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HAZARDOUS MATERIALS OPERATIONS

NFPA 472, 2008 Edition

5.2 Core Competencies – Analyzing the Incident JPR - HMO #1


5.2.1 Surveying the Hazardous Materials/WMD Incidents Revised: June 30, 2011
Standard Area: Competencies – Analyzing the Incident
Candidate: Date:

Student#:

TASK: Given a pesticide label, identify each of the following pieces of information;
STANDARD: 5.2.1.3.2 (1-6) NFPA 472,
then match the piece of information to its significance in surveying the hazardous
2008 Edition
materials incident.
PERFORMANCE OUTCOME: The candidate will complete this task within 30 minutes with a minimum of 9 of the 12 items
answered correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Pesticide label and NAERG. Full protective clothing and self contained breathing apparatus. Candidate
will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Identify the Product Name:
2. Significance of Product Name:
3. Identify Signal Word:
4. Significance of Signal Word:
5. Identify the Pest Control Product (EPA) number:
6. Significance of EPA number:
7. Identify Precautionary Statement:
8. Significance of Precautionary Statement:
9. Identify the Hazard Statement:
10. Significance of Hazard Statement:
11. Identify Active Ingredient:
12. Significance of Active Ingredient:

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS OPERATIONS
NFPA 472, 2008 Edition

5.2 Core Competencies – Analyzing the Incident JPR - HMO #2


5.2.2 Collecting Hazard and Response Information Revised: June 30, 2011
Standard Area: Competencies – Analyzing the Incident
Candidate: Date:

Student#:

STANDARD: 5.2.2.3 (a-j) NFPA 472, TASK: Given a material safety data sheet (MSDS) for a specified material, identify
2008 Edition the following hazard and response information.
(a) Physical and chemical characteristics
(b) Physical hazards of the material
(c) Health hazards of the material
(d) Signs and symptoms of exposure
(e) Routes of entry
(f) Permissible exposure limits
(g) Responsible party contact
(h) Precaution for safe handling (including hygiene practices, protective measures,
procedures for cleanup of spills or leaks)
(i) Applicable control measures including personal protective equipment
(j) Emergency and first air procedures
PERFORMANCE OUTCOME: The candidate will complete this task within 30 minutes with a minimum of 10 of the 20 items
answered correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Materials safety data sheets (MSDS) for Ethylene Oxide. Full protective clothing and self contained
breathing apparatus. Candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Physical and chemical characteristics:

a. Boiling point:

b. Specific gravity:

c. Appearance:

d. Odor

2. Physical hazards of the material:

3. Health hazards of the materials:

4. Signs and symptoms of exposure:

a. Ingestion:

b. Inhalation:

c. Skin contact:

d. Eye contact:
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

5. Routes of entry:

6. Permissible exposure limits:

a. TWA:

7. Responsible party contact:

8. Precaution for safe handling:

a. Hygiene practices:

b. Protective measures and clean up of spills and leaks:

9. Applicable control measure including personal protective equipment:

10. Emergency and first aid procedures:

a. Ingestion:

b. Inhalation:

c. Skin contact:

d. Eye contact:

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS OPERATIONS
NFPA 472, 2008 Edition

5.2 Core Competencies – Analyzing the Incident JPR #3


5.2.1.4 Collecting Hazard and Response Information Revised: June 30, 2011
Standard Area: Competencies – Analyzing the Incident
Candidate: Date:

Student#:

STANDARD: 5.2.1.4, 5.2.3(1), 6.2.5(1) TASK: Given two examples of scenarios involving known hazardous materials,
NFPA 472, 2008 Edition interpret the hazard and response information obtained from the current edition of the
North American Emergency Response Guidebook, material safety data sheets
(MSDS), CHEMTREC/CANUTIC/SETIG and shipper/manufacturer contacts.
PERFORMANCE OUTCOME: The candidate will complete this task within 30 minutes with a minimum of 14 of the 18 items
answered correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Two scenarios, MSDS for Ethylene Oxide, NAERG, CHEMTREC/CANUTIC/SETIQ and
shipper/manufacturer information sheets. Full protective clothing and self contained breathing apparatus.
SCENARIO ONE (FIRE AT A CHEMICAL PLANT) FIRST TEST RETEST
NO.
TASK STEPS Pass Fail Pass Fail
1. Initiate incident management system according to authority having jurisdiction

