United States
Department
of Agriculture
FOREST HEALTH PROTECTION
TASK BOOK FOR THE POSITION OF
Forest Service
Forest Health Protection
Fort Collins, Colorado
FIXED-WING FLIGHT MANAGER – SPECIAL USE
AERIAL SURVEY OBSERVER
March 2010
FHTET-03-10
TASK BOOK ASSIGNED TO:
__________________________________________________________________________
Individual’s name, duty station, and phone number
SUPERVISED BY:
__________________________________________________________________________
Name, title, duty station, and phone number
________________________________________________________________________________
TASK BOOK INITIATED BY (if different from above):
__________________________________________________________________________
Official’s name, title, duty station, and phone number
The material contained in this book accurately defines the performance expected of the position
for which it was developed. This task book is approved for use as a position qualification
document in accordance with the instructions contained herein.
Additional copies of this publication may be ordered from:
Forest Health Technology Enterprise Team
ATTN: Jeff Mai
2150 Centre Ave., Bldg. A, Suite 331
Ft. Collins, CO 80526-1891
2
_____________________________________________________________________________________________
CERTIFYING OFFICIAL’S NAME, TITLE, DUTY STATION, AND PHONE NUMBER
_____________________________________________________________________________________________
_____________________________________________________________________________________________
CERTIFYING OFFICIAL’S SIGNATURE AND DATE
has met all requirements for qualification in this position and that such qualification has been issued.
I certify that__________________________________________________________________________
AGENCY CERTIFICATION
______________________________________________________________________________________________
EVALUATOR’S PRINTED NAME, TITLE, DUTY STATION, AND PHONE NUMBER
______________________________________________________________________________________________
______________________________________________________________________________________________
FINAL EVALUATOR’S SIGNATURE AND DATE
has performed as a trainee and should therefore be considered for certification in this position.
I also verify that________________________________________________________________________
I verify that all tasks have been performed and are documented with appropriate initials.
FINAL EVALUATOR’S VERIFICATION
______________________________________________________________________________________________
FOR THE POSITION OF
VERIFICATION / CERTIFICATION OF COMPLETED TASK BOOK
DO NOT COMPLETE THIS UNLESS YOU ARE RECOMMENDING THE TRAINEE FOR CERTIFICATION
EVALUATOR
FOREST HEALTH PROTECTION
FIXED-WING MANAGER – SPECIAL USE
AERIAL SURVEY OBSERVER
POSITION TASK BOOK
INTRODUCTION
In the Forest Service all aircraft users, other than point-to-point use, are required to complete
training and a set of on the job experiences. The National Interagency Incident Management
System (NIIMS) Coordinating Group insures personnel are qualified for various aviation
positions through the use of both formal training and the task book system. Forest Health
Protection (FHP) feels that this system is a valuable method to insure FHP personnel are
qualified to conduct safe, quality aerial sketchmap surveys and aerial photography missions.
Though typically not required of state personnel and certain other federal cooperators, the
position task book (PTB) is recommended as a training tool to these entities.
The following PTB lists the performance requirements (tasks) for the specific position of
Fixed-Wing Manager – Special Use, Aerial Survey Observer, Forest Health Protection (FHP)
in a format that allows a trainee to be evaluated against written guidelines. Successful
performance of all tasks, as observed and recorded by an evaluator, will result in a
recommendation to the FHP Aviation Safety Manager that the trainee be certified in this
specific position.
Evaluation and confirmation of the trainee’s performance of all tasks may involve more than
one evaluator and can occur on mission flights, classroom simulation and in other work
situations. It is important that performance be critically evaluated and accurately recorded by
each evaluator. All tasks must be evaluated before recommending certification. All alpha
and numeric task statements must be demonstrated before that task can be signed off. Bullet
items are intended to be examples of what should be covered in the larger tasks.
