EIB TEST SCORE SHEET

Station C - First Aid - Point C-1

For use of this form, see USAIC Pam 350-6. The proponent is USAIS, DOTD.

Candidate's Name______________Rank________Unit_________________

TASK 1: PERFORM MOUTH-TO-MOUTH RESUSCITATION.


PERFORMANCE MEASURES-----Mark by each measure-------------PASS (P)or FAIL (F)

EIB TEST SCORE SHEET

Station I - Map Reading - Point I-1

For use of this form, see USAIC Pam 35O~6, the proponent is USAIS, DOTD.

CANDIDATE'S NAME RANK UNIT

 

 

TASK 1: IDENTIFY TERRAIN FEATURES ON A MAP.

- U

PERFORMANCE MEASURES PASS FAIL

1. Identified a HILL.

2. Identified a RIDGE.

3. Identified a VALLEY.

4. Identified a SADDLE.

5. Identified a DEPRESSION.

6. Identified a DRAW.

7. Identified a SPUR.

8. Identified a CLIFF.

9. Completed performance measures 1 through 8 within 8 minutes.

NOTE: This task has been modified for EIB test only.

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

__________________________________________________

__________________________________________________

__________________________________________________

SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______


FB FORM 20-5-R, 17 JAN 97

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