Fire Department Safety Officer: Incident Safety Officer Certification Criteria Grading Rubric Grade Sheet Based on NFPA 1521: Standard for Fire Department Safety Officer Professional Qualifications, 2015 Edition.

Alabama Fire College April 2016

revised 12-9-16

Certification Criteria Fire Department Safety Officer: Incident Safety Officer Certification Requirements To be issued certification for Fire Department Safety Officer – Incident Safety Officer, the candidate will: Show successful completion of the above pre-requisite requirements. This must be documented on file at the Alabama Fire College, Testing Division. Complete required training hours (minimum 40). Submit the Project Grade Sheet; Submit ALL associated Project Coursework (individual work for projects) Grade assessment will be calculated by – o Written Examination: Perform to a minimum 70% competency on the examination, calculated at 50% of the final score for the course. (One retest is allowed after 30 days but within one year of course end date.) o Practical Examination: Successfully complete a skills/project evaluation to a minimum of 70% competency and successful completion of all critical points. Evaluators will test at least 25% of the skills for each level of skill sheets. Skill sheets will be randomly selected by the AFC Testing Division for this practical examination. The Practical Examination Portion is calculated at 50% of the final score. (One retest is allowed after 30 days but within one year of course end date.) Example: Written examination -

70/100 possible points 70 x 50% = 35 points awarded for written exam portion

Practical/project -

40/100 possible points 40 x 50% = 20 points awarded for practical portion 55 points (student awarded F, score not 70%>)

Total Points =

Basis: Alabama Fire College & Personnel Standards Commission, Administrative Code, Chapter 360-X-16-.02: Requirements for Certified Fire Department Safety Officer: Incident Safety Officer:

Revised

ALABAMA FIRE COLLEGE

Fire Department Safety Officer: Incident Safety Officer (NFPA 1521, 2015 edition)

Grading Rubric (revised 05/28/16)

Project completion must be the original work of the individual. Submissions are required in Microsoft Office or Adobe PDF format. The Projects are developed to meet the intent of the standard and prepare the individual to function as a FDSO: Health & Safety Officer. The Project work is evaluated by an evaluator not involved with the instruction of the course.

# 1 2 3 4 5 6 7 8

Project Description & JPRs Create an Incident Safety Officer Checklist - 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 Serve as the Incident Safety Officer at a Building/Structural Fire 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 Serve as an Incident Safety Officer at a Wildland Fire - 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.5 Serve as an Incident Safety Officer at a Hazardous Materials Incident - 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.5.1, 5.5.2, 5.5.3, 5.5.4 Serve as the Incident Safety Officer at a Motor Vehicle Accident involving Air Transport - 5.2.8, 5.2.10, 5.2.11 Serve as an Incident Safety Officer at a Technical Rescue Incident 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.4.1, 5.4.2, 5.4.3 Terminate your role as Incident Safety Officer and conduct a Post Incident Analysis - 5.2.3, 5.2.12, 5.7.1, 5.7.2 Conducting an accident investigation - 5.6.1

Total Project Points Possible

Project 1 Criteria - Create an Incident Safety Officer Checklist NFPA 1521- 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 1. Checklist is created 2. Directions are followed 3. Proper format with correct spelling and grammar 4. Sources are referenced or cited 5. The information is in a presentable format for fire department official review Total Points Possible