It is understood that there are many common tasks associated with conducting an aerial
survey, no matter the part of the country. And there are some tasks that are more specific to
Regional programs, such as disturbance signatures, host type and special methods. Thus
there are both National and Regional tasks. The first section fulfills the National FHP
requirements. The Regional requirements are in Appendix A.
It is understood that most FHP Regions have one aerial survey program, but the Northeastern
Area has three programs. So the individual programs are referred to in this document as
Program/Region.
A more detailed description of this process and responsibilities are listed below.
3
RESPONSIBILITIES:
1. The Home Unit (Program/Region) is responsible for:
• Selecting trainees based on the needs of the Program/Region.
• Ensuring that the trainee meets the training and experience requirements.
• Initiating the PTB to document task performance.
• Explaining to the trainee the purpose and processes of the PTB as well as the
trainee’s responsibilities.
• Providing opportunities for evaluation and/or making the trainee available for
evaluation.
• Providing an evaluator for local assignments.
• Tracking progress of trainee.
• Confirming PTB completion.
• Determining certification per Program/Regional requirements.
• Issuing proof of certification (via signing off PTB).
2. The Trainee is responsible for:
•
•
•
•
Reviewing and understanding instructions in the PTB.
Identifying desired objectives/goals.
Providing background information to the evaluator.
Satisfactorily demonstrating completion of all tasks for the assigned position
within three years.
• Assuring the Evaluation Record (PTB) is complete.
• Keeping the original PTB in personal records.
3. The Evaluator is responsible for:
• Understanding the PTB system.
• Being qualified and proficient in the position being evaluated.
• Meeting with the trainee and determining past experience, current
qualifications, and desired objectives/goals.
• Reviewing the tasks with the trainee.
• Explaining to the trainee the evaluation procedures that will be utilized and
which objectives may be attained.
• Identifying tasks to be performed during the evaluation period.
• Accurately evaluating and recording demonstrated performance of tasks.
Satisfactory performance shall be documented by dating and initialing
completion of the task in the book.
• Completing the Evaluation Record found at the end of this PTB.
4
4.
The Final Evaluator is responsible for:
• Signing the verification statement inside the front cover of this PTB when all
tasks have been initialed and the trainee is recommended for certification.
• Sending the completed PTB to the FHP Aviation Safety Manager for
processing.
5.
The FHP Aviation Safety Manager is responsible for:
• Signing the trainee’s PTB, copying it and entering the information into the
FHP Aviation Qualifications Data Base.
• Returning the PTB to the trainee for their records through the Final
Evaluator.
FHP Aerial Photographers:
Aerial Photographers will complete all National tasks except for the “Sketchmapping”
tasks. They, like all FHP Aerial Observers, must take all required training for “Fixed-Wing
Manager – Special Use”.
TRAINING REQUIREMENTS:
For a trainee to begin the PTB process, they must have completed the requirements for
Aircrew Member (see FHP Qualifications Matrix and Supplement).
In addition to the PTB it is understood that all trainees must have taken all required training
for “Fixed-Wing Flight Manager – Special Use” before their PTB can be signed-off. This
required training can be completed by attending Aerial Survey Aviation Safety and
Management (AS2M) held annually by FHP, attending Aviation Conference and Education
(ACE) to attend required modules or taking the limited number of modules on-line at the
Interagency Aviation Training website. AS2M is designed specifically for aerial survey
mission specialists and should be taken at least once. To maintain the three-year currency
requirements, the qualified fixed-wing flight manager – special use employee can choose
among the various training venues.
5
POSITION TASK BOOK
FIXED-WING FLIGHT MANAGER – SPECIAL USE
FOREST HEALTH PROTECTION AERIAL OBSERVER
Interagency Aviation Training Definition:
Government representative who works jointly with
the pilot-in-command and air crewmembers to ensure
safe, efficient flight management of missions other
than point-to-point flying, i.e., reconnaissance, infrared,
aerial photo, and other missions requiring special
training and/or equipment.
Additional FHP Information:
The FHP Aerial Observer conducts aerial sketchmap
surveys, aerial photography or videography.
