10317W 01 Plans Examiner I Performance Checklist

CDC 10317W
Plans Examiner I
Performance Test

Extension Course Program (A4L)
Air University
Air Education and Training Command
Acknowledgement
Preparation of this supplement was aided through the cooperation and courtesy of the
International Fire Service Training Association (IFSTA). IFSTA furnished technical materials
utilized to develop this training product. Permission to use the information from IFSTA is
gratefully acknowledged.
In accordance with the copyright agreement, distribution of this volume is limited to United
States Government personnel.
Plans Examiner I Performance Test Supplement iii

Performance Test Instructions
This performance test supplement is based on the 2009 Edition of NFPA 1031; Standard for
Professional Qualifications for Fire Inspector and Plan Examiner and provides the detailed
performance test checklist items required for candidate testing. Performance tests should not be
conducted until the candidate has successfully completed the academic portion of the course by
successfully passing the End of Course final exam at an Air University approved test control
facility (TCF). However, it is strongly encouraged that this supplement and the checklist it
contains be used during the normal course of study. Candidates may practice the performance
tests at anytime during study and up until testing is conducted. Practice is highly encouraged.
This particular course uses two workstations. Within each workstation there are several tasks
and objectives ((NFPA® line items). A “Performance Summary Sheet” precedes each
workstation or group of evaluated tasks. This sheet lists the NFPA line items evaluated and the
specific tasks to be accomplished. Each performance test lists the setting and tools/equipment
needed for the listed tasks.
Many of the performance test tasks for the Plans Examiner I require the completion of forms,
letters, and other authority having jurisdiction documentation items. These performance tasks
must be completed in a proctored environment. Ideally, the candidate should be allowed the use
of a word processor (computer) and necessary research documents as they are identified in the
“tools/equipment” section of the performance test. The proctor’s primary responsibility is to
monitor the student’s work to ensure that the candidate is completing their own work, had not
previously completed the task and is simply downloading the work and that the candidate is not
using any form of checklist to ensure all elements of performance test are completed.
Evaluators must be a DoD, IFSAC, or NPQS certified Fire Inspector III. Evaluators should
review the checklist paying specific attention to any “Candidate/Evaluator” notes. Scenarios
developed should be as realistic and complete as possible. A minimum of two scenarios must be
developed for each performance test requiring one. This allows for the candidate to retest in case
of first time failure. Additionally, scenarios should be changed periodically to dissuade future
candidates from gaining an unfair advantage or allowing for test compromise.
Remember, official performance test notifications must be made ten days prior to the actual
performance test or the candidate’s performance test results will not be accepted by the DoD
Administrative Center. For specific program guidance see DoD Manual 6055.06. Your
performance test notifications must be made using the following web site.
http://www.dodffcert.com/performance/notify.cfm
It is important also to understand the grading process used during the evaluation. Additional
information on grading criteria is provided on the next page.
iv Plans Examiner I Performance Test Supplement

Grading Criteria
The following grading criteria will be used to evaluate and determine the pass/fail status of a
candidate.
Each of the performance test checklists contains an attainment standard. In this particular CDC
the attainment standards are set at approximately 80% using an “X out of X” format while also
containing a time limit. For example, an attainment standard may read, “Successful completion
of at least 15 out of 18 items within 90 minutes.”
If for some reason a particular element/step or standard cannot be completed and the candidate’s
installation cannot simulate or create the item, then the evaluator may mark the item “Not
Applicable” (N/A). The evaluator must then re-adjust the score by multiplying the remaining
checklist items by .80 to determine the number correct required. For example, a performance
test requires that 12 out of 15 items be successfully completed and 2 of the 15 items are marked
N/A then the evaluator must multiply the remaining 13 items by .80 (13 x .80 = 10.4 or 11). The
new required minimum passing score is now 11 out 13 items.
There are a total of 14 performance tests in this course. Candidates must successfully complete
and pass 11 of these tests which equates to the 80% minimum required.
--AND--
The following criteria will be used to evaluate and determine the pass/fail status of a candidate.
Each item in the Performance Test Checklist is given a rating.
Critical (C) - This rating has been assigned to items, which, if omitted or performed
incorrectly, would result in severe injury to, or death of, an individual. Should a firefighter fail
to perform any one item rated as Critical (C), the firefighter would be unsuccessful in
demonstrating the required proficiency level for that standard.
Major (M) - This rating refers to any item that is very important to the general safety of
personnel and the successful completion of the evolution. Should a firefighter fail to perform
any three items rated as Major (M), the firefighter would be unsuccessful in demonstrating the
required proficiency level for that standard.
General - This rating although there is not symbol, has been given to all remaining items that in
combination are relevant to the successful completion of the evolution. Should a firefighter fail
to perform any four items rated as General, the firefighter would be unsuccessful in
demonstrating the required proficiency level for that standard.
Should a firefighter fail to perform any combination of Major or General rated items resulting in
a sum total of four, the firefighter would be unsuccessful in demonstrating the required
proficiency level for that standard.
Plans Examiner I Performance Test Supplement v

