * Assist with development of newsletter as appropriate. 
      * Develop news clipping sheet for posting at bulletin board locations.
                                       I


   48. Prepare briefing materials for VIP visits and assist with planning, coordination, and logistics for visits.
                                       I




Competency: Ensure completion of assigned actions to meet identified objectives

Description: Identify, analyze, and apply relevant situational information and evaluate actions to complete assignments safely and meet identified objectives. Complete actions within established timeframe.

Behavior: Take appropriate action based on assessed risks. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   49. Initiate contact and respond to inquiries from media. 
      * Call wire services with initial information and updates. 
      * Provide phone numbers for media to call for further information. 
                                       I


   50. Serve as incident spokesperson. 
                                       I


   51. Be alert to rumors and take appropriate action.
                                       I



Behavior: Modify approach based on evaluation of incident situation. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   52. Obtain information on special hazards or threats. 
      * Prepare briefing paper/news release for approval of Lead Information Officer, IC, or Agency Administrator.
                                       I



Behavior: Follow established and/or health and safety procedures relevant to given assignment.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   53. Follow health and safety procedures and be aware of incident-specific hazards. 
      * Have available and use appropriate personal protective equipment (PPE). 
      * Follow established health and safety procedures. 
      * Brief media and public on health and safety concerns of the incident.
                                       I


   54. Provide PPE to assisting and cooperating agencies. 
                                       I


   55. Obtain clearance for access to incident from operations personnel.
                                       I



Behavior: Provide logistical support as necessary.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   56. Arrange and schedule media access to the incident and obtain information on media personnel and media aircraft. 
                                       I


   57. Provide ground transportation and escorts for media. 
                                       I


   58. Prepare briefing materials for VIP visits and assist with planning, coordination, and logistics for visits.
                                       I



Behavior: Develop appropriate information releases and conduct media interviews according to established protocol.

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   59. Develop information updates based on information received. 
                                       I


   60. Gather information and prepare/update fact sheet/news release. 
                                       I


   61. Clear information release with the Lead Information Officer.
                                       I


   62. Inform media outlets of information center, phone numbers, location, and operating hours.  
                                       I


   63. Conduct interview and provide updates to media calling the information center. 
                                       I


   64. Maintain log of media names, organization, and types of requests for information. 
                                       I


   65. Follow up on media requests for callbacks and additional information. 
                                       I


   66. Gather and prepare press releases and other messages about the incident. 
                                       I


   67. Arrange and schedule phone and in-person interviews for the media with incident personnel.
                                       I


   68. Determine when IC and other personnel will be available for media interviews. 
                                       I


   69. Arrange interviews/briefings for the media with IC and other incident personnel. 
                                       I


   70. Handle community relations responsibilities, as needed. 
      * Make initial contacts and updates for community leaders and other local cooperating public service. 
      * Obtain community street maps and emergency numbers for local contacts. 
      * Update and post incident fact sheet or newsletter at various locations in community. 
      * Moderate, host, or prepare for information briefings. 
      * Inform affected public about evacuation centers.
                                       I


   71. Obtain information on special hazards or threats. 
      * Prepare briefing paper/news release for approval of Lead Information Officer, IC, or Agency Administrator.
                                       I


   72. Prepare a fact sheet and/or news release that describes the nature of the incident and addresses who, what, where, when, and why. 
      * Size 
      * Location (e.g. proximity to well-known locations or communities) 
      * Time and date of origin
      * Cause (if cleared) 
      * What is threatened 
      * Priorities and values to be protected (e.g. life, property, infrastructure, environment, etc.)
      * Costs to date 
      * Damages (e.g. property and resources)
      * Current and expected weather conditions 
      * Predicted changes in the incident 
      * Agencies/jurisdiction 
      * Cooperating agencies 
      * Equipment and resources committed and responding
                                       I



Behavior: Plan for demobilization and ensure demobilization procedures are followed. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   73. Receive demobilization instructions from supervisor. 
                                       I


   74. Ensure incident and agency/organization demobilization procedures are followed. 
                                       I



Behavior: Transfer position duties while ensuring continuity of authority and knowledge and taking into account the increasing or decreasing incident complexity. 

                                     TASK
                                     CODE
                              EVALUATION RECORD #
                                   EVALUATOR
   75. Determine with replacement time of transfer.
                                       I


   76. Communicate transfer of command to operations and command staff. 
                                       I


   77. If necessary, coordinate with agencies about transfer of command back to local jurisdiction. 
                                       I



               INSTRUCTIONS FOR COMPLETING THE EVALUATION RECORD

There are four separate blocks allowing evaluations to be made. These evaluations may be made on incidents, simulations in classroom, or in daily duties, depending on what the PTB indicates.  This should be sufficient for qualification in the position if the individual is adequately prepared. If additional blocks are needed, a page can be copied from a blank task book and attached.

COMPLETE THESE ITEMS AT THE START OF THE EVALUATION PERIOD:
Evaluator's Name, Incident/Office Title and Agency:  List the name of the evaluator, his/her incident position or office title, and agency.
Evaluator's Home Unit Address and Phone:  Self-explanatory
Incident Number:  The number next to the evaluator's name in the upper left corner of the evaluation record identifies a particular incident or group of incidents. This number should be placed in the column labeled "Evaluation Record #" on the PTB for each task performed satisfactorily. This number enables reviewers of the completed PTB to ascertain the qualifications of the different evaluators prior to making the appropriate sign-off on the PTB.
Location of Incident/Simulation:  Identify the location where the tasks were performed by agency and office.
Incident Kind:  Enter kind of incident (e.g., hazmat, wildland fire, structural fire, search and rescue, flood, tornado, etc.).