The intent is to provide a task book of requirements
for a FHP aerial sketchmap observer. Aerial
photographers and videographers will complete
the same task book, except for the sketchmapping
and flight pattern sections.
The Forest Health Protection (FHP) Aerial Observer is considered a Fixed-Wing Flight
Manager – Special Use aviation specialist in the “Interagency Aviation Training”
Qualifications Guide. This position should complete all required training and Forest
Service Policy specified additional requirements. Currency is 3 years.
The following tasks are national FHP requirements. More Program/Regional specific tasks
will be included in this document as Appendix A.
6
QUALIFICATION RECORD
Continuation Sheet
POSITION:
Code*: A
B
C
D
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
=
=
=
=
Task can be completed in any situation (classroom, simulation, during actual mission, etc.).
Task must be performed during, prior to, or after an actual aerial survey mission.
Task must be performed during an actual aerial survey mission.
All of the above.
*C
O
D
E
TASK
National FHP Requirements
I. TRAINING
A. Aircrew Member – All new trainees must
complete Aircrew Member training prior to
participating in the Aerial Observer training
program if they have not completed required
training for Fixed-Wing Flight Manager –
Special Use.
B. By Task Book completion all trainees must have
completed the Fixed-Wing Flight Manager –
Special Use required training (see appendix A)
or have attended FHP’s Aerial Survey Aviation
Safety and Management (AS2M). Additional
Fixed-Wing Fight Manager – Special Use
requirements may also be identified as
necessary.
A
A
II. FOREST SERVICE AVIATION
SAFETY AND POLICY
A. Demonstrate knowledge and understanding of
the National Aviation Management Plan.
B. Demonstrate knowledge and understanding of
the Regional Aviation Management Plan.
C. Demonstrate knowledge and understanding of
the Regional Aviation Mishap Prevention Plan
(if available).
D. Demonstrate knowledge and understanding of
the Program/Region FHP Aerial Survey
Program Operation Plan or Aviation
Management Plan and current Project Aviation
Safety Plan (PASP).
A
A
A
A
7
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
TASK
E. Demonstrate knowledge and understanding of
Safety Management Systems (SMS) and its four
components: Safety Policy, Safety Assurance,
Safety Promotion, Safety Risk Management.
F. Demonstrate knowledge and understanding of
hazards influencing operational risk and
identification of mitigations to reduce risk to
acceptable level (participate in risk assessment).
G. Demonstrate knowledge and understanding of
the current aerial observer Job Hazard Analysis.
H. Demonstrate knowledge of how to complete the
SAFECOM reporting process.
*C
O
D
E
A
A
A
III. MISSION PLANNING
A. Demonstrate knowledge of overall planning
process.
A
• Understand the Regional/Area program and
its goals and objectives.
B. Demonstrate the ability to plan a daily mission.
A
• Airspace coordination (NOTAMs, FTAs,
TFRs, MTRs, MOAs, wild fires, etc)
• Demonstrate knowledge of basic
meteorological principles.
• Flying weather (go/no go).
• Efficient layout of daily survey area.
C. Demonstrate the ability to brief dispatch.
B
• Appropriate flight following centers.
D. Demonstrate the ability to brief pilot.
B
• On the day’s flight plan, aerial hazards and
operations.
E. Demonstrate the ability to brief flight
crewmembers.
B
• Ability to coordinate with other observers.
F. Demonstrate proper map preparation by
selecting a suitable map base.
A
8
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
• Paper base map for sketchmapping.
• Digital base maps, including creating a
comprehensive Project File.
G. Demonstrate the ability to obtain and assemble
materials and equipment needed for mission.
A
IV. CONDUCTING THE AERIAL
SURVEY
A. Demonstrate the ability to conduct pre-flight
and post-flight aircraft walk around.
B. Radio Flight Following
B
B
• Demonstrate the ability to obtain
appropriate FM frequencies for flight
following.
– This includes telephone numbers,
call signs and names.
