FB 20-5-R STATION C-1 FIRST AID

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)

TASK 1: OPERATE AS A STATION IN A NET WITH AN AN/PRC-77.

PERFORMANCE MEASURES PASS FAIL

1. Entered the assigned net.

a. From signal operation instructions (SOI), extracted the appropriate call signs and suffixes

b. Put radio on the proper frequency.

C. Requested permission from NCS to enter net.

d. Authenticated as required by NCS. _______ ________

2. Transmitted traffic encoded (five words) using KTC 600(*).

3. Decoded message from NCS of five words using KTC 600(~.

4. Requested permission from NCS to leave the net.

a. Informed NCS of the reason for leaving the' net.

b. Authenticated as required by NCS.

5. Used proper radio-telephone procedures, for example, pro-words and the phonetic alphabet.

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