2. Container behavior:

a. Ruptured cylinders may rocket

b. Containers may explode when heated

3. Material behavior:

a. Some materials may react with water

b. May form explosive mixtures with air

c. Upper Explosive Limit:


d. Lower Explosive Limit:

e. Boiling point

f. Vapor pressure

4. Evidence is preserved if criminal or terrorist acts are suspected


SCENARIO TWO (SPILL/LEAK) FIRST TEST RETEST
NO.
TASK STEPS Pass Fail Pass Fail

1. Initiate incident management system according to authority having jurisdiction.

2. Control efforts:

a. Consider initial downwind area

b. All equipment must be grounded to prevent ignition of the material

c. Use water spray to reduce vapors or divert vapor cloud

d. Prevent entry into waterways, sewers, basements and confined spaces

e. Apply alcohol medium-expansion foam to reduce vapors

f. Avoid eye and skin contact

g. Turn container so that gas will escape, not liquid, if possible.

3. Water solubility: Complete

4. Vapor density: 1.5

5. Specific gravity: 0.8711

6. Evidence is preserved if criminal or terrorist acts are suspected

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #4


5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30,2011
Standard Area: Competencies – Analyzing the Incident
Candidate: Date:
Student#:

STANDARD: 5.1.2.2(3)a,d,e, TASK: Given a scenario involving hazardous materials/WMD incidents, the operations
5.1.2.2(4)a,b, 5.4.1(4), 6.3.4(1), level responder shall identify how to establish and enforce scene control, including
6.3.4(2),6.3.6(1) control zones and emergency decontamination, and communications between
NFPA 472, 2008 Edition responders and to the public.
PERFORMANCE OUTCOME: The candidate will successfully demonstrate each ability identified within this JPR.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, water supply, hoses, brushes,
containment area, product name and NAERG. The candidate will don appropriate PPE and use equipment as per manufacturer’s
guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Identify the contaminated person.
2. Remove contaminated person from threatened area
3. Remove contaminated person’s helmet and flood with water
4. Remove contaminated person’s SCBA leaving mask in place
5. Remove contaminated person’s clothing while maintaining continuous washing
a. Remove coat
b. Remove pants
c. Remove flash hood
d. Remove SCBA mask
6. Remove victim to clean area
7. Inform medical personnel of contaminant

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR - HMO #5


5.4.4 Using Personal Protective Equipment Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:
Student#:

STANDARD: 5.1.2.2(3)d, 5.4.1 (4), 5.5.2 TASK: Demonstrate donning, working in, and doffing structural firefighting personal
NFPA 472, 2008 Edition protective equipment and positive pressure self-contained breathing apparatus.
PERFORMANCE OUTCOME: The candidate will successfully demonstrate each ability identified within this JPR. The candidate
will don appropriate PPE and use equipment as per manufacturer’s guidelines.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Full structural firefighting personal protective clothing and self contained breathing apparatus.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
DONNING
1. Don pants and boots properly-including suspenders in place
2. Don protective hood
3. Don coat-including storm flap closed and collar up and secured
4. Don helmet
5. Don gloves
6. Don SCBA
a. Open cylinder valve fully
b. Secures straps on SCBA
c. Don face piece
d. Check face seal
e. Hook up air supply
7. Work in contaminated area
8. Control breathing
9. Exit hazard area
DOFFING
10. Removes SCBA and place all equipment in a ready state for reuse