Table of Contents
EVALUATOR ORIENTATION: 1
SKILLS TEST #1: ADMINISTRATION 3
Performance Test Item Summary 3
PERFORMANCE TEST ITEM #1 INSTRUCTIONS 5
Performance Test Item #1 Checklist 6
SKILLS TEST #2: PLANS REVIEW 13
Performance Test Item Summary 13
PLANS EXAMINER I PERFORMANCE TEST RECORD 37
vi Plans Examiner I Performance Test Supplement

Performance Test Guidance
Evaluator Orientation:
You should read and understand the following orientation information before entering the
specific skill station you will be evaluating. If there is any information within this orientation
that you do not understand, you should contact the examination coordinator for clarification. We
would like to thank you for donating your valuable time to assist with the evaluation of
candidates in the practical examination. Your role as a skill station evaluator is critically
important. You are to serve as an observer and recorder of the candidate's actions based on the
criteria listed on the score sheet. There are a number of ways to successfully perform a skill.
You should always remember that the way you were taught to perform a skill is not the only
correct way to perform the skill. The ultimate criterion for successful completion of a skill is:
"Was the final outcome met for the parameters set?"
This is a formal examination and not a teaching situation. We discourage excessive dialogue
between the evaluator and the candidate. Peripheral or "nice to know" areas of should not be
discussed. Situations or questions that require you to demonstrate a procedure should be
avoided. You should not ask leading questions. Do not condemn or condone a candidate's
actions by expression, gesture, tone of voice, or attitude. Often, candidates interpret a word or
action delivered in jest as being indicative of pass or fail, a value judgment, or a non-caring
attitude. Pay special attention to verbal and non-verbal language.
The reason you were asked to be an evaluator for this station is that your expertise adds to the
credibility of the examination and gives you the knowledge to ask the candidates related
questions to substantiate or define an action. If qualifying questions are necessary, they should
be asked at the end of the station. At no time should you discuss any phase of the candidate's
performance with the candidate.
Candidates are allowed to perform each skill once. If they appear overly nervous when first
starting the exam, you may stop them and allow them to collect themselves before starting again.
However, once a candidate initiates a course of action the candidate must be evaluated on the
merits of that singular performance, as would happen in the field. You must provide qualifying
information in the comments section of the score sheet for any performance that is identified as a
mandatory failure item.
Visitors are not allowed in the station while testing is being conducted. The examination
coordinator may be in the station if they are not obstructive to the testing.
You should meet the candidate at the door and introduce yourself. Print the candidate's name,
your name, and the date at the top of the score sheet. Next, you should read aloud the
"Instructions to the Candidate” and ask if there are any questions. If there are no questions, start
the time clock and observe the candidate as he/she progresses through the procedure.
The score sheets were designed to be generic so that the brand name of the particular equipment
used in the skill station would have no effect on the scoring process. Points should be awarded
on a full point increment basis and fractions of a point are not allowed. Each task is given a
point value of one. If there are two tasks indicated in one step, one point should be awarded for
Plans Examiner I Performance Test Supplement 1

Performance Test Guidance
each individual task. If a task is not completed or is completed improperly, place a zero in the
"points awarded" column.
You must document in the comments section the reason you marked a mandatory failure item.
Additional comments are welcome, but remember to be specific. Instead of writing "He did a
poor job", write exactly what the candidate did right or wrong. At no time should you discuss
the performance with the candidate. You should never condemn or condone the candidate's
actions by verbal or nonverbal means.
If the candidate reaches the time limit indicated on the score sheet before completing the
procedure, you must stop the candidate and direct him/her to return to the staging area and wait
for instructions to report to the next station. All tasks not completed should be scored a zero in
the "points awarded" column.
Be very aware of the importance of consistency in giving instructions, setting up scenarios, and
making and recording observations. Every effort should be made to ensure that all details of the
examination scenario are identical for each candidate. Be aware of your own fatigue and if
necessary take a break after notifying the examination coordinator.
You should have received individual written instructions concerning the specific skill and/or skill
station you will be evaluating. If you do not understand any part of these instructions, do not
start the evaluation process. Contact the examination coordinator for clarification.
2 Plans Examiner I Performance Test Supplement

