Sample Report 1660-NEW Level 1 Assessment Form

Sample Report 1660-NEW Level 1 Assessment Form.docx

Level 1 Assessment and Level 3 Evaluations for the Center for Domestic Preparedness (CDP)

Sample Report 1660-NEW Level 1 Assessment Form

OMB: 1660-0132

Document [docx]
Download: docx | pdf

Sample Report

Course Name: TERT 99-11

Number of Students: 30

SECTION 1

Primary Discipline

Number

Primary Discipline

Number

1. Emergency Management

2

7. Government Administrative


2. Fire Service

12

8. Healthcare (non-EMS)

3

3. HAZMAT

1

9. Public Health


4. Law Enforcement

10

10. Public Works


5. Public Safety Communications


11. Other


6. Emergency Medical Services (EMS)

2





SECTION 2

Level of Expertise

Number

Expert (SME)

5

Intermediate

8

Basic

17



SECTION 3

Module:

Quality of Instruction

Average of Responses

Knowledge Increase

Average of Responses

Confidence Increase

Average of Responses

1. Terrorist Threat

4.53

4.28

4.86

2. Incident Command and Response Actions

3.87

3.45

4.23

3. Chemical Hazards

3.63

3.78

3.26

4. Biological Agents

3.01

4.20

3.45

5. Radiological Hazards

4.52

4.35

4.67







SECTION 3 (Cont.)

Module (Lane/Exercise)

Quality of Facilitation

Increase in Skill

Increase in Confidence

6. 1 Lane Principles of Mass Causality Response

4.78

4.30

4.99

6. 2 Decontamination and PPE Level B

4.69

4. 50

3.76

6. 3 Scene Survey and Safety

4.79

4.89

4.67

6. 4 Survey and Monitoring and PPE Level C

4.83

4.98

4.68

7. Practical Exercise (COBRA)

4.97

4.89

4.93



SECTION 4

The course (Overall)

Item

Average Response

a. employed a variety of instructional methods

4.63

b. was an appropriate length for the material covered

5.00

c. is worth recommending to others

4.68



SECTION 5

The Instructors (Overall)

Item

Average Response

a. answered questions thoroughly

4.93

b. encouraged student participation

4.00

c. covered all course learning objectives

4.98

d. conducted themselves in a professional manner

5.00













IMPLEMENTATION SCHEDULE



February14, Through April 30, 2011

February 14

February28

March 21

1. TERT

16. ERHM

29. FFC

2. HT

17. FFE

30. FRAME

3. IC

18. EMO

March 28

4. AgERT

19. HOT-I

31. RP

5. HERT

20. HCL

April 4

6. HERT TtT

March 7


7. ICS TtT

21. HEC

April 11

8. EHTER

22. ITC

32. ICS 300

February 21

23. P3

33. FLO

9. HARM

MARCH 14

April 18

10. FFO

24. LEPM


11. SAAT

25.ILERSBA


12. ICS 400

26. LERA


13. HOT

27. RAD TtT


14. SAT

28.APIOHHE


15. ICR























File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorlpressl1
File Modified0000-00-00
File Created2021-01-25

© 2024 OMB.report | Privacy Policy