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR #6


5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 6.6.4(1) TASK: Using the type of fire-fighting foam or vapour suppressing agent and foam
NFPA 472, 2008 Edition equipment furnished by the authority having jurisdiction, demonstrate the proper
application of the fire-fighting foam(s) or vapour suppressing agent(s) on a spill or fire
involving hazardous materials.
PERFORMANCE OUTCOME: The candidate will successfully demonstrate each ability identified within this JPR.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Firefighting foam, foam equipment, fire apparatus, hazardous liquid, and burn area. Full protective
clothing and self contained breathing apparatus. The candidate will don appropriate PPE and use equipment as per manufacturer’s
guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Approach the spill or fire from uphill and upwind

2. Set nozzle to correct pattern (and GPM flow, if applicable)

3. Use correct application procedures

a. Banked down

b. Roll on

c. Rain down

4. Did not disturb foam blanket

5. Exited hazardous area

Evaluator/Candidate Comments:

Evaluator (Print & Sign) Date Candidate Date

Re-Test Evaluator Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7


5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition (a) Absorption (e) Diversion
(b) Damming (f) Retention
(c) Diking (g) Vapour dispersion
(d) Dilution (h) Vapour suppression
PERFORMANCE OUTCOME: The candidate will successfully demonstrate each ability identified within the checklist with at least
27 of the 32 items completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Absorption:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure drains do not become contaminated

d. Ensure hazardous material is absorbed into absorbent material

2. Damming:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure dam is not breached

3. Diking:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Form a “v” and a “circle” dike

e. Ensure hazardous material does not enter drains or manholes


FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

4. Dilution:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure hazardous material is water soluble

d. Do NOT overflow retention pond of hazardous material

5. Diversion:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure hazardous material is diverted away from drains and waterways

d. Make sure the hazardous material does NOT breach diversion

6. Retention.

a. Define purpose of retention

b. Use common, available materials

c. Avoid contact with hazardous material

d. Ensure product flow does not exceed retention area

7. Vapour Dispersion:

a. Avoid contact with hazardous material

b. Eliminate ignition sources, if applicable

c. Use water spray or fans to control dispersion

d. Move vapours away from threatened area


FIRST TEST RETEST
NO. TASK STEPS Pass Fail Pass Fail

8. Vapour Suppression:

a. Avoid contact with hazardous materials

b. Approach the spill or fire from uphill and upwind

c. Set nozzle to correct pattern (and GPM flow, if applicable)

d. Use correct application procedures

(1) Banked down

(2) Roll on

(3) Run down

e. Did NOT disturb foam blanket

f. Exited hazardous area

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7a
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Absorption
PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Absorption:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure drains do not become contaminated

d. Ensure hazardous material is absorbed into absorbent material

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7b
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Damming

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Damming:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure dam is not breached

f. Exited hazardous area

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7c
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Diking

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Diking:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Form a “v” and a “circle” dike

e. Ensure hazardous material does not enter drains or manholes

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date


Re-Test Proctor Date Re-Test Candidate Date
HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7d
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Dilution

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS Pass Fail Pass Fail
Pass Fail Pass Fail

1. Dilution:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure hazardous material is water soluble

d. Do NOT overflow retention pond of hazardous material

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7e
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Diversion

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Diversion:

a. Use common, available materials

b. Avoid contact with hazardous material

c. Ensure hazardous material is diverted away from drains and waterways

d. Make sure the hazardous material does NOT breach diversion

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7f
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Retention

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Retention.

a. Define purpose of retention

b. Use common, available materials

c. Avoid contact with hazardous material

d. Ensure product flow does not exceed retention area

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7g
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Vapour Dispersion

PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail

1. Vapour Dispersion:

a. Avoid contact with hazardous material

b. Eliminate ignition sources, if applicable

c. Use water spray or fans to control dispersion

d. Move vapours away from threatened area

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS

5.4 Core Competencies – Implementing the Planned Response JPR – HMO #7h
5.4.1 Establishing and Enforcing Scene Control Procedures Revised: June 30, 2011
Standard Area: Competencies – Implementing the Planned Response
Candidate: Date:

Student#:

