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SANDY FIRE DISTRICT NO. 72

ANNOUNCEMENT

Sandy Fire District No. 72 is establishing an eligibility list for the position of:

FIREFIGHTER/PARAMEDIC

This position is a civil service position and will be made based on meeting minimum qualifications, merit, demonstrated ability and fitness. These will be established by testing, examination and investigation of qualified candidates.

APPLICATION PROCEDURE

You may obtain an application at the Sandy Fire District No. 72 website www.sandyfire.org. Applications can be picked up in person, emailed or sent to you via USPS mail. To request an application packet contact Office Manager Nannette Howland at Sandy Fire District No. 72. Office Manager Howland can be reached at 503.668.8093 or by email at [email protected].

All required documentation must be received on or before November 16, 2016 at 4:00 pm at:

Sandy Fire District No. 72 Attn: Firefighter Testing Process 17460 SE Bruns Ave PO Box 518 Sandy, Oregon 97055 Applications will be received Monday through Friday 8:00 am to 4:00 pm. Applications not received on or before November 16, 2016 at 4:00 pm will NOT be accepted.

Applications will not be accepted electronically.

$25.00 application fee must be included with your application packet. Cash, check or money order made out to Sandy Fire District No. 72.

Sandy Fire District No. 72 must receive a minimum of ten (10) qualified applicants to continue with this process. If less than ten fully qualified applications are received Sandy Fire District No. 72 may extend the application deadline until such time as ten qualified applications are received, or as by guided by the East Clackamas County Civil Service Commission.

http://www.sandyfire.org/

mailto:[email protected]


APPLICATION PACKET CONTENTS

• Announcement

• Timeline & Process Details

• General Information

• Evaluation Sheet

• Employment Application

• Sandy Fire District No. 72 Job Description

• Physical Ability Testing Details


TIMELINE AND PROCESS DETAILS

Application Period Opens – October 21, 2016 Application Packet Deadline – November 16, 2016

All required documentation, questions and requests for reasonable accommodations must be received on or before November 16, 2016 @ 4:00 pm. Applications will be received Monday through Friday 8:00 am to 4:00 pm (excluding holidays). Applications not received on or before November 16, 2016 at 4:00 pm will NOT be accepted.

Sandy Fire District No. 72 Attn: Firefighter Testing Process 17460 SE Bruns Ave PO Box 518 Sandy, Oregon 97055

Application Review (Pass/Fail) This component will consist of an application review and minimum qualifications evaluation. Candidates must complete the application packet, cover letter, resume, and supporting documentation to continue in the process. Candidates will only continue in the process if they meet the minimum requirements and provide all documents requested in the application packet. Email Notification of Results – November 18, 2016 If you don’t have an email address, please notify Nannette Howland at 503.668.8093

Physical Ability and Written Examination – December 3, 2016 If candidates pass the application review they will be invited to continue in the evaluation process. These components will be held at Boring Fire District located at 28655 SE Hwy 212; Boring, Oregon 97009. Additional dates may be needed depending on the number of qualified applicants participating in the process.

• Physical Ability (Pass/Fail) – The candidate must pass the physical ability test to be qualified to continue with the process. A document describing the physical ability test is included in the application packet.

• Written Examination (30%) Study guides for the written examination are provided when your application is received.

Email Notification of Results – December 5, 2016 ACLS Skills Evaluation and Panel Interview – December 10, 2016 If candidates pass the physical ability and written examination they will be invited to continue in the evaluation process. The location of this testing will be announced in the email notification of results by December 5th. Additional dates may be needed depending on the number of qualified applicants participating in the process.

• ACLS Skill Evaluation (30%) – Candidates will be evaluated using the American Heart Association ACLS skills. • Panel Interview (40%)

East Clackamas County Civil Service Meeting for certification of eligibility list/Email Notification – December


GENERAL INFORMATION

DUTIES

Specific duties and responsibilities are outlined in the job description section of the application packet.

SALARY

The salary is determined by collective bargaining for Sandy Fire District No. 72.