Administration Competencies
SKILLS TEST #1: Administration

Performance Test Item Summary
Objectives: NFPA Standard 1031, Chapter 7, paragraphs 7.1, 7.2, 7.2.1, 7.2.2,
7.2.3 and 7.2.4
Task Based on fire safety laws, codes, and standards, the plans examiner shall:
1. Prepare Reports which reflect the findings of a plans review
2. Resolve deficiencies identified during the plans review.
3. Process associated plans review documentation
4. Determine applicable codes and standards

Performance Test Item #1 Instructions

Objective: NFPA Standard 1031, Chapter 7, paragraph 7.2.1
Task: Prepare reports which reflect the findings of a plans review.
Setting: Fire Department classroom or equivalent, training facilities, equipment, and other
facilities.
Tools/ Set of plans/construction drawings, applicable codes and standards, department

Equipment: policies and procedures and a word processor or computer.
Attainment Correctly perform 9 of 11 tasks outlined above within 3 hours.

Standard:
Evaluator’s Only those responsibilities specifically addressed in the documents are required
Guidance: to be identified by the candidate.
Note: For this task the candidate can select one set of plans from the on-line
Plans Examiner I web-based course. After completing the plans review, the
candidate must demonstrate the capability to identify problems, provide
references and indicate what is necessary to correct the deficiencies. Particular
attention must be paid to authority having jurisdiction’s policies and procedures.

Performance Test Item #1 Checklist
ELEMENTS/STEPS STANDARDS YES NO
1. Prepare reports which reflect 1. In accordance with NFPA standards,
the findings of a plans review IFSTA manuals and local policies and
procedures.
A. Reviewed a set of plans/construction

drawings for compliance with
applicable codes and standards
1. Site Plan ___ ___

2. Mechanical Plans ___ ___
3. Electrical Plans ___ ___
4. Life Safety Plans ___ ___
B. Identified deficiencies
1. Code violations ___ ___

2. Incorrect design ___ ___
3. Missing information ___ ___
4. Local code amendment differences ___ ___
C. Documented deficiencies in
accordance with local policies and
procedures ___ ___
D. Provided proper code

requirements/references ___ ___
E. Provided corrective measures to fix

all identified deficiencies ___ ___


Objective: NFPA® Standard 1521, Chapter 5, paragraph 5.2.3
Task: Facilitate the resolution of deficiencies identified during the plan review.
facilities.
Tools/ Provided with a set of plans/construction drawings, department policies and

Equipment: procedures, applicable codes and standards and a word processor or computer.
Attainment Correctly perform 10 of 12 tasks outlined above within 90 minutes.

Standard:
Evaluator’s Only those responsibilities specifically addressed in the documents are required
Guidance: to be identified by the candidate.
Note: Most fire departments have procedures in place for plans reviews for
facility upgrades, renovations or new construction. The candidate must
demonstrate the ability to communicate the resolution for deficiencies both
orally and in writing.

1. Facilitate the resolution of 1. In accordance with NFPA standards,
deficiencies identified during a IFSTA manuals and local policies and
plans review procedures.

drawings for compliance with
applicable codes and standards ___ ___
B. Identified deficiencies
1. Code violations ___ ___

2. Incorrect design ___ ___
3. Missing information ___ ___
4. Local code amendment differences ___ ___
C. Communicated deficiencies and

corrections to the design professional
1. Orally ___ ___

2. Written report ___ ___
3. Timely manner ___ ___
4. Clear and precise ___ ___
5. Alternative measures ___ ___
D. Made minor changes on drawings ___ ___
E. Followed plans review checklist ___ ___

Task: Process plans review documents
facilities.
Tools/ Given a set of plans/construction drawings, department policies and procedures,

Equipment applicable codes, and standards, word processor or computer.
Attainment Correctly perform 5 of 6 tasks outlined above within 2 hours minutes.