STANDARD: 5.1.2.2(3)d, 5.1.2.2(4)a, TASK: Given the appropriate tools and equipment, demonstrate how to perform the
5.4.4(3), 5.5.2, 6.6.4(1) following defensive control activities:
NFPA 472, 2008 Edition Vapour Suppression
PERFORMANCE OUTCOME: The candidate will successfully demonstrate the ability identified within the checklist with all items
completed correctly.
CONDITIONS: Whenever possible integrate the evaluation of this line item within a consolidated hazardous materials/emergency
scenario. This will allow multiple line items to be evaluated effectively in conjunction with other hazardous materials/emergency
scenario activities.
EQUIPMENT REQUIRED: Personal protective equipment, self-contained breathing apparatus, shovels, rakes, absorbent materials,
dirt, sand or hay, plastic sheeting, foam or vapour suppression agents, foam generating equipment, and a leaking container. The
candidate will don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Vapour Suppression:
a. Avoid contact with hazardous materials
b. Approach the spill or fire from uphill and upwind
c. Set nozzle to correct pattern (and GPM flow, if applicable)
d. Use correct application procedures
(1) Banked down
(2) Roll on
(3) Run down
e. Did NOT disturb foam blanket
f. Exited hazardous area

Proctor/Candidate Comments:

Proctor (Print & Sign) Date Candidate Date

Re-Test Proctor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS NFPA 472, 2008 EDITION

6.4.4 Competencies — Implementing the Planned Response. HMO - 9


6.4.4.1 Performing Incident Management Duties. Revised June 30, 2011

Candidate: Date:
Student#:
STANDARD: 6.2.4.1, 6.3.4.1, 6.3.4.2,
TASK: The candidate shall demonstrate the decontamination process specified in the
6.3.4.1, 6.4.4, 6.4.4.1,6.4.4.2, 6.4.6.1
planned response.
NFPA 472 2008 Edition
PERFORMANCE OUTCOME: The candidate, working as a member of a team of no more than eight members and given a local
decontamination plan and decontamination equipment, shall demonstrate how to perform the decontamination process in the given
plan.
CONDITIONS: Water supply, decontamination supplies and equipment, local decontamination plan, and Hazardous Materials
Response Plan. Candidate shall don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Demonstrate the Decontamination Process
a) Obtain local decontamination plan
b) Perform decontamination according to local plan and requirements
2. The following decontamination steps must be accomplished in the order listed:
a) Enter decontamination area and drop-off tools
b) Perform gross decontamination to remove as much contamination as possible
c) Remove protective clothing
d) Remove SCBA
e) Remove personal clothing
f) Personal shower
g) Clothing replacement
h) Medical evaluation
3. Decontamination Workers
a) Performed decontamination on each other
b) Avoided cross-contamination
c) Ensured contamination tools and equipment were contained in drums

Evaluator/Supervisor Comments:

Evaluator/Supervisor (Print & Sign) Date Candidate Date

Re-Test Evaluator/Supervisor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS NFPA 472, 2008 EDITION

6.7.4 Competencies — Implementing the Planned Response. HMO – 10a


6.7.4.1 Performing Incident Management Duties. Revised June 30, 2011

Candidate: Date:

Student#:

