10618NAT Course in Firearms Safety Category D – Practical Sign off PRACTICAL ASSESSMENT – CATEGORY D Firearm Safety Course Cat D Practical Assessment Date* DD slash MM slash YYYY Learner's Name* Assessor's Name:*Please select an AssessorPeter HeumillerBarry HamiltonCraig HarrisPurpose To assess the skills of basic firearms handling, safety and immediate actions for categories A and B firearms. Questions: There are 10 criteria, each with a number of distinct components, to be satisfied. You are required to discharge at least 5 rounds of ammunition. Time: No time limit for the completion of this assessment. Instructions: To be deemed competent at the conclusion of this assessment all criteria must be completed correctly. The assessor will provide you with the firearms, ammunition and the tasks to be completed. You must complete each task, as you have been shown during your training. At any time during the assessment you hear “STOP” or ”CEASE FIRE” you must immediately stop firing, remove your finger from the trigger and keep your firearm pointing in a safe direction. Note to assessor: Only tick or check the box if the performance of the student is satisfactory.1. Renders a Firearm Safe1.1 Points muzzle in a safe direction* Satisfactory Unsatisfactory 1.2 Removes magazine and/or ammunition* Satisfactory Unsatisfactory 1.3 Opens and clears action* Satisfactory Unsatisfactory Leaves action open or Locks action open (where possible)* Satisfactory Unsatisfactory 1.5 Removes rounds from magazine* Satisfactory Unsatisfactory Comments2. DETERMINES A FIREARM’S STAGE OF READINESSLOAD2.1 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.2 Checks whether ammunition is matched/fitted to the firearm* Satisfactory Unsatisfactory CommentsACTION2.3 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.4 Checks whether action is cycled* Satisfactory Unsatisfactory 2.5 Checks whether safety catch (where fitted) is at safe* Satisfactory Unsatisfactory CommentsREADY TO FIRE (INSTANT)2.6 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.7 Checks whether safety catch (where fitted) is at fire* Satisfactory Unsatisfactory CommentsUNLOAD (CLEAR)2.8 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.9 Checks whether firearm is rendered safe* Satisfactory Unsatisfactory 2.10 Checks whether action is open* Satisfactory Unsatisfactory Comments3. HOLDS A FIREARM (to be demonstrated in at least 2 positions)3.1 Position 1Position 1 : Weapon used*Please select weapon.223 WedgetailOtherPosition 1 – State if a different caliber or weapon type was used*Position 1*Please select positionStanding supportedStanding unsupportedProneKneelingSitting supportedSitting unsupported3.1.1 Grasps firearem firmly and comfortably* Satisfactory Unsatisfactory 3.1.2 Positions hands and arms appropriately to support the specific firearm* Satisfactory Unsatisfactory 3.1.3 Ensures muzzle pointed in a safe direction* Satisfactory Unsatisfactory 3.1.4 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments3.2 Position 2:Position 2 : Weapon used*Please select weapon.223 WedgetailOtherPosition 2 – State if a different caliber or weapon type was used*Position 2*Please select positionStanding supportedStanding unsupportedProneKneelingSitting supportedSitting unsupported3.2.1 Grasps firearm firmly and comfortably* Satisfactory Unsatisfactory 3.2.2 Positions hands and arms appropriately to support the specific firearm* Satisfactory Unsatisfactory 3.2.3 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 3.2.4 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments4. LOADS AND ACTIONS A FIREARM4.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 4.2 Complies with range commands* Satisfactory Unsatisfactory 4.3 Inserts magazine and/or rounds into the firearm* Satisfactory Unsatisfactory 4.4 Closes action* Satisfactory Unsatisfactory 4.5 Engages safety catch (where fitted)* Satisfactory Unsatisfactory 4.6 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments5. AIMS AND FIRES A FIREARM5.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 5.2 Complies with range commands* Satisfactory Unsatisfactory 5.3 Disengages safety catch (where fitted)* Satisfactory Unsatisfactory 5.4 Verifies point of aim* Satisfactory Unsatisfactory 5.5 Demonstrates appropriate breath control while discharging the firearm* Satisfactory Unsatisfactory 5.6 Demonstrates appropriate trigger control while discharging the firearm* Satisfactory Unsatisfactory Comments6. UNLOADS AND RENDERS A FIREARM SAFE6.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 6.2 Complies with range commands* Satisfactory Unsatisfactory 6.3 Removes magazine and/or ammunition* Satisfactory Unsatisfactory 6.4 Opens and clears action* Satisfactory Unsatisfactory 6.5 Leaves action open* Satisfactory Unsatisfactory 6.6 Removes rounds from magazine* Satisfactory Unsatisfactory Comments7. PERFORMS MISFIRE DRILL (IMMEDIATE ACTION) IN A FIELD SIMULATION7.1 Points muzzle in a safe direction – waits 30 seconds* Satisfactory Unsatisfactory 7.2 Applies safety catch (where fitted) to safe* Satisfactory Unsatisfactory 7.3 Removes the magazine (where fitted)* Satisfactory Unsatisfactory 7.4 Tilts breech away from face* Satisfactory Unsatisfactory 7.5 Opens action slowly* Satisfactory Unsatisfactory 7.6 Checks chamber* Satisfactory Unsatisfactory 7.7 Checks the magazine* Satisfactory Unsatisfactory 7.8 Discards round in a safe place* Satisfactory Unsatisfactory Comments8. INSPECTS A FIREARM8.