Standard:
Evaluator’s For this task the evaluator/supervisor shall select a set of plans/construction
Guidance: drawings for a facility either on the installation or in the local community which
has an application for a building permit.
Only those responsibilities specifically addressed in the documents are required

to be identified by the candidate.

1. Process plans review 1. In accordance with NFPA standards,
documents. IFSTA manuals and local policies and
procedures.

drawings and building permits for
compliance with applicable codes
and standards ___ ___
1. Received drawings and

permits ___ ___
2. Received support documents

(project specifications, hydraulic
calculations, safety data sheets
and manufacturer’s cut sheets) ___ ___
3. Researched applicable codes and

standards ___ ___
4. Reviewed permit application for

completeness ___ ___
5. Properly documented and filed

all records ___ ___


Task: Determine the applicable codes and standards.
Setting: Fire Department Classroom or equivalent, live burn prop or acquired structure.
Tools Department policies and procedures, applicable codes, standards, a word

Equipment: processor or computer.
Attainment Successful completion of at least 5 out of 6 checklist items within 3 hours.

Standard:
Evaluator’s For this task the candidate will select one set of plans from the on-line Plans
Guidance: Examiner I web-based course. The candidate will identify and reference all
discrepancies identified, suggest corrective actions and file the report in
accordance with local policies and procedures. Only those responsibilities
specifically addressed in the documents are required to be identified by the
candidate.

1. Determine the applicable 1. In accordance with NFPA standards,
codes and standards IFSTA manuals and local policies and
procedures.
A. Properly identified applicable codes

and standards for discrepancies
identified ___ ___
A. Identified all discrepancies ___ ___
B. Referenced all discrepancies ___ ___
C. Recommended changes to correct

discrepancies ___ ___
D. Justified recommendations ___ ___
E. Documented report in accordance

with policies and procedures of the
jurisdiction ___ ___

Plans Review Competencies
SKILLS TEST #2: Plans Review

Performance Test Item Summary
Objectives: NFPA Standard 1031, Chapter 7, paragraphs 7.3, 7.3.1, 7.3.2,
7.3.3, 7.3.4, 7.3.5, 7.3.6, 7.3.7, 7.3.8, 7.3.9 and 7.3.10
Task The plans examiner shall perform the necessary actions to meet the following
elements of a complete plans review
1. Identify requirements for fire protection or life safety systems.
2. Verify occupancy classification.
3. Verify type of construction.
4. Verify occupant load.
5. Verify egress elements
6. Evaluate fire flow and hydrant locations.
7. Evaluate emergency vehicle access.
8. Identify construction methods and materials.
9. Participate in legal proceedings.
10. Evaluate plans for the installation of fire protection and life safety
systems


Objective: NFPA® Standard 1031, Chapter 7, paragraph 7.3.1.
Task: Identify requirements for fire protection or life safety systems.
facilities.
Tools/ Given Paper, pen or pencil, calculator, word processor or computer, NFPA 10,
Equipment: 13, and 17A (Use the appropriate code for the system being evaluated).
Attainment Correctly perform 9 of 11 tasks outlined above within 3 hours minutes.

Standard:
Evaluator’s The evaluator should select a set of plans/construction drawings which have a
Guidance: variety of symbols associated with installed fire protection systems and
equipment. A set of plans in the Plans Examiner I web-based course that could
be used for this task would be Dan’s Diner. Only those responsibilities
candidate.

1. Identify requirements for fire 1. In accordance with NFPA standards,
protection or life safety systems. IFSTA manuals and local policies and
procedures.
A. Identified symbols associated with

fire protection or life safety systems ___ ___
1. Determined if the correct type of

system was installed in the
facility ___ ___
2. Determined if the correct type

agent was being used for the
hazards present ___ ___
3. Determined sufficient amount of

agent supply for fire load ___ ___
4. Determined sufficient coverage of

a. Heads ___ ___
b. Nozzles ___ ___
5. Determined sufficient coverage of

notification appliances
a. Audible ___ ___
b. Visible ___ ___
6. Determined if all hazards were

protected appropriately ___ ___
B. Evaluated multiple but varied

systems or equipment ___ ___
C. Verified interior finish ___ ___


Objectives: NFPA Standard 1031, Chapter 7, paragraph 7.3.2
Task: Verify occupancy classification.
facilities.
Tools/ Provided with a copy of the department’s Department policies and procedures,
Equipment: applicable codes, and standards, current edition of the Life Safety Code®,
calculator, word processor or computer.