Points Possible 10 13 13 12 16 12 15 9 100

Points Possible 2 2 2 2 2

10

1

Project 2 Criteria - Serve as the Incident Safety Officer at a building/structural fire NFPA 1521- 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 1. A risk benefit analysis is performed 2. Access and egress are evaluated and communicated to IC, tactical level managers, and RIC 3. Accountability system is established, monitored, and any deficiencies communicated 4. Collapse potential is evaluated and communicated to IC, tactical level managers, and RIC 5. Collapse zones are established as needed 6. Flashover and hostile fire event potential are evaluated and communicated to IC, tactical level managers, and RIC 7. Hazardous energy sources are determined and communicated 8. IC is advised to establish, modify, and communicate control zones as needed 9. Medical surveillance is established 10. On scene resource capability is evaluated and communicated 11. Operates within the incident command system (ICS) 12. Operations with imminent threats posed to firefighter safety are stopped, altered, or suspended and communicated to the IC 13. PPE is evaluated for the given hazard 14. Radio transmissions are monitored and any missed communications are addressed 15. Rehabilitation is established and being utilized 16. RIC is established and capability is continually evaluated 17. Safety briefings with IC are conducted routinely face to face when possible 18. The duration of the incident is anticipated 19. The Incident Action Plan, incident priorities, goals, and objectives are being communicated 20. The need for an assistant ISO is evaluated and addressed 21. Volume, velocity, density, and color of smoke is evaluated and communicated to IC, tactical level managers, and RIC 22. Weather is monitored and work cycle durations are established and communicated 23. Directions are followed 24. Proper format with correct spelling and grammar 25. Sources are referenced or cited 26. The information is in a presentable format for fire department official review Total Points Possible

Points Possible

.5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5

13

2

Project 3 Criteria - Serve as Incident Safety Officer at a Wildland Fire NFPA 1521 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.5 1. A risk benefit analysis is performed 2. A safety plan that identifies corrective or preventive actions is prepared 3. Accountability system is established, monitored, and any deficiencies communicated 4. Fire growth and blow up are determined and communicated to IC and tactical level managers 5. Fuel, topography, flame length, and weather effects are determined and communicated to IC and tactical level managers 6. Hazardous energy sources are determined and communicated 7. IC is advised to establish, modify, and communicate control zones as needed 8. Medical surveillance is established 9. On scene resource capability is evaluated and communicated 10. Operates within the incident command system (ICS) 11. Operations with imminent threats posed to firefighter safety are stopped, altered, or suspended and communicated to the IC 12. PPE is evaluated for the given hazard 13. Radio transmissions are monitored and any missed communications are addressed 14. Rehabilitation is established and being utilized 15. Safety briefings with IC are conducted routinely face to face when possible 16. The chain of command is followed 17. The duration of the incident is anticipated 18. The Incident Action Plan, incident priorities, goals, and objectives are being communicated 19. The need for a wildland-trained ISO or assistant ISO is determined and addressed 20. The need for air monitoring is determined and addressed as needed 21. The need for an assistant ISO is evaluated and addressed 22. Weather is monitored and work cycle durations are established and communicated 23. Directions are followed 24. Proper format with correct spelling and grammar 25. Sources are referenced or cited 26. The information is in a presentable format for fire department official review Total Points Possible

Points Possible .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5

13

3

Project 4 Criteria - Serve as an Incident Safety Officer at a Hazardous Materials Incident NFPA 1521 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.5.1, 5.5.2, 5.5.3, 5.5.4 1. A risk benefit analysis is performed 2. A safety plan that identifies corrective or preventive actions is prepared 3. Accountability system is established, monitored, and any deficiencies communicated 4. Emergency and technical decontamination procedures are addressed 5. Hazardous energy sources are determined and communicated 6. IC is advised to establish, modify, and communicate hazardous materials incident control zones as needed 7. Medical surveillance is established 8. On scene resource capability is evaluated and communicated 9. Operates within the incident command system (ICS) 10. Operations with imminent threats posed to firefighter safety are stopped, altered, or suspended and communicated to the IC 11. PPE is evaluated for the given hazard 12. Radio transmissions are monitored and any missed communications are addressed 13. Rehabilitation is established and being utilized 14. Safety briefings with IC are conducted routinely face to face when possible 15. The chain of command is followed 16. The duration of the incident is anticipated 17. The Incident Action Plan, incident priorities, goals, and objectives are being communicated 18. The need for a hazardous materials technician trained ISO or assistant ISO is determined and addressed 19. The need for air monitoring is determined and addressed as needed 20. Weather is monitored and work cycle durations are established and communicated 21. Directions are followed 22. Proper format with correct spelling and grammar 23. Sources are referenced or cited 24. The information is in a presentable format for fire department official review Total Points Possible