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 8.2 Removes magazine (or ammunition)* Satisfactory Unsatisfactory 8.3 Checks breech to ensure firearm is clear* Satisfactory Unsatisfactory 8.4 Checks ammunition for defects of faults* Satisfactory Unsatisfactory 8.5 Performs functional check of firearm* Satisfactory Unsatisfactory 8.6 Checks firearm for common malfunctions* Satisfactory Unsatisfactory 8.7 Checks barrel for obstructions* Satisfactory Unsatisfactory 8.8 Explains what to do if fault is found with firearm* Satisfactory Unsatisfactory Comments9. TRANSFER/MANOUVERING A FIREARM9.1 Ensures muzzle is pointed in a safe direction at all times* Satisfactory Unsatisfactory 9.2 Receives and passes firearm open, empty* Satisfactory Unsatisfactory 9.3 Renders safe with action open* Satisfactory Unsatisfactory 9.4 Negotiate fences and obstacles whilst carrying firearm* Satisfactory Unsatisfactory Comments10. MAINTAINS A CATEGORY D FIREARM10.1 Demonstrates/explains correct cleaning procedures* Satisfactory Unsatisfactory 10.2 Demonstrates inspection of the firearm to determine condition* Satisfactory Unsatisfactory 10.3 Identifies components that affect safe operation of firearms.* Satisfactory Unsatisfactory 10.4 Ensures the ammunition is suitable for the specific firearm* Satisfactory Unsatisfactory CommentsTool used to demonstrate/explain cleaning the firearm*Please select cleaning toolBore SnakeRodPART A – Assessor to completeTrainee's assessed level of achievement* Trainee has achieved the appropriate standard Trainee has not yet achieved the appropriate standard Trainee was advised about the assessment requirements for this course before being assessed and was informed of assessment results for this test and the reasons for those results* Yes No Assessor's CommentsAssessors Signature*PART B – Trainee to completeTrainee's SignatureI was advised about the assessment requirements for this course before being assessed. I have been informed of my assessment results for this test and the reasons for those results.Date* MM slash DD slash YYYY Firearm Safety Course Cat D Practical Assessment Date* DD slash MM slash YYYY Learner's Name* Assessor's Name:*Please select an AssessorPeter HeumillerBarry HamiltonCraig HarrisPurpose To assess the skills of basic firearms handling, safety and immediate actions for categories A and B firearms. Questions: There are 10 criteria, each with a number of distinct components, to be satisfied. You are required to discharge at least 5 rounds of ammunition. Time: No time limit for the completion of this assessment. Instructions: To be deemed competent at the conclusion of this assessment all criteria must be completed correctly. The assessor will provide you with the firearms, ammunition and the tasks to be completed. You must complete each task, as you have been shown during your training. At any time during the assessment you hear “STOP” or ”CEASE FIRE” you must immediately stop firing, remove your finger from the trigger and keep your firearm pointing in a safe direction. Note to assessor: Only tick or check the box if the performance of the student is satisfactory.1. Renders a Firearm Safe1.1 Points muzzle in a safe direction* Satisfactory Unsatisfactory 1.2 Removes magazine and/or ammunition* Satisfactory Unsatisfactory 1.3 Opens and clears action* Satisfactory Unsatisfactory Leaves action open or Locks action open (where possible)* Satisfactory Unsatisfactory 1.5 Removes rounds from magazine* Satisfactory Unsatisfactory Comments2. DETERMINES A FIREARM’S STAGE OF READINESSLOAD2.1 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.2 Checks whether ammunition is matched/fitted to the firearm* Satisfactory Unsatisfactory CommentsACTION2.3 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.4 Checks whether action is cycled* Satisfactory Unsatisfactory 2.5 Checks whether safety catch (where fitted) is at safe* Satisfactory Unsatisfactory CommentsREADY TO FIRE (INSTANT)2.6 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.7 Checks whether safety catch (where fitted) is at fire* Satisfactory Unsatisfactory CommentsUNLOAD (CLEAR)2.8 Checks whether muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 2.9 Checks whether firearm is rendered safe* Satisfactory Unsatisfactory 2.10 Checks whether action is open* Satisfactory Unsatisfactory Comments3. HOLDS A FIREARM (to be demonstrated in at least 2 positions)3.1 Position 1Position 1 : Weapon used*Please select weapon.223 WedgetailOtherPosition 1 – State if a different caliber or weapon type was