COMPLETE THESE ITEMS AT THE END OF THE EVALUATION PERIOD:
Number and Type of Resources:  Enter the number and type of resources assigned to the incident pertinent to the trainee's position.
Duration:  Enter inclusive dates during which the trainee was evaluated. This block may indicate a span of time covering several small and similar incidents if the trainee has been evaluated on that basis (e.g. several initial attack wildfires in similar fuel types).
Recommendation:  Check as appropriate and/or make comments regarding the future needs for development of this trainee.
Date:  List the date the record is being completed.
Evaluator's Initials:  Initial here to authenticate recommendations and to allow for comparison with initials in the PTB.
Evaluator's Relevant Certification:  List your certification relevant to the trainee position you supervised.
                               Evaluation Record
                                       
--------------------------------------------------------------------------------

                                 TRAINEE NAME
--------------------------------------------------------------------------------

                               TRAINEE POSITION
                                       
#1
Evaluator's name:
Incident/office title & agency:
Evaluator's home unit address & phone:
        Name and Location
of Incident or
Situation
(agency & area)
Incident Kind
(hazmat, tornado, flood, structural fire, wildfire, search & rescue, etc.)
       Number & Type of
Resources
Pertinent to
Trainee's Position
                 Duration
(inclusive dates
in trainee status)



                                       
The tasks initialed and dated by me have been performed under my supervision in a satisfactory manner by the above named trainee. I recommend the following for further development of this trainee.
______	The individual has successfully performed all tasks for the position and should be considered for certification.
______	The individual was not able to complete certain tasks (comments below) or additional guidance is required.
______	Not all tasks were evaluated on this assignment and an additional assignment is needed to complete the evaluation.
______	The individual is severely deficient in the performance of tasks for the position and needs further training in both required knowledge and skills prior to additional assignment(s) as a trainee.

Recommendations: ______________________________________________________________________________________

_______________________________________________________________________________________________________

Date: ____________________________ Evaluator's initials: ________________________

Evaluator's relevant agency certification or rating:___________________________________________________________


#2
Evaluator's name:
Incident/office title & agency:
Evaluator's home unit address & phone:
        Name and Location
of Incident or
Situation
(agency & area)
Incident Kind
(hazmat, tornado, flood, structural fire, wildfire, search & rescue, etc.)
       Number & Type of
Resources
Pertinent to
Trainee's Position
                 Duration
(inclusive dates
in trainee status)



                                       
The tasks initialed and dated by me have been performed under my supervision in a satisfactory manner by the above named trainee. I recommend the following for further development of this trainee.
______	The individual has successfully performed all tasks for the position and should be considered for certification.
______	The individual was not able to complete certain tasks (comments below) or additional guidance is required.
______	Not all tasks were evaluated on this assignment and an additional assignment is needed to complete the evaluation.
______	The individual is severely deficient in the performance of tasks for the position and needs further training in both required knowledge and skills prior to additional assignment(s) as a trainee.

Recommendations: ______________________________________________________________________________________

_______________________________________________________________________________________________________

Date: ____________________________ Evaluator's initials: ________________________

Evaluator's relevant agency certification or rating:_____________________________________________________
                               Evaluation Record
                             (Continuation Sheet)
                                       
--------------------------------------------------------------------------------

                                 TRAINEE NAME
--------------------------------------------------------------------------------

                               TRAINEE POSITION
                                       
#3
Evaluator's name:
Incident/office title & agency:
Evaluator's home unit address & phone:
        Name and Location
of Incident or
Situation
(agency & area)
Incident Kind
(hazmat, tornado, flood, structural fire, wildfire, search & rescue, etc.)
       Number & Type of
Resources
Pertinent to
Trainee's Position
                 Duration
(inclusive dates
in trainee status)



                                       
The tasks initialed and dated by me have been performed under my supervision in a satisfactory manner by the above named trainee. I recommend the following for further development of this trainee.
______	The individual has successfully performed all tasks for the position and should be considered for certification.
______	The individual was not able to complete certain tasks (comments below) or additional guidance is required.
______	Not all tasks were evaluated on this assignment and an additional assignment is needed to complete the evaluation.
______	The individual is severely deficient in the performance of tasks for the position and needs further training in both required knowledge and skills prior to additional assignment(s) as a trainee.

Recommendations: ______________________________________________________________________________________

_______________________________________________________________________________________________________

Date: ____________________________ Evaluator's initials: ________________________

Evaluator's relevant agency certification or rating:_____________________________________________________


#4
Evaluator's name:
Incident/office title & agency:
Evaluator's home unit address & phone:
        Name and Location
of Incident or situation
(agency & area)
Incident Kind 
(hazmat, tornado, flood, structural fire, wildfire, search & rescue, etc.)
       Number & Type of
Resources
Pertinent to
Trainee's Position
                 Duration
(inclusive dates
in trainee status)



                                       
The tasks initialed and dated by me have been performed under my supervision in a satisfactory manner by the above named trainee. I recommend the following for further development of this trainee.
______	The individual has successfully performed all tasks for the position and should be considered for certification.
______	The individual was not able to complete certain tasks (comments below) or additional guidance is required.
______	Not all tasks were evaluated on this assignment and an additional assignment is needed to complete the evaluation.
______	The individual is severely deficient in the performance of tasks for the position and needs further training in both required knowledge and skills prior to additional assignment(s) as a trainee.

Recommendations: ______________________________________________________________________________________

_______________________________________________________________________________________________________

Date: ____________________________ Evaluator's initials: ________________________

Evaluator's relevant agency certification or rating:_____________________________________________________

