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MABAS Evaluator
PERFORMANCE EVALUATION cmrm j^
Fixed Facility +Suspicious Package Evolution
2010 FALL
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Hazardous Materials Team:
(Print Only)
—
JFSlController:
(Print Only)
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Objective Based Evaluation-
"Benchmark" perforce. The rat.g syste^sS^ow ^ the ,0W—re and .Obeinga
S T fr0m a" "" °bJeCtiV£S ShaU be taIlied - -h team sha„ be evaioated according to tbe.r
Rating System: Numerical ftmriinyr 1thru 10
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Do Not Leave Sections Blank
OBJECTIVES NOT PERTAINING TO THE TEAM'S PERFORMANCE
MARK BOX N/A
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Incident Command
SCORE
COMMENTS
- Identify the need for an Incident Management System
- the
Establish
an Incident Management structure upon arrival on
scene.
Establish an Incident Commander and Safety Officer as well
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as an easily identifiable Command Post
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Demonstrate the duties ofassigned Hazardous Materials
Branch positions
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Cpu* °' fan*
isolate *** ^ M^^-J ~fr A,j ,
Id-entiHo!hZoneed **"* ***** '^ iS°ht''°n a"d COntrol zones'
Cold zone
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Recon
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- Correctly identify the material involved in the leak
- Identify and interpret available hazard and response
information.
- Correctly identify victims in the hot zone that need rescue or
recovery.
- Determine the basic design and construction features of the
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container.
- Identify the type ofdamage causing the leak.
Monitoring
- Demonstrate the use ofmonitoring equipment appropriate for
the situation.
- Demonstrate the proper use of the monitoring priorities
1. Radiation
2. Corrosivity
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3. Oxygen -
5. Toxicity
6. Pathogenicity
Notification
- Determine resources needed for the situation at hand
- Demonstrate making proper notification to needed and
to
required agencies-
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Entry (PPE Selection)
- Determine the proper level ofprotection needed to enter the
hot zone.
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- Demonstrate proper set up ofa dress out area.
- Demonstrate aproper safety and entry briefing
_
- Demonstrate taking and recording pre-entry vitals and using
7-
proper donning techniques.
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Entry (Rescue)
Demonstrate the proper removal ofvictims down in the hot
zone
Demonstrate the proper decontamination for victims removed
from the hot zone.
Entry (Mitigation)
- Develop an appropriate course ofaction to mitigate the leak.
- Demonstrate the proper use ofcontainment options.
- Demonstrate the proper use ofconfinement options.
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Back up Teams
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Demonstrate proper use ofentry and back-up teams.
Decontamination
Identify the proper level ofprotection for decontamination Ia
personnel.
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Demonstrate proper set-up ofthe decontamination corridor i2,W"
(warm zone).
^^monsMt^thejdecontamination process,sp.ecified.in,the..
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response plan.
Demonstrate proper doffing procedures and post-entry vitals.
Fixed Facility Specific Mitigation
1 ton (Chlorine) Mitigation
Demonstrate proper PPE selection for Chlorine
Demonstrate proper use ofmitigation equipment (Chlorine
"B"kit)
Demonstrate proper method ofsecuring containers.
Demonstrate proper formal decontamination techniques.
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Tote Mitigation
Demonstrate the proper methods to stop leaks from aleaking
Hydrogen Peroxide tote.
Sulfuric AcidMitigation
Demonstrate proper selection ofsafe methods to stop leaking pipe
Pentachlorophenol Mitigation
Demonstrate proper selection ofsafe methods to stop leaking 5
gallon bucket(s).
6
Suspicious Package Specific Mitigation
Demonstrate the proper use ofthe Statewide Suspicious Package
Protocol
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Demonstrate properly collecting asample ofthe product for testing.
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rontrnllr.r's Signature:
Date:
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Comments:
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PERFORMANCE EVALUATION CHECKLIST
Railcar Evaluation 2010 FALL
GENERAL INFORMATION
QTFStgtewgdg Hazardous Materials Team ValidatiojiJW^
Hazardous Materials Team:
(Print Only)
FSI-t^DTTtroller:
(Print Only) ""
Objective Based Evaluation:
A. Performance based subjects were selected from the NFPA 472 standard and IFSI SWMD Hazmat classes
B. Each subject area will be evaluated on a1-10 point system. With 1being the lowest score and KbeS a
Benchmark" performance. The rating system is listed below
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C. The total score from all the objectives shall be tallied and each team shall be evaluated according to their
Rating System: Numerical Grading 1 thru 10
Means unsafe and/or unsatisfactory practice, process, decision made, activity, event and/or
tactic that requires or required immediate corrective action(s) for adesirable outcome Alack
of knowledge of the task at hand.