used*Position 1*Please select positionStanding supportedStanding unsupportedProneKneelingSitting supportedSitting unsupported3.1.1 Grasps firearem firmly and comfortably* Satisfactory Unsatisfactory 3.1.2 Positions hands and arms appropriately to support the specific firearm* Satisfactory Unsatisfactory 3.1.3 Ensures muzzle pointed in a safe direction* Satisfactory Unsatisfactory 3.1.4 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments3.2 Position 2:Position 2 : Weapon used*Please select weapon.223 WedgetailOtherPosition 2 – State if a different caliber or weapon type was used*Position 2*Please select positionStanding supportedStanding unsupportedProneKneelingSitting supportedSitting unsupported3.2.1 Grasps firearm firmly and comfortably* Satisfactory Unsatisfactory 3.2.2 Positions hands and arms appropriately to support the specific firearm* Satisfactory Unsatisfactory 3.2.3 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 3.2.4 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments4. LOADS AND ACTIONS A FIREARM4.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 4.2 Complies with range commands* Satisfactory Unsatisfactory 4.3 Inserts magazine and/or rounds into the firearm* Satisfactory Unsatisfactory 4.4 Closes action* Satisfactory Unsatisfactory 4.5 Engages safety catch (where fitted)* Satisfactory Unsatisfactory 4.6 Keeps fingers clear of trigger* Satisfactory Unsatisfactory Comments5. AIMS AND FIRES A FIREARM5.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 5.2 Complies with range commands* Satisfactory Unsatisfactory 5.3 Disengages safety catch (where fitted)* Satisfactory Unsatisfactory 5.4 Verifies point of aim* Satisfactory Unsatisfactory 5.5 Demonstrates appropriate breath control while discharging the firearm* Satisfactory Unsatisfactory 5.6 Demonstrates appropriate trigger control while discharging the firearm* Satisfactory Unsatisfactory Comments6. UNLOADS AND RENDERS A FIREARM SAFE6.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 6.2 Complies with range commands* Satisfactory Unsatisfactory 6.3 Removes magazine and/or ammunition* Satisfactory Unsatisfactory 6.4 Opens and clears action* Satisfactory Unsatisfactory 6.5 Leaves action open* Satisfactory Unsatisfactory 6.6 Removes rounds from magazine* Satisfactory Unsatisfactory Comments7. PERFORMS MISFIRE DRILL (IMMEDIATE ACTION) IN A FIELD SIMULATION7.1 Points muzzle in a safe direction – waits 30 seconds* Satisfactory Unsatisfactory 7.2 Applies safety catch (where fitted) to safe* Satisfactory Unsatisfactory 7.3 Removes the magazine (where fitted)* Satisfactory Unsatisfactory 7.4 Tilts breech away from face* Satisfactory Unsatisfactory 7.5 Opens action slowly* Satisfactory Unsatisfactory 7.6 Checks chamber* Satisfactory Unsatisfactory 7.7 Checks the magazine* Satisfactory Unsatisfactory 7.8 Discards round in a safe place* Satisfactory Unsatisfactory Comments8. INSPECTS A FIREARM8.1 Ensures muzzle is pointed in a safe direction* Satisfactory Unsatisfactory 8.2 Removes magazine (or ammunition)* Satisfactory Unsatisfactory 8.3 Checks breech to ensure firearm is clear* Satisfactory Unsatisfactory 8.4 Checks ammunition for defects of faults* Satisfactory Unsatisfactory 8.5 Performs functional check of firearm* Satisfactory Unsatisfactory 8.6 Checks firearm for common malfunctions* Satisfactory Unsatisfactory 8.7 Checks barrel for obstructions* Satisfactory Unsatisfactory 8.8 Explains what to do if fault is found with firearm* Satisfactory Unsatisfactory Comments9. TRANSFER/MANOUVERING A FIREARM9.1 Ensures muzzle is pointed in a safe direction at all times* Satisfactory Unsatisfactory 9.2 Receives and passes firearm open, empty* Satisfactory Unsatisfactory 9.3 Renders safe with action open* Satisfactory Unsatisfactory 9.4 Negotiate fences and obstacles whilst carrying firearm* Satisfactory Unsatisfactory Comments10. MAINTAINS A CATEGORY D FIREARM10.1 Demonstrates/explains correct cleaning procedures* Satisfactory Unsatisfactory 10.2 Demonstrates inspection of the firearm to determine condition* Satisfactory Unsatisfactory 10.3 Identifies components that affect safe operation of firearms.* Satisfactory Unsatisfactory 10.4 Ensures the ammunition is suitable for the specific firearm* Satisfactory Unsatisfactory CommentsTool used to demonstrate/explain cleaning the firearm*Please select cleaning toolBore SnakeRodPART A – Assessor to completeTrainee's assessed level of achievement* Trainee has achieved the appropriate standard Trainee has not yet achieved the appropriate standard Trainee was advised about the assessment requirements for this course before being assessed and was informed of assessment results for this test and the reasons for those results* Yes No Assessor's CommentsAssessors Signature*PART B – Trainee to completeTrainee's SignatureI was advised about the assessment requirements for this course before being assessed. I have been informed of my assessment results for this test and the reasons for those results.Date* MM slash DD slash YYYY