• Salary range for a Firefighter/Paramedic is $60,647 to $80,630 per the bargaining unit agreement. • Additional 4 % increase for an Apparatus Operator • Medical, Dental & Vision Insurance • Life and disability Insurance • Generous vacation and sick leave benefits • Participation in PERS/IAP • Deferred compensation program

MINIMUM QUALIFICATIONS

• Minimum 18 years of age • Valid Driver’s License • Candidate must be insurable by the District’s insurance carrier. • Current Oregon Paramedic License or National Registry Paramedic Certification AND proof of reciprocity • Current NFPA Firefighter 1 Certification • Current NFPA Operations Level Responder Certification or equivalent • Current NFPA Fire Apparatus Driver/Operator or equivalent • Must possess the training, physical condition and ability to effectively perform the essential job functions, and any

marginal functions of the position as specified in the job description. • Eligible to work in the United States of America at the time of hire. • Successful completion of the evaluation process with a minimum score of 75%. • Successfully complete a criminal background check, driving record check, psychological evaluation, physical

examination and drug screen at the time of hire • Must successfully obtain an NFPA Apparatus with a Fire Pump Certification within 9 months of

hire date.

CERTIFICATIONS

All certifications must be current and in active status. Lapsed Certifications will NOT be accepted. A lapsed certification is all levels of certification of any fire service professional where the individual has not been utilized as such for more than twelve (12) consecutive months.


GENERAL INFORMATION (CONTINUED)

REQUEST FOR REASONABLE ACCOMMODATION

If a candidate needs a reasonable accommodation for a disability for any component of the exam please contact Nannette Howland at 503.668.8093 by November 16, 2016.

PREFERENCE POINTS FOR VETERANS

Per ORS 408.230, Section 5, a person seeking to fill a vacant civil service position may be eligible for Veteran preference points. To receive Veteran preference points, you must submit a copy of DD 214 in your application packet. Veteran preference points will be applied to the final score of candidates that meet the minimum qualifications and achieve a minimum passing score of 75% in the testing process.

PREFERENCE POINTS FOR VOLUNTEER FIREFIGHTERS

The East Clackamas County Unified Civil Service Rules and Regulations Rule VII, Section 12, state that preference shall be given to candidates who are current Volunteers of Sandy Fire District and have served a minimum of three years of uninterrupted service as an active Volunteer Firefighter. Interruption in volunteer service that exceeds 180 days shall constitute a break in service that disqualifies the Volunteer from utilizing this preference. The Volunteer preference points shall be determined using the candidate’s Volunteer status as of the application deadline. Volunteers shall qualify for an increase of five (5) points added to the final score when the Volunteer meets the minimum qualifications and achieves a minimum passing score of 75% in the testing process.

EQUAL EMPLOYMENT OPPORTUNITY

Sandy Fire District No. 72 is an equal employment opportunity employer and does not discriminate on the basis of race, color, religion, national origin, mental or physical disability, marital status, military service or any state of Oregon protected classifications. Sandy Fire District No. 72 does not discriminate against any candidate or employee in hiring or in the terms, conditions, and privileges of employment based upon genetic information, pregnancy, childbirth, sexual orientation and gender identity, or related medical conditions. Sandy Fire District No. 72 will make reasonable accommodations for qualified employees with physical or mental disabilities and for employee’s religious beliefs that conflict with a workplace rule or function. No application will be rejected as a result of a disability that, with reasonable accommodation, does not prevent performance of the essential job duties.


EMPLOYMENT APPLICATION

INSTRUCTIONS � Please print legibly or type your answers � Answer each question fully and accurately � If you need additional space, continue your answers(s) on a separate sheet of paper � No action can be taken on this application if is incomplete and unanswered � If the application packet is not complete, you will not be considered in the testing process � Do not sign the application digitally � Application packet will not be accepted electronically

APPLICATIONS SUBMITTAL Candidates must include the following items in their application packet: � $25.00 Application Fee (Cash, Check, or Money Order) � Evaluation Sheet � Cover Letter � Resume � Employment Application � Attach Copy Current Valid Driver’s License � Attach Copy of State of Oregon Paramedic License or Nationally Registered Paramedic with Reciprocity. � Attach Copy of NFPA Firefighter 1 � Attach Copy of Operations Level Responder or equivalent � Attach Copy of NFPA Fire Apparatus Driver/Operator or equivalent � Attach Copy of Veteran’s DD214 (if applicable) � Any additional documentation, certifications, licenses, etc.

All required documentation, questions and requests for reasonable accommodations must be received on or before November 16, 2016 @ 4:00 pm. Applications will be received Monday through Friday 8:00 am to 4:00 pm (excluding holidays).