Standard:
Evaluator’s The candidate must have access to applicable codes, preferably the current
Guidance: edition of the Life Safety Code®. The evaluator shall select a set of
plans/construction drawings for a facility either on the installation or in the local
community which provides sufficient information to allow the candidate to
determine the correct occupancy classification. Only those responsibilities
candidate.

1. Verify occupancy 1. In accordance with NFPA standards,
classification. IFSTA manuals and local policies and
procedures.
A. Determined the occupancy

classification of a mixed-use facility
1. Determined multi-use of facility ___ ___
2. Determined each use within the

facility ___ ___
3. Determined the most hazardous

occupancy ___ ___
4. Evaluated the means of egress ___ ___
5. Determined the various

occupancy types ___ ___
6. Identified occupancy factors ___ ___
7. Determined other safeguards ___ ___


Objectives: NFPA Standard 1031, Chapter 7, paragraph 7.3.3
Task: Verify type of construction.
facilities.
Tools/ Provided with a copy of the department’s Department policies and procedures,
Equipment: applicable codes, and standards, a calculator, word processor or computer..

Standard:
Evaluator’s For this task the evaluator/supervisor shall select at least two sets of
Guidance: plans/construction drawings for facilities either on the installation or in the local
community. The candidate should make the construction type determination for
both of these facilities. Only those responsibilities specifically addressed in the
documents are required to be identified by the candidate.

1. Verify type of construction. 1. In accordance with NFPA standards,
IFSTA manuals and local policies and
procedures.
A. Verified the type of construction in a

building
1. Obtained a set of plans to

determine the following:
a. Description of the building ___ ___

b. Height ___ ___
c. Number of stories ___ ___
d. Location ___ ___
e. Occupancy ___ ___
f. Construction features ___ ___
2. Properly classified the type of

construction according to
applicable codes and standards ___ ___
B. Evaluated more than one facility for

the type of construction ___ ___


Task: Verify occupant load
facilities.
Tools/ Plans/construction drawings, department policies and procedures, applicable

Equipment: codes and standards, a calculator and a word processor or computer.

Standard:
Evaluator’s The intent of this task does not include the candidate memorizing the various
Guidance: occupant load factors for various occupancies. For this task the evaluator must
allow the candidate access to the applicable code (Life Safety Code®) for the
purpose of researching the occupant load factors for the various types of
occupancies. The evaluator is responsible for providing the candidate with at
least two sets of plans/construction drawings, one must be a multi-use facility
that requires the calculation of occupant loads. The candidate should show all
work for each area of the multi-use facility and ultimately determine the total
occupant load for the structures. Ideal types of facilities for this type of
evaluation are Officer’s or Enlisted Clubs, recreation or community activity
centers or industrial facilities with a mix of offices. Only those responsibilities
candidate.

1. Verify occupant load. 1. In accordance with NFPA standards,
procedures.
A. Properly verified occupant loads for

two facilities, one being a multi-use
facility ___ ___
1. Determined the use of each area

in a facility ___ ___
2. Calculated the square footage for

each of the areas identified ___ ___
3. Researched the occupant load

factor for each of these areas ___ ___
4. Calculated the occupant load for

each area ___ ___
B. Properly determined the total

occupant load ___ ___


Task: Verify egress elements
facilities.


Standard:
Evaluator’s The evaluator is responsible for providing the candidate with a set of
Guidance: plans/construction drawings for a place of public assembly that contains the
egress elements listed below. The candidate may use the Life Safety Code®
while evaluating the buildings egress elements. The evaluator may choose to
create a worksheet that the candidate may use. The evaluator may either watch
or verify the candidates work as they complete it or create an answer sheet to the
worksheet. Under no circumstances shall the candidate have access to the
answer sheet or have advance information on the set of plans that would allow
them to complete work ahead of the evaluation. Only those responsibilities
candidate.