• Demonstrate the ability to program agency
FM radio.
– Demonstrate the ability to select
proper frequencies.
• Demonstrate the ability to make precise
position check calls.
C. Demonstrate the knowledge that safety is the
highest priority, not the mission.
D. Demonstrate the knowledge and ability to check
aircraft and pilot qualifications.
E. Demonstrate the ability to evaluate pilot
performance and correct as needed.
A
A
C
V. SKETCHMAPPING
A. Demonstrate the ability to accurately locate
aircraft position (track) on map.
C
• Map reading; continue to know the location
and heading of the aircraft at all times so
sketchmapping can be done accurately.
9
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
C
TASK
B. Demonstrate the ability to see and recognize
local tree damage signatures.
• Detect, observe and identify faded trees,
defoliation, wind throw, fire and other
important signatures and host when
applicable.
C. Demonstrate the ability to delineate affected
area by drawing points and/or polygons on a
map, which accurately represents the affected
area on the ground.
C
• Place point correctly on map and/or draw
polygons that look like the area of damaged
trees, according to shape and size.
D. Demonstrate the ability to properly attribute
drawn points and/or polygons.
C
• The attribute is the label that tells as much
about the point/or polygon as possible.
• Most attributes will provide host, causal
agent, and number of trees or severity.
E. Demonstrate the ability to adequately capture
the essence of the visible forest change event.
C
• This relates to the bigger picture, able to
document spots or entire outbreak correctly
and as appropriate.
• To accurately document change events
across the landscape.
F. Demonstrate ability to finalize paper flight maps
and digitally captured data so they are legible
and complete for post-processing, after the
survey is completed.
G. Demonstrate the ability to do ground checks of
forest change event observed from the air.
• Field experience of driving/hiking near to
the affected area, reading the map to get to
the area.
10
B
B
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
• Comparing what was mapped to what is
determined on the ground (causal agent,
host, approximate number of trees or
intensity).
• Utilizing National Ground Check
Guidelines for the purposes outlined in
those guidelines.
H. Demonstrate understanding of map symbols and
cartographic principles.
B
• Ability to read the various maps and use
them efficiently both in the air and on the
ground.
VI. FLIGHT PATTERNS
Demonstrate the ability to apply proper flight pattern to
achieve survey objectives.*
A. Grid (Parallel)
–
Commonly used in low relief terrain.
–
Primarily done following lines of
latitude or longitude.
–
Mostly done with two observers, one
on each side of aircraft.
B
B. Contour (Terrain)
–
B
Commonly used in terrain with
significant relief.
– Drainage pattern directs the flight
pattern.
C. Flying techniques in “typical terrain”
– Added emphasis for mountainous
terrain in the western US.
– Mountain flying is more dangerous
than flat land flying.
– Trainee must understand flying
hazards such as winds, down drafts,
terrain, escape routes, weather
changes and density altitude (factors to
be considered in any terrain).
*Either A and/or B is required
11
B
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
VII. POST-FLIGHT ACTIVITIES
A. Demonstrate the ability to debrief pilot.
B. Demonstrate the ability to debrief flight crew.
C. Demonstrate the ability to make close out calls
with flight followers (dispatch) when flight leg
is finished.
D. Demonstrate the ability to conduct a post-flight
walk around.
E. Demonstrate the ability to conduct post-flight
map processing.
F. Demonstrate the ability to fill out a FS 6500-122
Flight Report Form or Aviation Business
System (ABS) invoice.
B
B
B
B
B
VIII. GENERAL
A. Establish and maintain positive interpersonal
and interagency working relationships.
B
IX. DIGITAL SKETCHMAP SYSTEM
A. Demonstrate the ability to properly set up the
equipment in the aircraft.
B. Demonstrate knowledge of computer startup
and operations.
C. Demonstrate ability to trouble shoot computer.
D. Demonstrate knowledge and ability of mapping
process.
B
E. Demonstrate ability to conduct post-survey
processing.