Deliver or send applications to the address below:

Sandy Fire District No. 72 Attn: Firefighter Testing Process 17460 SE Bruns Ave. PO Box 518 Sandy, Oregon 97055


EMPLOYMENT APPLICATION

Answer each question fully and accurately. If you need additional space, continue your answer(s) on a separate sheet of paper. No action can be taken on this application until all questions have been answered. PLEASE PRINT LEGIBLY OR TYPE

PERSONAL INFORMATION

NAME: Last First MI

ADDRESS: Street Apt# City State OR Zip

Home #: Work #: Cell Or Alternate #:

Email Address:

May We Contact Your Current Employer? Yes No

EMPLOYMENT ELIGIBILITY

Are You Over The Age Of 18? Yes No

Are You Legally Eligible For Employment In The United States? Yes No

Successful applicants will be required to prove identity and eligibility for employment by providing the required documentation to complete an I-9 form.

RELATIVES & FRIENDS

Some positions may not be held by certain individuals to avoid the possibility of conflicts of interest. Qualified relatives and/or friends are eligible for employment except in those unusual situations (for example, where they would be placed in a supervisor-subordinate relationship). The fire district does not discriminate against applicants or employees, unless required to do so by the reasonable demands of the position (a bona fide occupational qualification). Marital status includes whether a person is married, divorced, separated, or single, and the identity and occupation of a person’s spouse. It is the intention of the fire district to comply with Oregon law which prohibits employers from discriminating against an individual solely because another member of that person’s family works or has worked for that employer. Do You Have Any Relatives Who Currently Work For Us? Yes No

If Yes, Please State His / Her Name(s):


EMPLOYMENT APPLICATION (CONTINUED)

EDUCATION Check Last Grade Completed: 1 2 3 4 5 6 7 8 9 10 11 12

Do You Have A High School Diploma Or Equivalency? Yes No School:

College: 13 14 15 16 17 18 19 20 Other (Number Of Years):

Please list below any education, training and / or specialized experience such as schools, colleges, degrees, licenses, vocational, technical, or military experience, etc.

Degrees, licenses, relevant education, or training Where did you acquire it (name & address) of school, program, military branch and specialty, etc.

FIRE & EMS SERVICE EXPERIENCE Please provide details of your structural fire experience:

State of Oregon Paramedic: Yes No Certification #: Expiration Date:

Nationally Registered Paramedic: Yes No Certification #: Expiration Date:

Please provide details of your Emergency Medical Service Experience:



CRIMINAL CONVICTIONS Conviction of a crime is not an automatic bar to employment. Factors such as the nature and gravity of the crime, the length of time since the conviction and / or completion of any sentence, and the nature of the job for which you have applied will be considered. Do not list any arrest or any detention that did not result in conviction; a conviction that has been judicially expunged, sealed or eradicated; or any misdemeanor conviction for which probation has been completed and the case judicially dismissed Have you been convicted of a felony during the last 7 years or convicted of any other offense during the last 2 years?

Yes No

If Yes, Please Explain:

DRIVING POSITIONS Do You Have A Valid Driver’s License? Yes No

Have You Ever Been CONVICTED, Pled GUILTY, NO CONTEST, Or FORFEITED BOND OR BAIL For Any Traffic Violations In The Past Three Years?

Yes No

If Yes, Please Explain:

REFERENCES Provide Three References (Not Relatives Or Former Employers): NAME ADDRESS PHONE OCCUPATION

1.

2.

3.



List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and business references. If you worked in any of the positions under another name, please give name(s). Please give month and year and attach additional sheet(s) if more space is needed

1. Employer:

Address: Phone:

Supervisor: Title:

Job Title: From: To:

Beginning Salary: Ending Salary: May We Contact This Employer:

Yes No

Description Of Duties:

Reasons For Leaving:

2. Employer:

Address: Phone:

Supervisor: Title:



Yes No





3. Employer: Address: Phone:

Supervisor: Title:



Yes No



4. Employer: Address: Phone:

Supervisor: Title:



Yes No





I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement’s content and intent answered and understand its terms.

VERIFICATION AND SIGNATURE

1. I authorize the investigation of all matters Sandy Fire District No. 72 deems relevant to my qualifications for

employment, including all statements made in this application and in any attachments or supporting documents. I authorize you to request and receive such information and I release from all liability any persons (such as former supervisors) or employers supplying it. I also release Sandy Fire District No. 72 from all liability, which might result from making the investigation.

