HomeMy WebLinkAbout106.080 - FD-96, Summary of Performance Report
ADMINISTRATION MANUAL
FORMS
106.080 SUMMARY OF PERFORMANCE REPORT (FD-96)
EFFECTIVE: APRIL 2015
Current Revision Date: 03/30/21 Next Revision Date: 03/30/23
Author’s Name/Rank: Michael Zimmerman, Fire Captain Review Level: 2
Administrative Support:
Tammy Williams,
Management Analyst II
Section 106.080
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PURPOSE
The Summary of Performance Report is utilized as a cumulative summary
documenting the firefighter trainee’s performance during the fire academy.
APPLICATION
At the conclusion of the academy, this form will be completed for each firefighter
trainee to summarize their overall performance.
OPERATIONAL POLICY
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OPERATIONAL GUIDELINE
The information within this document is sent to the Office of the State Fire Marshal’s
Office State Fire Training to validate certification of the firefighter trainee. If a
condensed academy is being delivered, the information will be used internally.
PROCESS
Once signed by the firefighter trainee, documents are scanned and sent to the
trainee electronically. A hard copy is retained by the Department in the firefighter
trainee training folder.
INFORMATION
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Section 106.080
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DEFINITIONS
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CROSS REFERENCES
Firefighter Trainee Manual
Section 501.003, Trainee Grading and Evaluation (FD-96)
ADMINISTRATION MANUAL
FORMS
106.080 SUMMARY OF PERFORMANCE REPORT (FD-96)
EFFECTIVE: APRIL 2015
Current Revision Date: 03/30/21 Next Revision Date: 03/30/23
Author’s Name/Rank: Michael Zimmerman, Fire Captain Review Level: 2
Administrative Support:
Tammy Williams,
Management Analyst II
Section 106.080
Page 3 of 3
Trainee Information
Trainee: Date/Time:
Trainee ID: Station Assignment:
Training Officer: Company No:
Report for Duty Date/Time: Company Officer:
Final Minimum Standard Evaluation
Cumulative Academic Score: % Pass Fail Not Applicable
Meets Minimum Academic standard
Meets Minimum EMT/Paramedic standard
Meets Minimum Manipulative Skills standard
Meets Minimum CORE Values standard
All criteria must receive a Pass.
Details
Number of Performance Plans:
Outcome of Performance Plans:
First Month Performance Plan:
Trainee Comments
Acknowledgment of Receipt
By signing this form, I confirm I understand the results of the Summary of Performance. I also
confirm I have discussed the Performance Plan with my Training Officer(s).
Trainee Signature ID No. Date
Training Officer Signature ID No. Date
Training Chief Signature ID No. Date
Section 106.080
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