F. Demonstrate ability to download geographic
coordinates for use with ground-based GPS unit.
B
B
B
B
B
X. PROGRAM/REGIONAL-SPECIFIC
REQUIREMENTS
A. Has met Program/Region-specific requirements
(see Program/Region Appendix A) where
applicable.
12
D
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
APPENDIX A:
PROGRAM/REGION-SPECIFIC REQUIREMENTS
Code*: A
B
C
D
=
=
=
=
Task can be completed in any situation (classroom, simulation, during actual mission, etc.).
Task must be performed during, prior to, or after an actual aerial survey mission.
Task must be performed during an actual aerial survey mission.
All of the above.
*C
O
D
E
TASK
REGION ONE
IV. CONDUCTING THE AERIAL
SURVEY
F. Ability to navigate efficiently across large
expanses utilizing GPS and latitude/longitude
coordinates.
C
VI. FLIGHT PATTERNS
D. B and C are required.
C
REGION TWO
I. TRAINING
C. Complete Pinch Hitter’s course.
A
VI. FLIGHT PATTERNS
E. A, B, and C are required.
C
REGION THREE
VI. FLIGHT PATTERNS
E. A, B and C are required.
C
REGION FOUR
III. MISSION PLANNING
H. Ability to determine pre-flight MOA
accessibility.
B
13
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
IV. CONDUCTING THE AERIAL
SURVEY
F. Ability to navigate efficiently across large
expanses utilizing GPS and latitude/longitude
coordinates.
C
VI. FLIGHT PATTERNS
D. B and C are required.
C
REGION FIVE
I. TRAINING
C. Complete Pinch Hitter’s course.
D. Demonstrate familiarity with current Region
Five FHP Aerial Survey Guidelines.
A
A
III. MISSION PLANNING
I. Demonstrate ability to understand weight and
balance limitations.
J. Understand fuel/fuel management, planning and
reserve requirements.
A
A
IV. CONDUCTING THE AERIAL
SURVEY
G. Crew Communication
C
• Demonstrate the ability to communicate
with crew on flight progress and any
changes.
• Demonstrate the ability to communicate
with other observer about what is being
sketchmapped.
H. Understand Automated Flight Following
concepts and limitations and demonstrate
coordination with dispatch.
A
14
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
TASK
I. Demonstrate the ability to identify airspace
issues and comply with restricted and controlled
airspace.
*C
O
D
E
A
V. SKETCHMAPPING
I. Demonstrate ability to combine both surveyors’
information to create a master map.
J. Review flight maps for completeness and
reconcile observer differences.
B
B
VI. FLIGHT PATTERNS
D. B and C are required.
B
REGION SIX
III. MISSION PLANNING
K. Notification to appropriate land managers.
B
IV. CONDUCTING THE AERIAL
SURVEY
G. Crew Communication
C
• Demonstrate the ability to communicate
with crew on flight progress and any
changes.
• Demonstrate the ability to communicate
with other observer about what is being
sketchmapped.
V. SKETCHMAPPING
I. Demonstrate ability to combine both surveyors’
information to create a master map.
J. Review flight maps for completeness and
reconcile observer differences.
15
B
B
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
VI. FLIGHT PATTERNS
F. Ridge Top
C
• This is generally performed off of a grid
pattern with two observers in mountainous
terrain when major ridgelines are followed
and two observers look down on either side
of the ridge.
XI. CONTRACT ADMINISTRATION
A. Demonstrate thorough knowledge of aviation
contract with aircraft vendors.
A
B. Demonstrate knowledge of State cooperator
agreements.
A
REGION TEN
I. TRAINING
C. Complete Pinch Hitter’s course.
E. Attend R-10 General Aviation Users Training.
F. Complete Helidunk or Personal Emersion
Gadget (PIG) training.
A
A
A
III. MISSION PLANNING
I. Demonstrate ability to understand weight and
balance limitations.
L. Demonstrate ability to set up flight (order
aircraft) through Dispatch.