2. I certify that the facts and information in this application and in any attachments or supporting documents

are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission, as well as any misleading statements or omissions, generally will result in denial of employment or immediate termination, regardless of when and how discovered.

3. I understand that I may be required to submit to pre-employment or post-employment physical or other

professional examinations, medical inquires and/or urinalysis tests for the presence of drugs and/or alcohol. I agree to such examinations and/or testing at Sandy Fire District No. 72’s expense. I authorize release of the results to Sandy Fire District No. 72 and their use to evaluate my suitability for employment. I also release Sandy Fire District No. 72 from all liability arising out of or connected with the examinations and/or testing.

4. I understand that I may resign or be terminated, without cause or notice, at any time, unless otherwise stated

in an employment contract. I also understand the Fire Chief is the only person who will ever have the authority to agree to any other terms and/or to enter into such contracts signed by both parties. I also understand that unless otherwise stated in an employment contract Sandy Fire District No.72 may change, withdraw and interpret other policies (including wages, hours and working conditions) as it deems appropriate.

5. I have read each of these statements. I have had an opportunity to have my questions about this statement’s

content and intent answered and understand its terms. I have also reviewed all of the information provided in this application and in any supporting documents. Yes No

_____________________________________________ ____________________ Signature Date


EVALUATION SHEET

Applicant Name: ___________________________________________

Email Address: ____________________________________________

Contact Telephone Number: __________________________________

Please provide the following documentation in order:

$25.00 Application Fee (Cash, Check, or Money Order)

Evaluation Sheet

Cover Letter

Resume

Employment Application

Attach Copy Current Valid Driver’s License

Attach Copy of State of Oregon Paramedic License or Nationally Registered Paramedic with Reciprocity.

Attach Copy of NFPA Firefighter 1 or equivalent

Attach Copy of NFPA Operations Level Responder or equivalent

Attach Copy of NFPA Fire Apparatus Driver/Operator or equivalent

Attach Copy of Veteran’s DD214 (if applicable)

Any additional documentation, certifications, licenses, etc.

For Office Use Only

Date/Time Received ________________________________ ______________________________________ Signature

Review signatures & certification that candidate meets minimum requirements Yes No _________________________________________ Date _______________

Yes No _________________________________________ Date _______________


JOB DESCRIPTION

FIREFIGHTER/PARAMEDIC/APPARATUS OPERATOR JOB DESCRIPTION

CLASSIFIED POSITION

NATURE OF WORK This is advanced firefighting work in combating, extinguishing, and preventing fires and responding to emergency medical calls as a Paramedic. Work involves training for and participating in duties of protecting life and property through the performance of firefighting and emergency medical service activities. Employees in this classification are required to learn and participate in the operation of apparatus and the performance of hazardous tasks under emergency conditions, which may require strenuous exertion under such handicaps as smoke, fire, heat and cramped surroundings. Although firefighting and advanced life support emergency medical service work constitutes the primary and most difficult and responsible areas of work, a major portion of assigned work time is spent drilling and studying methods, evolutions, techniques in organization, as well as in routine duties in the custodial care and a wide variety of maintenance of departmental facilities, apparatus and equipment. Work is usually performed in accordance with explicit instructions and well defined procedures; however, performance of the work requires initiative and the exercise of independent judgment. Work is performed under the general supervision of a Lieutenant or Captain. EXAMPLES OF WORK PERFORMED Responds to alarms of fire or other emergencies with an engine company, water tender, brush company or rescue vehicle. Drives apparatus and operates fire pumps and auxiliary equipment. Lays and connects hose. Holds nozzles and directs fog, chemical and water streams. Raises and climbs ladders. Uses chemical extinguishers and a variety of other portable and related equipment. Participates in training sessions and attends classes in firefighting, emergency medical treatment and related subjects. Inspects buildings and premises for compliance with the Uniform Fire Code and other local ordinances for pre-fire planning and familiarization activities, and to check on complaints. Responds to calls for emergency medical services. Performs basic and advanced life saving techniques and other on-site care to victims of accidents, heart attacks, strokes and other traumatic cases. Responds to emergency calls for drowning, various rescue situations, accidents and natural or other catastrophes. Performs a wide variety of general custodial and maintenance work in the upkeep of the departmental apparatus, equipment and station. Cleans and washes walls and floors, washes, hangs and dries hose. Washes, cleans and polishes apparatus.

