HomeMy WebLinkAboutPB 406.03H NEW 7-2011PPPEEERRRFFFOOORRRMMMAAANNNCCCEEE BBBEEENNNCCCHHHMMMAAARRRKKKSSS
406.0406.0406.0406.03333HHHH
Incident Action PlanIncident Action PlanIncident Action PlanIncident Action Plan
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 –––– Technician Technician Technician Technician LevelLevelLevelLevel
EEEEffective:ffective:ffective:ffective: 7777////5/5/5/5/2020202011111111
Revised:Revised:Revised:Revised:
Replaces:Replaces:Replaces:Replaces:
I. I. I. I. ObjectiveObjectiveObjectiveObjective
A. Given scenarios involving hazardous materials/WMD incidents, the hazardous
materials technician shall develop a plan of action, including site safety and a control
plan that is consistent with the emergency response plan and standard operating
procedures and within the capability of available personnel, personal protective
equipment, and control equipment for that incident.
B. Given a scenario involving a hazardous materials/WMD incident, the hazardous
materials technician shall develop the site safety and control plan that must be
included as part of the incident action plan.
C. The hazardous materials technician shall list and describe the safety considerations to
be included.
D. The hazardous materials technician shall identify the points that should be made in a
safety briefing prior to working at the scene.
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 simulated hazardous materials/WMD incident or scenario involving a facility
or transportation setting, the hazardous materials technician shall develop a complete incident
action plan (IAP) including a site safety plan. The plan shall be consistent with the local
emergency response plan and the organization’s standard operating procedures. You will
begin on my instruction to start. Do you understand these instructions?
III. III. III. III. Examiner’s NoteExaminer’s NoteExaminer’s NoteExaminer’s Note
The hazardous materials technician will not be allowed to review the performance
steps at the time of testing.
IV. IV. IV. IV. Preparation & EquipmentPreparation & EquipmentPreparation & EquipmentPreparation & Equipment
A. Simulated hazardous materials/WMD incident or scenario involving a facility or
transportation setting.
B. ICS forms or ICS worksheet
Note: Standard ICS forms would include:
• ICS 201 Incident Briefing Form
• ICS 202 Incident Objectives Worksheet
• ICS 203 Organization Assignment List
• ICS 204 Division Assignment List
• ICS 205 Communications Plan
PB 406.03H–Incident Action Plan Page 2 of 3
• ICS 206 Medical Plan
• ICS 208HM Site Safety and Control Plan
V. V. V. V. Reference SourcesReference SourcesReference SourcesReference Sources
See Reference Sources in PB 406.03A.
PB 406.03H–Incident Action Plan Page 3 of 3
PB 406.03H – Incident Action Plan
DDDDiscipline: Hazardous Materials
Name:
Officer #:
Evaluator:
Officer #:
Date:
Location:
TTTThehehehe Haz Mat Technician shall:Haz Mat Technician shall:Haz Mat Technician shall:Haz Mat Technician shall: (No partial points given)
A. Analyze the incident ……………………………………………................ P/F____P/F____P/F____P/F____
B. Develop a complete incident action plan.……………………................ P/F____P/F____P/F____P/F____
C. Develop a site safety plan ………………..………………...................... P/F____P/F____P/F____P/F____
D. Conduct a pre-entry safety briefing………………………...................... P/F____P/F____P/F____P/F____
Time AllocationTime AllocationTime AllocationTime Allocation
Completes skill in allotted time ......................................................................... P/FP/FP/FP/F _____
Allotted time for Allotted time for Allotted time for Allotted time for this skill: this skill: this skill: this skill: _____ minutes _____ seconds_____ minutes _____ seconds_____ minutes _____ seconds_____ minutes _____ seconds
Actual time:Actual time:Actual time:Actual time: _____ minutes _____ seconds_____ minutes _____ seconds_____ minutes _____ seconds_____ minutes _____ seconds
Points Points Points Points
PossiblePossiblePossiblePossible
Passing Passing Passing Passing
ScoreScoreScoreScore
AttemptAttemptAttemptAttempt
Performance RatingPerformance RatingPerformance RatingPerformance Rating
(Points)(Points)(Points)(Points)
PASSPASSPASSPASS
FAILFAILFAILFAIL
P/F
P/F
First
Second
Third