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Name:____________________________ Date Completed: ______________
Written Test Passed:_______________ Date Passed FTM: ______________
Medical Cert:_____________________ Expires: ______________________
Equipment
Checked by: Date:
Clothing
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Appropriate to conditions
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In uniform
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Adequate footwear
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Eye Protection
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Helmet
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Gloves
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Ready Pack
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Adequate Pack
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Compass
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Whistle
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Knife
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Water
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Food
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Trash Bags
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Fire Source
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Headlamp
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Second Light Source
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Pencil/paper
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First Aid Kit
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gloves
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personal meds
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3 prüsiks
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2 locking biners
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20 feet webbing
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Survival Skills
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Bivvy Completed with carried field gear
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Winter Bivvy
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Search Skills
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Hasty Search -- leads team
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Sweep Search -- leads team
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Closed-Grid Search -- leads team
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Night Operation -- leads team
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Canine Operation
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[Containment]
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[Interview]
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Cuts Sign/Tracks
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Secures Clues
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[Secures Crime Scene]
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Demonstrates strong navigational skills
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Demonstrates Leadership with Field Team
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Monitors team members' condition
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Delegates
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Briefs Field Team
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Debriefs Field Team
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Briefs from Base
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Debriefs to Base
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Estimates POD
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Identifies Problem Areas on Task
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Hazards
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Obstacles
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Lower PODs
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Rescue Skills
Tech/Semi-Tech
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Single-line rappel
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assembled
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belayed
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rappeled
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Anchors
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Bowline
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Tree-wrap
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Webbing slings
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Casts/Pads/Rigs Lines
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Belaying
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Calls
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Falls
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Anchoring/Tie Off/Stance
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Prüsik belays
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Z-Haul System
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4:1 System
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Brute Force System
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Semi-tech Rescue
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Anchor selection
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Tree-Wrap braking
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Figure-8 braking
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Patient packaging
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Litter rigging
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Route selection
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Equipment care
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External Certifications
Knots Tied Backed Up Date
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Butterfly
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XXXXXXXXXX
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Bowline on a coil
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One-way knot
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XXXXXXXXXX
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Sheet bend
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Frost Knot
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Load-releasing hitch
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XXXXXXXXXX
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ASRC redundant seat harness
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Cross-chest harness
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_________________________________________
Training Officer
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