Title Page
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Candidate
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Assessor
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IQA
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Date and Time
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Scenario
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Location
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INSTRUCTIONS
1. " pass at Level 1", " Marginal Fail Level 2", "Significant Fail Level 3" or "Professional Discussion" on the questions provided below.
2. Add Photos in "Image" and Comments in "Note" for the items needed.
3. Add a Corrective Measure by tapping on "Action", then provide a description, assign to a member, set priority, and due date.
4. Complete the audit by providing a digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
Marking Criteria for Assessor please tick to indicate you understand the criteria as the assessor
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Indicate "Pass" for a competent performance for the criteria
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Indicate "Pass Level 1" for a pass with prompts for questions needed to confirm understanding
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Indicate "Review Level 1" for a Marginal Fail, where a lack of understanding or knowledge is shown on a non safety critical issue or command skill
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Indicate "Review Level 2" for a significant Fail where a lack of understanding or knowledge is shown on a safety critical issue or command skill
Before carrying out Assessment Confirm:
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Room is safe and fit for purpose and candidate has been fully briefed and is happy for the assessment to begin
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Has the Video and Audio been checked and is ready to record if applicable?
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All supporting materials are available in the room for the candidate?
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All Role players have been briefed and understand the scenario
Performance indicators for this level are Based upon NOS WM7 OR CAP 699 AWM6: Candidate must demonstrate that they ;
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P1. Collect and confirm information to the known and anticipated risks to people property and the environment
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P2. Review information relevant to the known and anticipated risks to people, property and environment (6.1) ( Identify the significant findings of the risk assessment process)
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P3. Determine initial action against available resources including their limitations and capabilities through application of the Decision control process Ensure the action plan meets the known and anticipated needs of the incident
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P4. Develop objectives through a comprehensive assessment of the risks, DRA and Tactical mode understood and communicated
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P5. Apply a command structure as appropriate to the needs of an operational incident
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P6. Identify the significant findings of the risk assessment process
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P7. Implement risk control measures. clarifies the position in regards to analytical risk assessment
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P8. Monitor the situation, plan and actions at regular intervals and adjust as appropriate
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P9. Record relevant risk control measures
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P10. Maintain ongoing communication on planned actions to those involved in implementation
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P11. Deploy appropriate resources to meet the needs of the incident
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P12. Instigate measures to hand over control of an incident to an appropriate person, agency or authority
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P13. Manage the preservation of potential evidence identified at the incident
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P14. Secure the availability of resources for further deployment at the earliest opportunity
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P15. Identify contingency measures in the event of an unplanned or uncontrolled event or escalation
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P16. Take action to minimise any unresolved hazards and associated risks within operational constraints
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P17. Conduct a post incident debrief
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P18 Measure performance against agreed standards relevant to defined roles
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P19. Identify opportunities to improve future personal, team and organisation performance
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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P20. Record the review process
- Pass
- Level 1 Pass
- Questions and Answer or Professional Discussion used for Evidence, note all detail.
- Review Level 1
- Review Level 2
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Do you have any questions for the candidate based on their performance, please record the questions asked and answer in notes
Completion
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Outcome
- Satisfactory performance
- Level 1 Review Acceptable level of performance with some development needs, may need to be tactically advised or monitored on incidents
- Review Level 2 Unsatisfactory performance, risk critical development need or multiple development needs identified – Consider whether Incident Command Licence should be revoked/not issued. Individual will be unable to undertake command duties with immediate effect until such time as a satisfactory performance can be demonstrated through reassessment.
- Polished and Competent performance in all Areas
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Candidate Feedback – Assessor record outcome and feedback given here.
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IQA Feedback to Assessor
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Candidate Signature
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Assessor Signature
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IQA Signature