1. Verify egress elements. 1. In accordance with NFPA standards,
procedures.
A. Properly verified the egress elements

for a public assembly facility
1. Components
a. Doors ___ ___
b. Stairs ___ ___
c. Horizontal exits ___ ___
d. Ramps ___ ___
e. Passageways ___ ___
f. Fire escape stairs ___ ___
g. Access ___ ___
h. Fire escape ladders ___ ___
i. Slide Escapes ___ ___
j. Alternating tread devices ___ ___
k. Areas of refuge ___ ___
2. Capacity
a. Occupant load ___ ___
b. Measurement ___ ___
c. Minimum width ___ ___
3. Number of means of egress ___ ___
4. Arrangement of
a. General ___ ___
b. Impediments ___ ___
c. Exterior ways ___ ___
d. Accessible means ___ ___
5. Measurement of travel distance

a. Limitations ___ ___
6. Discharge
a. Primary ___ ___
b. Secondary ___ ___
7. Illumination of egress
a. General ___ ___
b. Sources ___ ___

8. Emergency lighting
a. Battery ___ ___
b. Auxiliary power ___ ___
9. Egress marking
a. Size of signs ___ ___
b. Illumination of signs ___ ___
c. Specific requirements ___ ___
10. Special provisions ___ ___


Objective: NFPA Standard 1031, Chapter 7, paragraph 7.3.6.
Task: Evaluate fire flow and hydrant locations
facilities.


Standard:
Evaluator’s The evaluator should select a set of plans/construction drawings for a facility
Guidance: with an installed sprinkler system and shows the location of surrounding fire
hydrants. From these plans the candidate will be required to evaluate the type
of water distribution system, determine fire flow requirements and hydrant
locations. Only those responsibilities specifically addressed in the documents
are required to be identified by the candidate.

1. Evaluate fire flow and 1. In accordance with NFPA standards,
hydrant locations. IFSTA manuals and local policies and
procedures.
A. Interpreted fire flow graphs, fire

flow test results and determined
hydrant locations and spacing
1. Verified standard symbols ___ ___
2. Interpreted the characteristics of

water supply distribution systems
a. Public systems ___ ___
b. Private systems ___ ___
3. Identified devices which effect

fire flow
a. Water meters ___ ___
b. Backflow prevention ___ ___
c. Valves and drains ___ ___
d. Other devices ___ ___
4. Identified effects of friction loss ___ ___
5. Identified the effects of elevation ___ ___
6. Identified the impact of state

health regulations ___ ___


Objective: NFPA Standard 1521, Chapter 5, paragraph 5.5.1 - 5.5.3, 5.5.5,
5.5.6.
Task: Evaluate emergency vehicle access.
facilities.


Standard:
Evaluator’s The evaluator must select at least two sets of plans/construction drawings for
Guidance: the candidate. One of the facilities should be a public assembly building with
an installed sprinkler system. From these plans the candidate will evaluate
emergency vehicle access requirements.. Only those responsibilities
candidate.

1. Evaluate emergency vehicle 1. In accordance with NFPA standards,
access. IFSTA manuals and local policies and
procedures.
A. Evaluated emergency vehicle access ___ ___
B. Verified site conditions, limitations

and obstructions for fire lanes and fire
access roads ___ ___
1. Verified roadway design features

a. Road widths ___ ___
b. Proximity to structures ___ ___
c. Slopes or grades ___ ___
d. Road surface conditions ___ ___
e. Overhead clearances ___ ___
f. Weight capacities ___ ___
2. Verified structural design features

a. Building openings ___ ___
b. Overhangs ___ ___
c. Setbacks ___ ___
d. Security doors, fences and gates ___ ___
3. Verified construction or demolition

activities
a. Security fences and gates ___ ___
b. Poor road surface conditions ___ ___
c. Debris and dumpster locations ___ ___
d. Hazardous materials storage ___ ___
4. Verified provisions for dead-end

access roads
a. T or hammerhead turnaround ___ ___
b. Cul-de-sac turnaround ___ ___
c. Alley dock turnaround ___ ___


Objective: NFPA Standard 1031, Chapter 7, paragraph 7.3.8.
Task: Conduct a plans review in accordance with local policies.
facilities.


Standard:
Evaluator’s For this task the evaluator should select a set of plans/construction drawings for
Guidance: a facility either on the installation or in the local community. The candidate
will be required to process a set of plans from start to finish. Upon completion
the candidate will recommend local policies and procedures that outline the
plans review process. While the actual sequences of events in the submittal and
processing process may vary from one AHJ to another, the candidate must
demonstrate the fundamentals involved with all tasks involved. All material
associated with this task must be submitted to the DoD Administration
Center for their review with the candidate’s certification request package.
Only those responsibilities specifically addressed in the documents are required
to be identified by the candidate.

