Assessment

Preliminary Phase - Stores & Support

Did the Trainee Ask About Medical Support?

Did the Trainee Ask About Safety Vehicle / Stretcher?

Did the Trainee Ask if Communications with Range Control and Sentries Had Been Established and Tested?

Did the Trainee Ask if Sentries / Red Flags Have Been Placed?

Did the Trainee Ask if General Stores Were in Location?

Did the Trainee Ask if Fire Fighting Equipment Was In Location?

Did the Trainee Indicate or Ask for the Location of the SDK Part 1 & 2?

Does the Trainee Ask If WP Has Been Used on Range?

S10 Respirator (or equivalent)

44L Potable Water

Heavy Leather Gloves

Blanket

Did The Trainee Explain What the Requirements for the Transport of Demolition Explosives and Stores?
(Verbal Confirmation From Trainee)

Reconnaissance Phase

Did the Trainee Identify and Observe The Safety Wait Time

Did the Trainee Evacuate All Non-Essential Personnel to a Safe Area

Did the Trainee Observe and Adhere to All Safety Precautions for the MEO?

Did the Trainee Correctly ID the MEO?

Did the Trainee Record All Details of the MEO?

Did the Trainee Correctly Identify if the Item can be Moved or Not?

Did the Trainee Confirm the Open Range Safety Distance?

Preparation Phase

Did the trainee brief all involved , about task & expected out comes?

Did the trainee designate a safe area ?

Did the trainee post /brief sentries, and ensured red flags were set?

Did the trainee form/brief work party and move to disposal site?

Conduct Phase

Did the trainee conduct "Time walk to cover/safe area"?
(*If not done in Recon)

Did the trainee select & prepare the correct charge?

Did the trainee position the charge correctly?

Did the trainee safely handle the EO?

FBT

Did the trainee inspect the FBT?

Did the trainee discard first 300 mm of FBT?

Did the trainee correctly dispose of discarded FBT?

Did the trainee correctly cut the FBT to the correct length, test burn & time correctly?

Did the trainee conduct the test burn a safe distance from other EO?

Did the trainee calculate the correct length & time for the FBT?

Did the trainee cut the correct length of FBT?

Detonator

Did the trainee wear the correct PPE when handling the detonator at all times?

Did the trainee correctly and safely inspect the detonator?

Did the trainee correctly and safely crimp the detonator?

Did the trainee places the detonator in a safe area?

Did the trainee safely handle the detonator at all times?

Immediately Before Arming Charge

Did the trainee brief and retire the work party ensuring the following was carried out?

Location and security of stores?

Communications

Actions on unplanned detonation
- Smoke - flames - Wait Time

Actions on non return of operator

Brief 2IC
- Head count of pers in area
- Everyone in safe area
- Report all pers accounted for on return of operator

Did the trainee Confirm everyone was undercover?
(* First Safety Check)

Arming and Firing the Charge

Did the trainee arm the charge safely?

Did the trainee visually conduct the safety checks?
Yell “undercover”
(*Second Safety Check)

Did the trainee conduct the correct Lighting Procedure?

Did the trainee Account for all personnel on return to Safe Area?
(*Third Safety Check)

Did the trainee Call “30 seconds”?

Did the trainee conduct the correct Countdown procedure?

Did the trainee conduct the correct Misfire Procedure? (if applicable)

Post Blast and Site Clearance

Did the trainee observe the “30” seconds last frag" wait time?

Did the trainee ensure all personnel are briefed to stay undercover prior to leaving safe area?

Did the trainee observe all safety precautions on approaching disposal site?

Did the trainee correctly inspect the disposal site?

Did the trainee give the all clear correctly?

Did the trainee debrief all personal involved including sentries etc?

Did the trainee inform the OIC on the reporting requirements?

Did the trainee correctly complete an AC430?

Did the trainee ensure the return of all stores?

Misfire Procedure

Did the trainee correctly conduct the misfire drill ? (QA)

Control of Work Party

Did the trainee effectively control the work party throughout the task?

ASSESSMENT RESULTS and DECLARATION of EXPLOSIVES USED

COMMENTS OF ASSESSOR: (To Provide Feedback To Trainees IAW Principles Of Assessment)

ASSESSMENT RESULTS

I intend to appeal this decision

Explosive Stores Used

Target:

FBT (in Feet)
DET DEM Non-Elec F1 (ea)
DET Dummy Non-Elec F1 (ea)
Detcord (in meters)
Detcord Dummy (in meters)
Primer 38 gm (ea)
Primer 38 gm Dummy (ea)
CHG DML 600 gm COMP B (ea)
CHG DML 600 gm Dummy (ea)

By signing the "ASSESSMENT RESULTS and DECLARATION of EXPLOSIVES USED" section, the Assessor and Trainee certify that all explosives detailed was used and consumed.

Assessor Number
Trainee Number
Select date
Insert Image of Completed AC430
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.