HomeMy WebLinkAboutPB 406.02C NEW 3-2011PPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS
406.02406.02406.02406.02CCCC ---- IdentifIdentifIdentifIdentify Pesticide Label y Pesticide Label y Pesticide Label y Pesticide Label
Anne Huff,Anne Huff,Anne Huff,Anne Huff, Fire ChiefFire ChiefFire ChiefFire Chief
Beaumont Fire-Rescue Services
Discipline:Discipline:Discipline:Discipline: Hazmat Hazmat Hazmat Hazmat –––– Operations Level Operations Level Operations Level Operations Level
Effective:Effective:Effective:Effective: 3/5/20113/5/20113/5/20113/5/2011
Revised:Revised:Revised:Revised:
Replaces:Replaces:Replaces:Replaces:
I. I. I. I. ObjectiveObjectiveObjectiveObjective
Given a pesticide label, the operations level responder shall identify each of the following
pieces of information, and then match the piece of information to its significance in surveying
hazardous materials incidents:
A. Active ingredient
B. Hazard statement
C. Name of pesticide
D. Pest control product (PCP) number (Canadian)
E. Precautionary statement
F. Signal word
II. II. II. II. Instructions Instructions Instructions Instructions –––– Procedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the ObjectiveProcedures for Achieving the Objective
Given a pesticide label and a worksheet, you shall complete the worksheet identifying the
following information:
A. Name of the pesticide
B. Active ingredient
C. Hazard statement
D. EPA registration number or Pest Control Product (PCP) number (Canadian)
E. Precautionary statement
F. Signal word
You will begin on my instruction to start. The skill will end when you state to me that you
have completed all of the identified steps. Do you understand these instructions?
III. III. III. III. Examiner’s NoteExaminer’s NoteExaminer’s NoteExaminer’s Note
The responder will not be allowed to review the performance steps at the time of testing.
IV. IV. IV. IV. Preparation & EquipmPreparation & EquipmPreparation & EquipmPreparation & Equipmentententent
A. Pesticide label
B. Pesticide label worksheet
V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources
See Reference Sources in PB 406.02A.
PB 406.02C – Identify Pesticide Label Page 2 of 2
406.02C - Identify Pesticide Label
Discipline: Hazardous Materials-Operations Level
Name:Name:Name:Name:
Officer #:Officer #:Officer #:Officer #:
Evaluator:Evaluator:Evaluator:Evaluator:
Officer #:Officer #:Officer #:Officer #:
DateDateDateDate::::
Location:Location:Location:Location:
The The The The Operations Level ResponderOperations Level ResponderOperations Level ResponderOperations Level Responder shallshallshallshall:::: (No partial points given)
A. Identify the active ingredient .................................................................. P/FP/FP/FP/F _____
B. Identify the hazard statement ................................................................. P/FP/FP/FP/F _____
C. Identify the name of pesticide ................................................................ P/FP/FP/FP/F _____
D. Identify the EPA registration number or Pest Control Product (PCP)
number ................................................................................................ P/FP/FP/FP/F _____
E. Identify the precautionary statement ....................................................... P/FP/FP/FP/F _____
F. Identify the signal word .......................................................................... P/FP/FP/FP/F _____
G. Describe appropriate response actions for dealing with the identified
product…………………………………………………………………………. P/FP/FP/FP/F_____
Points Points Points Points
PossiblePossiblePossiblePossible
PaPaPaPassing ssing ssing ssing
ScoreScoreScoreScore
AttemptAttemptAttemptAttempt
Performance RatingPerformance RatingPerformance RatingPerformance Rating
(Points)(Points)(Points)(Points)
PASSPASSPASSPASS
FAILFAILFAILFAIL
P/F
P/F
First
Second
Third