1. Recommend policies and 1. In accordance with NFPA standards,
procedures for the delivery of IFSTA manuals and local policies and
plan review services. procedures.
A. Recommended policies and

procedures for the plans review
process ___ ___
1. Reviewed permits and fees ___ ___
2. Reviewed plans/construction
drawings ___ ___
3. Reviewed support documents ___ ___
4. Identified/referenced problems ___ ___
5. Suggested corrective measures ___ ___
6. Communicated with design

professionals ___ ___
7. Documented and recorded in

accordance with local policies and
procedures ___ ___
8. Drafted a policy letter or checklist

for the plans review process ___ ___


Task: Participate in a legal proceeding
Setting: Fire department training room or office or formal legal setting if available.


Standard:
Evaluator’s It is recognized that most departments do not have cases or issues that require
Guidance: legal testimony or proceedings. It is also understood that the re-creation or
development of such an event is daunting. However, in order to meet the intent
of the standard steps must be taken to illustrate the candidate’s ability to testify
in a legal proceeding. To that end, this performance test requires the candidate
to research the requirements of a deposition, write a deposition on a simulated
scenario developed by the evaluator, and finally interview with an installation
legal representative on the accuracy of the deposition and on the aspects of
conduct by a fire inspector in a courtroom setting. It is imperative that the
evaluator visit the installation legal office in advance and brief those individuals
who will serve as legal advisors. The evaluator must explain the purpose and
intent of both the NFPA Standard and the performance test. The following is
the job performance requirement from the NFPA Standard:
“Participate in legal proceedings, given the findings of a plans review and
consultation with legal counsel, so that testimony is accurate and the plan
reviewer’s demeanor is appropriate to the proceeding.
a. Requisite Knowledge: The legal requirements pertaining to evidence
rules in the legal system and the types of legal proceedings.
b. Requisite Skills: Familiarity with courtroom demeanor, communication,
and listening skills and the ability to differentiate facts from opinions.”
Note: The legal office representative must sign and notarize the
performance test checklist for this task and the notarized document must
be sent to the DoD Administration Center with the candidate’s
certification request package
. Only those responsibilities specifically addressed in the documents are

required to be identified by the candidate.

1. Participate in a legal 1. In accordance with NFPA standards,
proceeding. IFSTA manuals and local policies and
procedures.
A. Researched requirements for the

deposition
1. Format ___ ___

2. Contents ___ ___
3. Certification ___ ___
B. Prepared the deposition
1. Format ___ ___

2. Contents ___ ___
3. Certification ___ ___
C. Coordinated the deposition
1. Scheduled an appointment with the

installation legal staff ___ ___
2. Conducted the interview ___ ___
3. The deposition was reviewed by the
legal staff ___ ___
This is to certify that _________________

performed the required checklist items
specified above in accordance with the
established policies and procedures.
Note: The legal office

representative must sign and _______________________________
notarize this page and this Legal Representative Signature
page must be sent to the DoD
Administration Center with _______________________________
the candidate’s certification Legal Representative Printed Name
request package.


Objective: NFPA Standard 1521, Chapter 5, paragraph 5.5.1 - 5.5.3, 5.5.5,
5.5.6.
Task: Evaluate plans for the installation of fire protection and life safety systems
facilities.
Tools/ Provided with NFPA Codes and standards, service component and/or local
Equipment: standards and policies, paper, pen or pencil, calculator, word processor or
computer.

Standard:
Evaluator’s For this task the evaluator should select two sets of plans/construction drawings
Guidance: which include pre-engineered fire protection systems. The evaluator shall
select plans for facilities either on the installation or in the local community
which provide sufficient information about each facility to allow the candidate
to conduct a complete plans review in accordance with the policies and
procedures of the jurisdiction. Only those responsibilities specifically
addressed in the documents are required to be identified by the candidate.

1. Evaluate plans for the 1. In accordance with NFPA standards,
installation of fire protection IFSTA manuals and local policies and
and life safety systems. procedures.
A. Evaluated plans/construction
drawings for the installation of fire
protection and life safety systems
1. Reviewed applicable codes and

standards for fire protection
systems ___ ___
a. Basic system design criteria ___ ___

b. Material listing requirements ___ ___
c. Material specifications ___ ___
d. Installation techniques ___ ___
2. Verified occupancy classification ___ ___
3. Identified construction types and

techniques ___ ___
4. Conducted acceptance
inspection/test of completed
installation ___ ___