M. Demonstrate ability to properly plan a weeklong mission in a remote environment.
• Plan an itinerary incorporating fuel range
and refueling options.
A
A
A
• Know and follow alternative flight
following techniques using a satellite
phone.
• Demonstrate proper supplies and
equipment preparation.
16
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
QUALIFICATION RECORD
Continuation Sheet
POSITION:
FIXED-WING FLIGHT MANAGER – SPECIAL USE
Forest Health Protection Aerial Observer
*C
O
D
E
TASK
VI. FLIGHT PATTERN
G. Water Pattern
• River and shoreline (interior)
C
• Inlets and bays (marine)
17
EVALUATION
RECORD #
EVALUATOR:
Initial & date upon
completion of task
INSTRUCTIONS for EVALUATION RECORD
There are four separate blocks allowing evaluations to be made. These evaluations may be
made on aerial survey days, simulation in classroom, or in daily duties. 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 aerial
survey position or office, title, and agency.
Evaluator’s home unit address and phone: Self explanatory
#: The number in the upper left corner of the experience block identifies a particular experience or
group of experiences. This number should be placed in the column labeled “Evaluation Record #”
on the Qualification Record for each task performed satisfactorily.
Experience Location: Identify the location where the tasks were performed by state and general
geographic location (e.g., “Wallowa Mountains, Daniel Boone NF”).
Type of Survey: Actual mountain contour survey, grid pattern in flat terrain, etc.
COMPLETE THESE ITEMS AT THE END OF THE EVALUATION PERIOD:
Approximate Duration: Enter inclusive dates during which the trainee was evaluated.
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 your recommendations and to allow for
comparison with initials in the Qualifications Record.
Evaluator’s Title: List your certification relevant to the trainee position you supervised (e.g.,
Program Manager, Unit AVN Officer, etc).
18
Evaluation Record
TRAINEE NAME
#1
TRAINEE POSITION
Evaluator’s Name:
Incident/office Title & Agency:
Evaluator’s home unit address & phone:
Experience Location
(state and general
area)
Type of Survey
Approximate Duration
(inclusive dates)
Other pertinent Information to
Explain Experience
to
The tasks initialed & 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 (both required &
knowledge and skills needed) prior to additional assignment(s) as a trainee.
Recommendations:
Date ____________________
Evaluators initials _____________
Evaluators title __________________________________________
Evaluation Record
TRAINEE NAME
#2
TRAINEE POSITION
Evaluator’s Name:
Incident/office Title & Agency:
Evaluator’s home unit address & phone:
Experience Location
(state and general
area)
Type of Survey
Approximate Duration
(inclusive dates)
Other pertinent Information to
Explain Experience
to
The tasks initialed & 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 (both required &
knowledge and skills needed) prior to additional assignment(s) as a trainee.
Recommendations:
Date ____________________
Evaluators initials _____________
Evaluators title __________________________________________
Evaluation Record
TRAINEE NAME
#3
TRAINEE POSITION
Evaluator’s Name:
Incident/office Title & Agency:
Evaluator’s home unit address & phone:
Experience Location
(state and general
area)
Type of Survey
Approximate Duration
(inclusive dates)
Other pertinent Information to
Explain Experience
to
The tasks initialed & 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 (both required &
knowledge and skills needed) prior to additional assignment(s) as a trainee.
Recommendations:
Date ____________________
Evaluators initials _____________
Evaluators title __________________________________________
Evaluation Record
TRAINEE NAME
#4
TRAINEE POSITION
Evaluator’s Name:
Incident/office Title & Agency:
Evaluator’s home unit address & phone:
Experience Location
(state and general
area)
Type of Survey
Approximate Duration
(inclusive dates)
Other pertinent Information to
Explain Experience
to
The tasks initialed & 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 (both required &
knowledge and skills needed) prior to additional assignment(s) as a trainee.
Recommendations:
Date ____________________
Evaluators initials _____________
Evaluators title __________________________________________