EFFECTIVE DATE: June 1, 2014 REVISED DATE: Page 1 of 4

This listing of "Examples of Work Performed" is intended to describe the principal functions of the job description. The listings of examples, however, shall not be construed as a complete listing of miscellaneous, incidental or substantively similar duties which may be assigned during the normal operation of the District. REQUIREMENTS OF WORK At least 18 years of age, and a high school diploma or equivalent. Proof of eligibility to work in the United States of America. Three years of structural firefighting experience. Shall hold a current valid Driver’s License and demonstrated a safe insurable driving record. Shall hold and maintain an Oregon Paramedic license. Shall hold and maintain a current American Heart Association certification in advanced cardiac life support (ACLS). Shall hold and maintain current certifications in Hazardous Materials Operations, NFPA Firefighter 1, and NFPA Apparatus Equipped with Fire Pump. Considerable knowledge of the location of streets, fire hydrants, principal buildings and of the general type of building construction and usage in the District. Considerable knowledge of District policies and procedures. Knowledge of the principles and practices of firefighting and fire prevention work. Considerable knowledge of District apparatus, fire pump operations, hydraulics, tools and equipment and their proper use. Regularly responds to call-back requests while off duty. Considerable knowledge in performing advanced life support emergency medical care. Ability to work with volunteer personnel.


ESSENTIAL PHYSICAL AND MENTAL FUNCTIONS OF POSITION In addition to those physical and mental functions required to perform the duties set forth above, this position requires the following: 1. Ability to carry a ladder weighing approximately 75 pounds, to raise and extend the ladder, to

assist victims down ladders, and to carry fire hose and other heavy equipment up and down ladders or stairs.

2. Ability to move and advance a charged 1-3/4" hose line into a burning building, while standing

or crawling on the floor. Ability to hold flowing hose line and to shut off a flowing line while maintaining control of the hose line.

3. Ability to enter a building under adverse fire conditions which might include smoke, extreme

heat, and no visibility, in full protective clothing, including air pack with face piece. Ability to search for fire victims (sometimes searching by feel only), while walking or crawling, and if victim is found, to drag or carry the victim to safety.

4. Ability to climb ladders and work at considerable heights, in open places and confined spaces. 5. Ability to operate a power saw in positions, such as overhead cutting, cutting on a sloping roof,

and cutting from a ladder. 6. Ability to use a variety of tools to remove walls and ceilings, requiring pulling and pushing

motions with arms extending overhead or to force entry into a building. 7. Ability to perform firefighting and rescue duties while exposed to extreme cold and/or wet

environmental elements. 8. Ability to operate power extrication equipment to assist in patient removals from motor

vehicles. The ability to lift and carry patients over rough or uneven terrain. Ability to bend, strain, stretch, contort, push, pull, twist, carry, walk with weight, or lift to remove a victim from a motor vehicle and place the victim on a stretcher.

9. Ability to drive a large fire apparatus during both the day and night, using depth perception and

peripheral vision in emergency situations involving speeds in excess of posted limits, in congested traffic and in unsafe road conditions caused by factors such as fog, smoke, rain, ice, and snow.

10. Ability to complete firefighter and emergency rescue functions and tasks which are physically

demanding. 11. Ability to respond to an alarm, wake, and go from a sound sleep to full activity and exertion


within a matter of minutes. 12. Ability to hear and orally respond to verbal orders, calls for assistance, and radio

communications. 13. Ability to communicate with a diverse range of people and deal with verbal confrontations. 14. Ability to interview people and to gather information on their medical history or circumstances

surrounding an incident. 15. Ability to prepare incident reports, inspection reports, and medical reports, either by hand or

computer, using proper detailed descriptions and appropriate grammar.