Plans Examiner I Performance Test Record
INSTRUCTIONS: This form must be completed and kept on file. A copy of this form is
also required to be submitted with the candidate’s certification package.
Performance Test Ref # ______________ Date of Evaluation __________________
Candidate’s Name __________________________________ SSN ______________________
Evaluator’s Name __________________________________ SSN ______________________
The candidate has PASSED/FAILED the Plans Examiner I Performance Tests for the stations
marked below:
COMPETENCIES PASSED FAILED

Administration ________ ________
Plans review ________ ________
If candidate has failed the performance evaluation, provide the following information:
(Use additional sheets, if necessary)
Objective(s):
Reason(s) for failure:
Candidate’s Signature _________________________________________________
Evaluator’s Signature _________________________________________________
"FOUO. This document contains information exempt from mandatory disclosure under the FOIA.
Exemption 5 U.S.C. 552(b)(6) applies. This information is also protected by the Privacy Act of 1974
and must be safeguarded from unauthorized disclosure."

10317W 01 Plans Examiner I Performance Checklist

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10317W 01 Plans Examiner I Performance Checklist

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CDC 10317W

Plans Examiner I Performance Test Supplement iii

iv Plans Examiner I Performance Test Supplement

Plans Examiner I Performance Test Supplement v

vi Plans Examiner I Performance Test Supplement

Plans Examiner I Performance Test Supplement 1

2 Plans Examiner I Performance Test Supplement

SKILLS TEST #1: Administration

1. Prepare Reports which reflect the findings of a plans review

2. Resolve deficiencies identified during the plans review.

3. Process associated plans review documentation

4. Determine applicable codes and standards

Plans Examiner I Performance Test Supplement 3

Performance Test Item #1 Instructions

Tools/ Set of plans/construction drawings, applicable codes and standards, department

Attainment Correctly perform 9 of 11 tasks outlined above within 3 hours.

Plans Examiner I Performance Test Supplement 5

A. Reviewed a set of plans/construction

1. Site Plan ___ ___

1. Code violations ___ ___

D. Provided proper code

E. Provided corrective measures to fix

6 Plans Examiner I Performance Test Supplement

Performance Test Item #2 Instructions

Tools/ Provided with a set of plans/construction drawings, department policies and

Attainment Correctly perform 10 of 12 tasks outlined above within 90 minutes.

Plans Examiner I Performance Test Supplement 7

A. Reviewed a set of plans/construction

1. Code violations ___ ___

C. Communicated deficiencies and

1. Orally ___ ___

D. Made minor changes on drawings ___ ___

E. Followed plans review checklist ___ ___

8 Plans Examiner I Performance Test Supplement

Tools/ Given a set of plans/construction drawings, department policies and procedures,

Attainment Correctly perform 5 of 6 tasks outlined above within 2 hours minutes.

Only those responsibilities specifically addressed in the documents are required

Plans Examiner I Performance Test Supplement 9

A. Reviewed a set of plans/construction

1. Received drawings and

2. Received support documents

3. Researched applicable codes and

4. Reviewed permit application for

5. Properly documented and filed

10 Plans Examiner I Performance Test Supplement

Performance Test Item #4 Instructions

Tools Department policies and procedures, applicable codes, standards, a word

Attainment Successful completion of at least 5 out of 6 checklist items within 3 hours.

Plans Examiner I Performance Test Supplement 11

A. Properly identified applicable codes

A. Identified all discrepancies ___ ___

B. Referenced all discrepancies ___ ___

C. Recommended changes to correct

D. Justified recommendations ___ ___

E. Documented report in accordance

12 Plans Examiner I Performance Test Supplement

SKILLS TEST #2: Plans Review

1. Identify requirements for fire protection or life safety systems.

2. Verify occupancy classification.

3. Verify type of construction.

4. Verify occupant load.

5. Verify egress elements

6. Evaluate fire flow and hydrant locations.

1. Site Plan _ _

1. Code violations _ _

1. Code violations _ _

1. Orally _ _

D. Made minor changes on drawings _ _

E. Followed plans review checklist _ _

A. Identified all discrepancies _ _

B. Referenced all discrepancies _ _

D. Justified recommendations _ _

C. Verified interior finish _ _

1. Determined multi-use of facility _ _

4. Evaluated the means of egress _ _

6. Identified occupancy factors _ _

7. Determined other safeguards _ _

a. Description of the building _ _

3. Number of means of egress _ _

10. Special provisions _ _

1. Verified standard symbols _ _

4. Identified effects of friction loss _ _

5. Identified the effects of elevation _ _