EMS 1222 1/17 [760-1092] Page 1 of 2

OHIO DEPARTMENT OF PUBLIC SAFETY

HOSE MAINTENANCE CLEANING AND INSPECTING FIRE HOSE

CANDIDATE NAME (Please Print)

DATE

CHARTER

CHARTER #

FIREFIGHTER I PRACTICAL SKILL EVALUATION

Primary Task Hose Maintenance – Cleaning / Inspecting Fire Hose JPR(s) 5.5.2

Reference Source NFPA 1001 Standard, 2013 Edition Skill No. 22-1

Candidate Instruction

The candidate, given washing equipment, water, detergent, tools, and replacement hose gaskets, shall wash and inspect fire hose for any damage and shall ensure hose is in a ready state for service.

State Maximum Allotted

5 minutes

PERFORMANCE STEPS TEST 1 RETEST 2 RETEST 3

Safely performs the following steps: P F P F P F

Cleans couplings using water and brush (soapy water if necessary). Inspects couplings on hose ensuring that swivels operate and threads are not damaged.

Demonstrates inspecting and replacing hose coupling gasket if necessary. Cleans hose jacket using brooms, brushes, clear water, and soap for areas of heavy contamination.

Inspects hose jacket ensuring there are no defects or damage (holes, tears, or chemicals / fuel).

If hose is found to be defective, marks out of service and records. Dries hose using hose tower, drying rack, or other means (keeps out of direct sunlight and high heat devices for drying).

Firefighter must have at least 70% pass mark for each skill and perform all critical points (5/7 required). The charter training program may demonstrate and / or simulate this skill.

Score: / 7

NUMBER OF ATTEMPTS TEST 1 RETEST 2 RETEST 3

SCORE / 7 / 7 / 7

TIME EVALUATOR COMMENTS

EMS 1222 1/17 [760-1092] Page 2 of 2

PRINT NAME FIRST EVALUATOR

CERT #

SKILL TEST DATE

/ /

SIGNATURE FIRST EVALUATOR

X

Overall Skill Sheet Score

Pass Fail PRINT NAME SECOND EVALUATOR

CERT #

SKILL TEST DATE

/ /

SIGNATURE SECOND EVALUATOR

X

Overall Skill Sheet Score

Pass Fail PRINT NAME THIRD EVALUATOR

CERT #

SKILL TEST DATE

/ /

SIGNATURE THIRD EVALUATOR

X

Overall Skill Sheet Score

Pass Fail