PHYSICAL ABILITY

SANDY FIRE DISTRICT NO. 72 PHYSICAL ABILITY TEST

Held at Boring Fire

Firefighting involves extremely strenuous and skilled physical work, as well as handling emergency and life threatening situations. Demanding physical standards are necessary because of the high level of physical fitness required by the profession. Agility and endurance are necessary to perform these duties. This test is designed to determine an applicant’s physical strength, agility and capability to perform job related tasks. The test consists of six exercises. These simulate actual tasks that are performed on the job. Applicants must complete the tasks as described and shall proceed directly from one task to the next. No rest periods will be allowed during the test. Six minutes is allowed for completion of the entire test. Evaluators will monitor each exercise to insure conformance to the standards. The applicant must pass each individual component of the test to proceed on to the next exercise. Although a time limit is set for the test, no advantage is gained by completing the exercise in less than the time allotted. The time was set to allow completion of the exercise at a safe pace. Please pace yourself and do not to run or race through the exercises. An applicant may be disqualified if he/she fails to follow instructions or does not perform the tasks in a safe manner. PHYSICAL CHARACTERISTICS: Cardiovascular Capability/Aerobic Capacity: The test will measure an above average degree of aerobic capacity and will connect various firefighting simulations in a circuit and may generate pulse rates in excess of 150 beats per minute. Strength and Endurance: The test has been designed to reflect an above average degree of strength and endurance. Many of the activities encountered by a fire fighter require pulling, lifting and climbing, often times with equipment weighing as much as 100 pounds. PREPARING FOR THE TEST: On the day of the physical ability test applicants are advised to restrict caffeine intake prior to their test. In addition, we recommend that you do not eat within approximately two hours of the test. Do not engage in strenuous exercise, strenuous work or other physically taxing activities the day of the test. It is recommended that applicants warm up and stretch before taking their physical ability test. Applicants are encouraged to dress appropriately. Loose fitting clothing and athletic shoes may prove to be helpful. Applicants will not have an opportunity to change clothes or shoes during the physical ability testing process. REQUIREMENTS FOR THE TEST: Some of the pictures shown were taken without an SCBA pack and bottle. Applicants shall wear turnout coat, helmet and SCBA pack with air bottle attached. Six (6) minutes are allowed for completion of the entire test.

TEST STATIONS… #1 SHOULDER LOAD CARRY: The applicant will have the hose bundle placed upon their shoulder. Bundle shall consist of 100 feet of 2½’ hose with attached 2½” fog nozzle (or equal amount of weight). This bundle shall weigh 76-77 pounds. Time will start when applicants enters the doorway. The candidate shall carry it to the stairs; climb stairs to fourth floor of the training tower. Hose bundle shall be carried on applicant’s shoulder. Dropping the bundle, letting it slide off your shoulder, dragging the bundle or skipping any stair treads or stopping during the task are grounds for disqualification. Upon reaching the fourth floor, candidate shall set hose bundle down. THE APPLICANT IMMEDIATELY MOVES TO THE NEXT TASK AREA. After completing the Smoke Ejector Hang applicant will pick up the hose load from the ground level, placing it on their shoulder and return down the tower to the starting point.

Purpose: To evaluate the applicant’s endurance and back and leg strength. Related Job Tasks: Carrying loads up and down stairs is a common task on the fire ground. #2 SMOKE EJECTOR LIFT: An electric smoke ejector (weighing 46 lbs) will be placed on the ground with its two hooks ready for use. Directly above the ejector is a simulated hanging beam, with the top of the beam 72” inches from the ground. The applicant shall lift the smoke ejector by grabbing its two hooks with both hands and then hook them onto the beam. The applicant shall remove the smoke ejector from the beam by grabbing each of its hooks and lowering it to the ground. The applicant may not drop the smoke ejector nor raise and lower it in any manner other than using both hooks. After completing the Smoke Ejector Hang applicant will pick up the hose load from the ground level, placing it on their shoulder and return down the tower to the starting point. THE APPLICANT IMMEDIATELY MOVES TO THE NEXT TASK AREA. Purpose: To test the applicant’s upper and lower body strength and coordination. Related Job Tasks: Hanging smoke ejectors and lifting and lowering other firefighting equipment.

#3 LADDER WALK: The applicant is required to walk on the rungs of a 14’ roof ladder. The ladder is flat and supported 4” off the ground by blocks. The applicant shall carry a chain saw. A foot must touch each rung of the ladder. This exercise consists of walking across a ladder to the last rung, stepping off the ladder, turning around, stepping back onto the ladder rung and return run-by-rung to the starting rung. Dropping the saw or slipping off the ladder is a disqualification. THE APPLICANT IMMEDIATELY MOVES TO THE NEXT TASK AREA. Purpose: To test the applicant’s balance during a period of exertion. Related Job Tasks: When cutting ventilation holes in the roof, fire fighters may place a ladder against the roof and walk the rungs carrying various types of equipment. #4 LADDER CLIMB: A 24’ ladder will be placed in a climbing position. The applicant will climb a total of two round trips. The fifth rung below its tip will be marked. On each climb, both of the applicant’s feet must touch this rung before climbing back down to the ground. The applicant must climb the ladder without skipping any rungs, without stopping and by using only the rungs when climbing or descending the ladder. THE APPLICANT IMMEDIATELY MOVES TO NEXT TASK AREA. Purpose: To evaluate applicant’s physical coordination, reaction to heights, leg strength and endurance. Job Related Tasks: Fire fighters must be able to climb ladders and to work at heights effectively.

