OHIO DEPARTMENT OF PUBLIC SAFETY WATER SUPPLY HYDRANT SUPPLY LAY CONNECTIONS CANDIDATE NAME (Please Print) DATE CHARTER CHARTER # VOLUNTEER PRACTICAL SKILL EVALUATION FIREFIGHTER Primary Task Water Supply-Hydrant-Supply Lay Connections (s) 5.3.15 NFPA 1001 Standard, 2013 Edition 17-2 Reference Source Skill No. The candidate, wearing personal protective clothing, and supply or intake State Maximum Candidate hose, hose tools, and a fire hydrant, shall connect a fire department pumper to Allotted Instruction a water supply with a reverse lay and ensure connections are tight and water 10 minutes flow is not obstructed. PERFORMANCE STEPS TEST 1 RETEST 2 RETEST 3 REVERSE LAY CONNECTION P F P F P F Wearing complete personal protective clothing. Grasps needed equipment and sufficient hose (spanner and hydrant wrench, necessary appliance and adapter) to attack pumper intake. Anchors hose to stationary object and signals driver to start reverse lay. Supply line is attached to attack pumper OR hose clamp is used and placed properly. Intake hose is connected from supply pumper or hydrant and hydrant properly and ensures water flow is not restricted. Prepares supply hose for connection and connects to discharge outlet of supply pumper and charges line once attack pumper is ready (releases hose clamp if used). Ensures all connections are tight. Firefighter must have at least 70% pass mark for each skill and perform all critical points Score: / 7 (5 / 7 required). NUMBER OF ATTEMPTS TEST 1 RETEST 2 RETEST 3 / 7 / 7 / 7 TIME EVALUATOR COMMENTS
OHIO DEPARTMENT OF PUBLIC SAFETY WATER SUPPLY HYDRANT SUPPLY LAY CONNECTIONS CANDIDATE NAME (Please Print) DATE CHARTER CHARTER # VOLUNTEER FIREFIGHTER PRACTICAL SKILL EVALUATION Primary Task Water Supply-Hydrant-Supply Lay Connections (s) 5.3.15 Reference Source NFPA 1001 Standard, 2013 Edition Skill No. 17-2 Candidate Instruction The candidate, wearing personal protective clothing, and supply or intake hose, hose tools, and a fire hydrant, shall connect a fire department pumper to a water supply with a reverse lay and ensure connections are tight and water flow is not obstructed. State Maximum Allotted 10 minutes PERFORMANCE STEPS TEST 1 RETEST 2 RETEST 3 REVERSE LAY CONNECTION P F P F P F Wearing complete personal protective clothing. Grasps needed equipment and sufficient hose (spanner and hydrant wrench, necessary appliance and adapter) to attack pumper intake. Anchors hose to stationary object and signals driver to start reverse lay. Supply line is attached to attack pumper OR hose clamp is used and placed properly. Intake hose is connected from supply pumper or hydrant and hydrant properly and ensures water flow is not restricted. Prepares supply hose for connection and connects to discharge outlet of supply pumper and charges line once attack pumper is ready (releases hose clamp if used). Ensures all connections are tight. Firefighter must have at least 70% pass mark for each skill and perform all critical points (5 / 7 required). Score: / 7 NUMBER OF ATTEMPTS TEST 1 RETEST 2 RETEST 3 / 7 / 7 / 7 TIME EVALUATOR COMMENTS
EMS%200206%201-18%20Effective%201-1-18_filed.docx