A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 1 of 9
Instructor Evaluation Procedure
Name of Instructor:
Name of Assessor:
Date of Assessment:
Result (Pass / Fail / Referral):
Program under the Assessment:
Attempt (1st / 2nd):
No. students to be instructed:
Observation rating (%):
Location of Assessment
Test Score (100%):
220
Practical Delivery (Pass / Fail / Referral):
Assessment Summary:
Instructor Signature:
Date:
Assessor Signature:
Date:
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 2 of 9
Professional Assessment
General Classroom Procedures (Instructor Setting the Stage)
Score
1
Identifies, at the start of the program, knowledge and skill level of the trainee/learners.
2
Establishes credibility and leadership position with the group.
3
Maintains high degree of professionalism (Punctuality, Attendance, Dress – field & classroom, Courtesy, Confidentiality, Teamwork,
Cultural Sensitivity)
4
Describes objectives, relating them to the group's perceived/individual needs.
5
Outlines agenda for the session (verbally or in writing).
6
Acknowledges, in advance, possible feelings or differences of opinion that a session may generate.
7
Arranges the physical environment in a way that meets the needs of the group.
8
Fills in register/roster and completes all required introductory paperwork.
9
Carries out safety briefing and site orientation as required.
10
Issues appropriate equipment to those attending.
11
Organizes/prepares for the delivery of content and materials.
12
Completes all required post course paperwork promptly and accurately.
5 – Excellent, 4 – Very Good, 3 – Satisfactory, 2 – Needs Improvement/Referral, 1 – Unsatisfactory (See quantification/rating table below)
General Classroom Procedures
Average Score %
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
Total (60)
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 3 of 9
Methodology
Score
1
Uses teaching methods appropriate to the objectives of the session.
2
Uses a variety of methods to address the needs of visual, auditory and kinesthetic learners (e.g., props, colors, music, storytelling,
movement.)
3
Uses interactive methods.
4
Controls the level of energy within the course i.e., increasing or decreasing when necessary.
5
Demonstrates skillful use of audio-visual equipment.
6
Uses the resources of the group, allowing and encouraging them the opportunity to influence course direction.
7
Enriches teaching/instruction by thoughtfully drawing appropriate relevant examples from personal experience (as a technician, rigger,
rope access tech, rescuer etc.).
8
Adapts pre-packaged curricula and teaching style to the needs of the group.
9
Incorporates new or changing technical and safety knowledge and evolving points of view into the interpretation of curriculum.
10
Manages time and transitions effectively.
11
Manages group organization and control.
12
Identifies and corrects safety critical issues during the course.
13
Uses effective questioning strategies, providing opportunities for application, analysis, synthesis and evaluation of content.
14
Monitors individual and group learning during the program.
15
Administers student assessments/evaluations correctly.
5 – Excellent, 4 – Very Good, 3 – Satisfactory, 2 – Needs Improvement/Referral, 1 – Unsatisfactory (See quantification/rating table below)
Methodology
Average Score %
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
Total (75)
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 4 of 9
Content
Score
1
Provides complete, accurate information.
2
Demonstrates correct usage of relevant equipment.
3
Utilizes curriculum/instructor guide appropriately.
4
Provides content appropriate for the specific audience.
5
Defines new, vague, or technical terminology and avoided acronyms and jargon.
6
Distinguishes between crucial points to remember and background information, emphasizing and prioritizing key concepts.
7
Conducts debrief or summary of lesson or course.
8
Recognizes gaps in the material and takes appropriate action.
5 – Excellent, 4 – Very Good, 3 – Satisfactory, 2 – Needs Improvement/Referral, 1 – Unsatisfactory (See quantification/rating table below)
Content
Average Score %
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
Total (40)
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 5 of 9
Philosophy and Attitude
Score
1
Respectfully communicates with students through language and tone.
2
Establishes positive learning environment and encourages open communication among group.
3
Interacts with students equitably, ensuring that all learners are engaged; uses examples from group so that no learner was rendered
invisible by omission.
4
Speaks from own life experience.
5
Communicates genuine support for students during activities.
6
Demonstrates confidence while acknowledging need to research unknown answers.
7
Handles questions from the group effectively.
8
Reflects upon the effectiveness of instruction and makes appropriate adjustments.
9
Accepts constructive criticism and puts suggestions into practice.
5 – Excellent, 4 – Very Good, 3 – Satisfactory, 2 – Needs Improvement/Referral, 1 – Unsatisfactory (See quantification/rating table below)
Philosophy and Attitude
Average Score %
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
Total (45)
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 6 of 9
Practical Assessment
Work at Height Rescue
Subject Demonstrated
1
2
3
4
5
6
7
8
9
10
11
12
13
P/D/F
Comments (if required)
Instruct Authorized inspection PFPE
Instruct ERE Kit preparation
First Principles PFPE
Instruct JSEA/Control
Suspension mitigation techniques
Safe Climb 1st principles
Stop Drop – Tethering
Lowering a Remote Casualty
Raising a Remote Casualty
Self-Evacuation by Descent
Rescuing Another in Descent
Establishing Correct Backup Safety Systems
Debrief Rescue Training
If not covered under program assessment state N/A in P/F Column
(Practical Assessment Evaluation) Pass /Discrepancy/Fail (P/D/F) - All of the above subjects demonstrated must score 3 or higher. If an instructor receives three (3) or more
discrepancies of the subjects demonstrated they are a referral or fail. The chief instructor (evaluator) must make recommendations to which the instructor in training must
abide.