Points Possible

.5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5

12

4

Project 5 Criteria - Serve as the Incident Safety Officer at a Motor Vehicle Accident involving Air Transport NFPA 1521 5.2.8, 5.2.10, 5.2.11 1. A risk benefit analysis is performed 2. Accountability system is established, monitored, and any deficiencies communicated 3. All additional responding vehicles, when arriving on the scene, are positioned beyond the traffic barrier unless their function requires placement before the barrier. 4. All personnel and victims are placed in a secure area. 5. Apparatus and warning devices are placed to protect fire fighters from traffic. 6. Apparatus and warning devices are placed to take advantage of topography and weather conditions (uphill / upwind) 7. Apparatus are placed at an angle to the incident that maximizes safety. 8. Apparatus are placed to the rear of the incident or the emergency in a manner that reduces the chance of a vehicle being struck by oncoming traffic. 9. Apparatus warning lights remain on when acting as a shield 10. Hazardous energy sources are determined and communicated 11. Hazards associated with the designation of a helicopter landing zone is determined 12. Hazards associated with the interface with the helicopter is determined 13. IC is advised to establish, modify, and communicate control zones as needed 14. Medical surveillance is established 15. Members operating at a traffic incident in potential conflict with motor vehicle traffic are wearing a garment that is constructed with high-visibility fluorescent and retro-reflective material visible from all directions. 16. On scene resource capability is evaluated and communicated 17. One or more of the following warning devices are used to warn oncoming traffic of the emergency operations and the hazards to members operating at the incident: • Fluorescent and retro-reflective warning devices such as traffic cones • Federal Highway Administration (FHWA)-approved 48 in. by 48 in. retro-reflective signs stating “Emergency Scene Ahead” (with directional arrow overlay) • Illuminated warning devices such as highway flares • Other warning devices appropriate to warn oncoming traffic of the emergency operations 18. Operates within the incident command system (ICS) 19. Operations with imminent threats posed to firefighter safety are stopped, altered, or suspended and communicated to the IC 20. PPE is evaluated for the given hazard 21. Radio transmissions are monitored and any missed communications are addressed 22. The blocking apparatus are placed at least 50 ft behind the first operating unit to create a safe working area. 23. The duration of the incident is anticipated

Points Possible .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5

.5 .5 .5 .5 .5 .5

5

24. The first arriving unit controls traffic before addressing the emergency operations. 25. The Incident Action Plan, incident priorities, goals, and objectives are being communicated 26. The need for assistant ISOs and/or technical specialists is determined 27. Unneeded fire apparatus and personal vehicles are staged off the roadway whenever possible. 28. Weather is monitored and work cycle durations are established and communicated 29. Directions are followed 30. Proper format with correct spelling and grammar 31. Sources are referenced or cited 32. The information is in a presentable format for fire department official review Total Points Possible Project 6 Criteria - Serve as an Incident Safety Officer at a Technical Rescue Incident NFPA 1521 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.4.1, 5.4.2, 5.4.3 1. A risk benefit analysis is performed 2. A safety plan that identifies corrective or preventive actions is prepared 3. Accountability system is established, monitored, and any deficiencies communicated 4. Hazardous energy sources are determined and communicated 5. IC is advised to establish, modify, and communicate control zones as needed 6. Medical surveillance is established 7. On scene resource capability is evaluated and communicated 8. Operates within the incident command system (ICS) 9. Operations with imminent threats posed to firefighter safety are stopped, altered, or suspended and communicated to the IC 10. PPE is evaluated for the given hazard 11. Radio transmissions are monitored and any missed communications are addressed 12. Rehabilitation is established and being utilized 13. Safety briefings with IC are conducted routinely face to face when possible 14. The chain of command is followed 15. The duration of the incident is anticipated 16. The Incident Action Plan, incident priorities, goals, and objectives are being communicated 17. The need for a rescue technician−trained ISO or assistant ISO is determined and addressed 18. The need for air monitoring is determined and addressed as needed 19. The need for an assistant ISO is evaluated and addressed 20. Weather is monitored and work cycle durations are established and communicated 21. Directions are followed 22. Proper format with correct spelling and grammar

