CP-12 Skills Assessment - Safety & Occupational Health (018) See instructions on page 5 Section I Personal Information – 1 Name: 2 Date: 4 Pay Plan, Series, & 3 Job Title: Grade (e.g. GS-0018-12) 5 Current Organization: 6 Description of Current Position: 7 Total Years Experience in CP-12 8 Total Years Experience in Career Management Program: Safety Program Management: 10 College Credits in Safety 9 College Degree Field Section II Professional Certificates or Certifications – 11 Certificate or Certification Title/Source 12 Effective Date a b c Section III Required Fundamentals for Interns (Online Courses/Equivalent) – 15 16 17 13 Course PreReqs for 15 Week Intern Program (not required for 14 Equivalent Creditable Date the CP12 Professional Certificate) Completion Status Training Experience Completed Introduction to Ammunition (DAC Course # AMMO 45; # a US Army Explosives Safety Familiarization (DAC Course # b ATTRS # 4E-F44/645-F28(DL)) c Commander’s Safety Course d Additional Duty Safety Course e Action Officer Development Course Risk Management Course (resident or DL) f g Contracting for the Rest of Us h Supervisor’s Safety Course i Systems Safety in Systems Engineering j Toxicology Tutorial 1 Basic Principles – k Military Briefings l Theories of Accident Prevention m Radiologic Emergency Management (FEMA) n Basic Math Tutorial o Effective Communication p Emergency Planning q Systems Acquisition Management r Accident Avoidance Course for Army Motor Vehicle Drivers s HBS Writing Skills Ammunition Publications (DAC Course # AMMO 78, ATTRS # r 4E-F62/645-F46(DL)) u Range Operations Professional Development ROPD Phase 4A v CES Foundation Course CP-12 Form 3.0, April 2014 Section IV Level 1 Skills (Please evaluate and attach evidence of skills)… –
CP-12 Skills Assessment - Safety & Occupational Health (018) See instructions on page 5 Section I – Personal Information 1 Name: 2 Date: 3 Job Title: 4 Pay Plan, Series, & Grade (e.g. GS-0018-12) 5 Current Organization: 6 Description of Current Position: 7 Total Years Experience in CP-12 Career Management Program: 8 Total Years Experience in Safety Program Management: 9 College Degree 10 College Credits in Safety Field Section II – Professional Certificates or Certifications 11 Certificate or Certification Title/Source 12 Effective Date a b c Section III – Required Fundamentals for Interns (Online Courses/Equivalent) 13 Course PreReqs for 15 Week Intern Program (not required for the CP12 Professional Certificate) 14 Completion Status 15 Equivalent Training 16 Creditable Experience 17 Date Completed a Introduction to Ammunition (DAC Course # AMMO 45; # b US Army Explosives Safety Familiarization (DAC Course # ATTRS # 4E-F44/645-F28(DL)) c Commander’s Safety Course d Additional Duty Safety Course e Action Officer Development Course f Risk Management Course (resident or DL) g Contracting for the Rest of Us h Supervisor’s Safety Course i Systems Safety in Systems Engineering j Toxicology Tutorial 1 – Basic Principles k Military Briefings l Theories of Accident Prevention m Radiologic Emergency Management (FEMA) n Basic Math Tutorial o Effective Communication p Emergency Planning q Systems Acquisition Management r Accident Avoidance Course for Army Motor Vehicle Drivers s HBS Writing Skills r Ammunition Publications (DAC Course # AMMO 78, ATTRS # 4E-F62/645-F46(DL)) u Range Operations Professional Development ROPD Phase 4A v CES Foundation Course CP-12 Form 3.0, April 2014 Section IV – Level 1 Skills (Please evaluate and attach evidence of skills)…
SKILLS_ASSESSMENT_018.docx