#5 TIRE DRAG The applicant places a 2½” playpipe nozzle over their shoulder, grabs the nozzle with both hands, and drags the attached 12’ of 2½” hose and tire (weighing 170 lbs.) a total distance of 75’. Area shall be wet for tire drag. THE APPLICANT IMMEDIATELY MOVES TO THE NEXT TASK AREA. Purpose: To test the applicant’s stamina and upper and lower body strength. Related Job Tasks: Extending 150’ of uncharged 2½’ fire hose is customarily a one-person evolution. Firefighters often have to drag hoses long distances. #6 HOSE LIFT: The applicant shall pull a dry section of 4” inch hose (total weight 50 lbs.). A hand-over-hand method shall be used to raise and lower the hose bundle to the fourth floor from the ground level to a height of 30’ and back to the ground one time. Applicant will raise the hose until it touches the bottom of the fourth floor platform, then lower it back to the ground. The rope may not slip or slide through the hands. Allowing the rope to slip or slide or dropping the hose bundle will disqualify the applicant. Time will stop when the hose is on the ground and applicant has finished with all tasks. Purpose: To evaluate the applicant’s hand, arm and shoulder strength and endurance. Related Job Tasks: Hoisting tools, smoke ejectors, and hose bundles are required at fire incidents. Similar strength and endurance is also needed to perform rescue practices in steep angle and water rescue operations.

CANDIDATE’S NAME_____________________________________ TEST DATE___________________ 1. Shoulder Load Carry: Pass_______ Fail_______ Comments:_____________________________________________________________________ 2. Smoke Ejection Lift: Pass_______ Fail_______ Comments:_____________________________________________________________________ 3. Ladder Walk: Pass_______ Fail_______ Comments:_____________________________________________________________________ 4. Ladder Climb: Pass_______ Fail_______ Comments:_____________________________________________________________________ 5. Tire Drag: Pass_______ Fail_______ Comments:_____________________________________________________________________ 6. Hose Hoist: Pass_______ Fail_______ Comments:_____________________________________________________________________ Time to complete tasks: __________________ Pass_______ Fail_______ Comments: (maximum 6 minutes) __________________________________________________ Evaluator’s Signature: ___________________________ Evaluator Print Name: ___________________________ Candidate _____ did pass ______ did not pass this exam. Before Physical Ability Test After Physical Ability Test B/P B/P

Pulse Rate Pulse Rate

WAIVER AND RELEASE OF LIABILITY READ THIS DOCUMENT CAREFULLY BEFORE YOU SIGN

RECITALS:

1. Applicant desires to become a firefighter with Sandy Fire District No. 72. 2. The policies of the districts provide that each applicant shall submit to a test of physical

ability. 3. The physical ability test requires the applicant to engage in activities that may endanger

the applicant’s health.

WITNESSETH: In consideration of receiving permission to take the physical ability test, receipt of such permission being hereby acknowledged, applicant hereby releases the above named districts, their officers, agents, servants and employees from any and all liability, claims, demands, actions and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the applicant, or any property of the applicant, while in, on or upon the premises, or any premises leased to, owned by, sanctioned by, or under the control or supervision of the above named districts. The applicant being duly aware of the risks and hazards inherent upon entering upon said premises and participating in the physical ability test held at such premises, hereby elects to voluntarily enter upon said premises and to engage in the physical ability test. The applicant hereby voluntarily assumes all risks of loss, damage or injury including death that may be sustained by the applicant while engaging in the physical ability test. This Release and Waiver shall be binding upon the distributees, heirs, next of kin, executors and administrators of the applicant. In signing the foregoing Release and Waiver, the applicant hereby acknowledges and represents that:

A. The applicant has read the foregoing Waiver and Release, understands it, and signed it voluntarily:

B. The applicant is of legal age and sound mind.

IN WITNESS WHEREOF, the applicant has signed the foregoing Waiver and Release on the ______________ day of ___________________, 20____. ___________________________ ___________________________ Applicant Witness

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