TASK: Given three hazardous materials—one of which is a solid, one a liquid, and one
STANDARD: 6.7.4(1), 7.2.1.3.4, 7.2.1.3.5 a gas—and the following monitoring equipment, test strips, and reagents, the candidate
(1)(2)(3)(4)(6)(8)(9)(10) shall select the appropriate equipment and demonstrate the proper techniques to
NFPA 472 identify and quantify the materials: (a) carbon monoxide meter; (b) colorimetric tubes;
2008 Edition (c) combustible gas indicator; (d) oxygen meter; (e) ph indicators and/or ph meters;
(f) radiation detection instruments; (g) reagents; and (h) test strips.
PERFORMANCE OUTCOME: The candidate shall correctly identify & quantify the materials given
CONDITIONS: Given carbon monoxide meter (Option A), combustible gas indicator (Option B), and oxygen monitor (Option C).
Candidate shall don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Carbon Monoxide Meter (Option A)
a) Device field calibrated according to manufacturer's specifications
b) Appropriate personal protective equipment
c) Proper approach
d) Sample identified
e) Results quantified
f) Identify limiting factors associated with the selection and use of this meter
2. Combustible Gas Indicator (Option B)
a) Device field calibrated according to manufacturer's specifications
b) Appropriate personal protective equipment
c) Proper approach
d) Sample identified
e) Results quantified
f) Identify the limiting factors associated with the selection and use of this meter
g) Given an example of a domestic gas line break and the readings from a
combustible gas indicator, determine the area of evacuation
3. Oxygen Monitor (Option C)
a) Device field calibrated according to manufacturer's specifications
b) Appropriate personal protective equipment
c) Proper approach
d) Sample identified
e) Results quantified
f) Identify the limiting factors associated with the selection and use of this meter
Evaluator/Supervisor Comments:

Evaluator/Supervisor (Print & Date Candidate Date


Sign)

Re-Test Evaluator/Supervisor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS NFPA 472, 2008 EDITION

6.7.4 Competencies — Implementing the Planned Response. HMO – 10b


6.7.4.1 Performing Incident Management Duties. Revised June 30, 2011

Candidate: Date:
Student#:
STANDARD: 6.7.4.1, 7.2.1.5 TASK: The candidate shall select the appropriate techniques to identify and quantify
NFPA 472 the materials: (a) carbon monoxide meter; (b) colorimetric tubes; (c) combustible gas
2008 Edition indicator; (d) oxygen meter; (e) Passive dosimeters; (f) ph indicators and/or ph meters;
(g) Photoionization and flame ionization detectors (h) radiation detection equipment;
(i) reagents; (j) test strips; (k) Other equipment as provided by AHJ. The candidate
shall identify or classify and quantify, by hazard, each unknown material, select
appropriate equipment, and demonstrate proper techniques.
PERFORMANCE OUTCOME: The candidate shall correctly identify & quantify the materials given
CONDITIONS: Given three materials (one solid, one liquid, one gas) and appropriate monitoring equipment, test strips and reagents.
Candidate shall don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Material 1 (Solid)
a) Selected appropriate equipment
b) Used proper technique
c) Classified or identified by hazard
d) Quantified material
2. Material 2 (Liquid)
a) Selected appropriate equipment
b) Used proper technique
c) Classified or identified by hazard
d) Quantified (ph)
3. Material 3 (Gas)
a) Selected appropriate technique
b) Used proper technique
c) Classified or identified by hazard
d) Quantified (concentration in air)

Evaluator/Supervisor Comments:

Evaluator/Supervisor (Print & Sign) Date Candidate Date

Re-Test Evaluator/Supervisor Date Re-Test Candidate Date


HAZARDOUS MATERIALS
OPERATIONS NFPA 472, 2008 EDITION

6.7.4 Competencies — Implementing the Planned Response. HMO – 10c


6.7.4.1 Performing Incident Management Duties. Revised June 30, 2011

Candidate: Date:
Student#:
STANDARD: 6.7.4.1, 7.2.1.3.6 TASK: The candidate shall demonstrate the field maintenance and testing procedures
NFPA 472 for the monitoring equipment, test strips, and reagents provided by the authority having
2008 Edition jurisdiction.
PERFORMANCE OUTCOME: The candidate shall demonstrate proper field maintenance and testing procedures
CONDITIONS: Given manufacturer's operating instructions for equipment provided by the authority having jurisdiction. Candidate
shall don appropriate PPE and use equipment as per manufacturer’s guidelines.
FIRST TEST RETEST
NO. TASK STEPS
Pass Fail Pass Fail
1. Demonstrate proper field calibration and inspection procedures
a) monitoring equipment
b) test strips
c) reagents

Evaluator/Supervisor (Print & Date Candidate Date


Sign)

Re-Test Evaluator/Supervisor Date Re-Test Candidate Date

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