.5 .5 .5 .5 .5 .5 .5 .5 .5

16 Points Possible

.5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5 .5

6

23. Sources are referenced or cited 24. The information is in a presentable format for fire department official review Total Points Possible

.5 .5

12

Project 7 Criteria - Terminate your role as Incident Safety Officer and conduct a Post Incident Analysis NFPA 1521 5.2.3, 5.2.12, 5.7.1, 5.7.2 ISO Transfer 1. Incident information is exchanged 2. Reports and plans for the subsequent operational period are completed 3. Continuity of authority and situational awareness are maintained 4. Changes in incident or planned event complexity are accounted for 5. The new ISO is briefed on the incident 6. The new ISO is identified Critical Incident Stress Debriefing 7. Members’ psychological health and safety are addressed and protected Post Incident Analysis addresses the following 8. Safety and health issues 9. Best safety practices 10. Deviations from established procedures 11. Recommendations for future events are documented 12. Directions are followed 13. Proper format with correct spelling and grammar 14. Sources are referenced or cited 15. The information is in a presentable format for fire department official review Total Points Possible

Points Possible

Project 8 Criteria - Conducting an accident investigation NFPA 1521 5.6.1 1. Applicable department procedures are identified for review 2. Critical incident data elements are collected 3. Gathered information is documented and prepared for the Health and Safety Officer to continue the investigation 4. Potential witnesses are identified 5. The chain of evidence is started and maintained 6. Directions are followed 7. Proper format with correct spelling and grammar 8. Sources are referenced or cited 9. The information is in a presentable format for fire department official review Total Points Possible

Points Possible

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

15

1 1 1 1 1 1 1 1 1

9

7

Fire Department Safety Officer: Incident Safety Officer Projects Grade Sheet (NFPA 1521, 2015 edition) Revised 07/29/16

(Proctors: Collect Project Grade Sheet & project work ONLY if AFC Online is NOT being used for project submission)

Student ID: ___________________________________________________________________________________________

Student Name: _______________________________________________________________________________________ Graded Item

Project 1 – Create an Incident Safety Officer Checklist Project 2 – Serve as the Incident Safety Officer at a Building/Structural Fire Project 3 – Serve as an Incident Safety Officer at a Wildland Fire Project 4 – Serve as an Incident Safety Officer at a Hazardous Materials Incident Project 5 – Serve as an Incident Safety Officer at a Motor Vehicle Accident Involving Air Transport Project 6 – Serve as an Incident Safety Officer at a Technical Rescue Incident Project 7 – Terminate Your Role as an Incident Safety Officer & Conduce a Post-Incident Analysis Project 8 – Conducting an Accident Investigation

Total Project Points __________________________________________ Student’s Signature

__________________________________________ Instructor’s Printed Name & Signature

__________________________________________

Certification Evaluator’s Printed Name Signature

JPRs

5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.6 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.3.5 5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.5.1, 5.5.2, 5.5.3, 5.5.4 5.2.8, 5.2.10, 5.2.11

5.2.1, 5.2.2, 5.2.4, 5.2.5, 5.2.6, 5.2.7, 5.2.9, 5.2.10, 5.2.13, 5.2.14, 5.4.1, 5.4.2, 5.4.3 5.2.3, 5.2.12, 5.7.1, 5.7.2 5.6.1

Possible Final Points Score 10

13 13 12 16 12 15 9 100