Under no circumstance is the instructor in training allowed to perform as a “competent instructor” within the Assessment category until the Chief Instructor (evaluators)
recommendations are fulfilled and the instructor in training reevaluated under this same process.
Comments:
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 7 of 9
Practical Assessment
Confined Space Entry/Rescue
Subject Demonstrated
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
P/D/F
Comments (if required)
Confined Space Determination
Confined Space Entry Permit
Atmospheric Monitor 1st principles
Ventilation & Purge times
Respirator (half mask) Fit & Care
LOTO, Signage and Posting
Prepare for Rescue
Role play Supervisor/Attendant/Entrant
Establishing safe entry for rescue
Self-Rescue
Non Entry (Rescue Standby)
Entry Rescue Response and Communication
Entry Rescue Scenario A (Leadership)
Entry Rescue Scenario B (leadership)
Entry Rescue Scenario C (Leadership)
Debrief Requirements
If not covered under program assessment state N/A in co
(Practical Assessment Evaluation) Pass /Discrepancy/Fail (P/D/F) - All of the above subjects demonstrated must score 3 or higher. If an instructor receives three (3) or more
discrepancies of the subjects demonstrated they are a referral or fail. The chief instructor (evaluator) must make recommendations to which the instructor in training must
abide.
Under no circumstance is the instructor in training allowed to perform as a “competent instructor” within the Assessment category until the Chief Instructor (evaluators)
recommendations are fulfilled and the instructor in training reevaluated under this same process.
Comments:
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 8 of 9
Practical Assessment
Course __________________________________ Chief Instructor to prepare prior to assessment – lesson plan objectives
Subject Demonstrated
P/D/F
Comments (if required)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
If not covered under program assessment state N/A in co
(Practical Assessment Evaluation) Pass /Discrepancy/Fail (P/D/F) - All of the above subjects demonstrated must score 3 or higher. If an instructor receives three (3) or more
discrepancies of the subjects demonstrated they are a referral or fail. The chief instructor (evaluator) must make recommendations to which the instructor in training must
abide.
Under no circumstance is the instructor in training allowed to perform as a “competent instructor” within the Assessment category until the Chief Instructor (evaluators)
recommendations are fulfilled and the instructor in training reevaluated under this same process.
Comments:
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com
A-1000_13-.02 Assessment RITR-CIP Instructor
Issue Date: 05.2011
Revision Date: 09.2013
Page 9 of 9
Rating Guidelines
Quantify/Rate - calculate the overall average score, then give feedback:
Quantify
Rating
5
Excellent
4
Very Good
3
Satisfactory
2
Needs
Improvement/
Referral
Unsatisfactory
1
Defined - Illustrated
Takes command of class. Able to sequence lesson objectives; simple and well-paced; appropriate recaps;
rational sequence apparent; oral questions aimed at arousing interest; gains feedback; maintains learners
attention; generates interest with props and aids; inspiring; forceful and definite; knows area thoroughly; ties
ideas and facts back to the job.
Always courteous and considerate; appears competent.
Demonstrates knowledge of material; does not always deliver complete information; able to deliver accurate
information and unable to take command of the class as of yet. Maintains a strong classroom, but forgets the
basics in the practical exercises.
Appears mildly interested; difficult to be considerate; creates mild interest; mechanical; irrelevant tangents; has
to look things up to answer questions; occasionally inspiring.
Subjects seem difficult; unsympathetic or inconsiderate; seems irked at times; destroys interest; very academic
and school like; knows little more than trainees; indefinite; monotonous; no attention from learners; unclear
presentation; presentation muddled and inappropriately paced; no recap; poor sequencing; little or no
interaction with students; improper appearance.
Giving Feedback in the summary.
Using this criteria as a guide:
1. Be descriptive rather than evaluative. Describe your own perceptions of what you saw, heard and/or felt.
2. Be specific rather than general. Describe specific observable behaviors, including non-verbal body language, mannerisms, use of
language (quote the person), and tone of voice.
3. Consider the needs of the trainer receiving your feedback, paying attention to his/her ability to hear and use what you say. In other
words, a few crucial comments may go a long way; don't feel you need to say everything you noticed.
4. Direct feedback only toward factors that he/she could change, those over which he/she has control.
5. Check the accuracy of your perceptions with other observers, if you are debriefing as a group.
6. Compliment the trainer with the same specificity and ownership with which you critique.
ENSA - A Division of Mallory Safety and Supply, LLC.
5510 E. Marginal Way S. Seattle WA. 98134
800.525.7233
ENSA Training Administration T: (262) 287-8689
E-mail: – Training@ENSA-Northamerica.com
Website: ENSA-NorthAmerica.com