Means practice, process, decision made, activity, event, and/or tactic that was condurted~o7~
earned out in such amanner that its outcome with regard to expectation was marginal When
the safety officer must frequently make safety reminders, especially about PPE product
identification, entry procedures, or decontamination this becomes less than marginal In these
cases, the evaluator should be able to identify behaviors that could be improved and
document example of the expected performance improvement
Means practice, process, decision made, activity, event, and/or tactic which was conducted o7
earned out in such amanner that its outcome met or exceeded the requirement, expectation '
and/or objective in an outstanding, excellent manner.
10
Me*nsthat.in the evaluatcr's opinion, the practice, process, decision made, activiiTe^nT
and/or tactic was outstanding, exceptional and/or excellent and may be amodel for the '
program.
Do Not Leave Sections Blank
OBJECTIVES NOT PERTAINING TO THE TEAM'S PERFORMANCE
MARK BOX N/A
SCORE
Incident Command
- Identify the need for an Incident Management System.
- Establish an Incident Management structure upon arrival on
the scene.
-
Establish an Incident Commander and Safety Officer, as well
as an easily identifiable Command Post.
-
Demonstrate the duties of assigned Hazardous Materials
Branch positions
Isolate
Identify the need for and establish initial isolation and control zones.
Hot zone
Cold zone
Recon
-
-
Correctly identify the material involved in the leak.
Identifyand interpret available hazard and response
information.
-
Correctly identify victims in the hot zone that need rescue or
-
Determine the basic design and construction features of the
recovery.
container.
Identify the type of damage causing the leak.
Monitoring
- Demonstrate the use of monitoring equipment appropriate for
the situation.
-
Demonstrate the proper use of the monitoring priorities
1.
Radiation
2. Corrosivity
3. Oxygen
4.
LEL
—5. Toxicity
6. Pathogenicity
Notification
-
-
Determine resources needed for the situation at hand.
Demonstrate making proper notification to needed and
required agencies.
Intry (PPE Selection)
Determine the proper level of protection needed to enter the
hot zone.
-
Demonstrate proper set up of a dress out area.
-
Demonstrate a proper safety and entry briefing.
-
Demonstrate taking and recording pre-entry vitals and using
proper donning techniques.
^
'ft
COMMENTS
Entry (Rescue)
-
Demonstrate the proper removal of victims down in the hot
zone.
-
Demonstrate the proper decontamination for victims removed
from the hot zone.
hk
Entry (Mitigation)
-
Develop an appropriate course of action to mitigate the leak.
Demonstrate the proper use of containment options.
Demonstrate the proper use of confinement options.
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Railcar Specific Mitigation
Chlorine Railcar Mitigation
- Demonstrate proper selection of safe method to access top of
car.
-
Demonstrate safe work practices when working on top of the
car.
-
Demonstrate proper techniques to correct vapor leak using
easy remedies first.
-
Demonstrate proper application of the Chlorine "C" kit.
Non-pressurized (Parathion) Railcar Mitigation
- ^-^Demonstrate safe memods~tcraccess"me"t6pr"6f the car
operate the top operating valve.
- Demonstrate safe methods of working on top of the car.
- Demonstrate safe methods to plug the bottom outlet.
Boxcar Mitigation
- Demonstrate safe work practices to access the interior of the
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boxcar.
-
-
Demonstrate proper techniques for plugging or patching the
leaking drums.
Demonstrate proper techniques for overpacking the leaking
9
drums.
Non-pressurized (Nitric Acid) Railcar Mitigation
- Demonstrate proper techniques for plugging or patching the
side of the railcar.
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Back up Teams
Demonstrate proper use of entry and back-up teams.
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Decontamination
Identify the proper level of protection for decontamination
personnel.
Demonstrate proper set-up of the decontamination corridor
(warm zone).
Demonstrate the decontamination process specified in the
response plan.
Demonstrate proper doffing procedures and post-entry vitals.
Termination
Demonstrate the proper termination of an incident including
debriefing, critique, and all appropriate paperwork.
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EVALUATION RESULTS
S^rH^HTeaTreT^s Signature:
Controller's Signature:
Comments:
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Date:
Date:
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