Marine Corps High-Risk Training Safety Program

Evaluation Guide

for

Water Survival Training Program

DATE REVISED: October 2012

Table of Contents

References

Command Information

Points of Contacts

Course Information

Evaluator

Section A: Marine Corps Water Survival Training Program (MCWSTP)

Section B: Required Components for Qualification

Section C: Primary Marine Corps Instructor of Water Survival

Section D: Water Survival Safety Officer (WSSO)

Section E: Safety Corpsman or Emergency Response Officer (ERO)

Section F: Emergency Response Plan (ERP) Drill

Section G: Responsibilities

Section H: Chief Instructor Trainer and Instructor of Water Survival

Section I: Shallow Water Egress Trainers (SWET)

Section J: Pre-Mishap Plans

Section K: Operational Risk management Assessments (ORMA)

REFERENCES:

(a) MCO 1500.52D, Marine Combat Water Survival Training (MCWST)

(b) MCO 1553.2B, Management OF Marine Corps Formal Schools and Training Detachments

(c) MCO 3500.27B, Operational Risk Management (ORM)

(d) MCO P5102.1B, Navy and Marine Corps Mishap Safety Investigation, Reporting, Record Keeping Manual

(e) OPNAVINST 1500.75B, Policy and Procedures for Conducting High-Risk Training

Command Information

Commanding Officer:
Phone: / DSN:
Executive Officer:
Phone: / DSN:
Command Safety Manager:
Phone: / DSN:
Command Address:
Date of In-Brief:
Date of Out-Brief:

Command Points of Contact

Officer In Charge:
Phone: / DSN:
School/Course Manager:
Phone: / DSN:
High-Risk Training Safety Officer (HRTSO):
Phone: / DSN:

Course Information

Course Identification Number:
Course Title:
Course Identification Number:
Course Title:

Evaluator

Evaluator Name:
Evaluator Title:
Evaluator Name:
Evaluator Title:
MARINE CORPS WATER SURVIVAL TRAINING PROGRAM (MCWSTP)
SECTION A. MCWSTP REQUIREMENTS
1. Does the command complete NAVMC 11629(Water Survival Training Requirements Checklist) at the beginning of each MCWSTP evolution?
Ref: MCO 1500.52D, Chapter 2, [Para. 1.a] / £ Yes £ No £ N/A
Remarks:
2. Is the Instructor to student ratio for all levels of MCWSTP is a minimum of One MCIWS/ MCITWS for every 10 students in the water?
Ref: MCO 1500.52D, Chapter 2, [Para. 2.a] / £ Yes £ No £ N/A
Remarks:
SECTION B. REQUIRED COMPONENTS FOR QUALIFICATION
1. Are the following MCWSTP required components established where MCWSTP training or qualification is to take place;
(a) Primary Marine Corps Instructor of Water Survival (MCIWS)?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.c.(1)] / £ Yes £ No £ N/A
Remarks:
(b) Water Survival Safety Officer (WSSO)?
MCO 1500.52D, Chapter 2, [Para. 3.c.(2)] / £ Yes £ No £ N/A
Remarks:
(c) Safety Corpsman/Emergency Response Officer (ERO)?
MCO 1500.52D, Chapter 2, [Para. 3.c.(3)] / £ Yes £ No £ N/A
Remarks:
(d) Emergency Response Plan (ERP) Drill?
MCO 1500.52D, Chapter 2, [Para. 3.c.(4)] / £ Yes £ No £ N/A
Remarks:
(e) Safety vehicle capable of holding a
spine board?
MCO 1500.52D, Chapter 2, [Para. 3.c.(5)]
Remarks:
SECTION C. PRIMARY MARINE CORPS INSTRUCTOR OF WATER SURVIVAL
1. Is the Primary MCIWS/ MCITWS;
(a) Responsible for the overall conduct of training?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a)] / £ Yes £ No £ N/A
Remarks:
(b) Does the Primary MCIWS/ MCITWS direct rescues in the event of an emergency when multiple MCIWS/ MCITWS are present?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a)] / £ Yes £ No £ N/A
Remarks:
2. Does the MCIWS/MCITWS have current American Red Cross certifications in; / £ Yes £ No £ N/A
(a) American Red Cross Lifeguarding?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a).1] / £ Yes £ No £ N/A
Remarks:
(b) Standard first aid?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a).2] / £ Yes £ No £ N/A
Remarks:
(c) Cardio Pulmonary Resuscitation (CPR) for the Professional Rescuer?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a).(3)] / £ Yes £ No £ N/A
Remarks:
(d) Oxygen administration?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a).4] / £ Yes £ No £ N/A
Remarks:
(e) Automated External Defibrillator (AED) for the professional rescuer?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(a).5] / £ Yes £ No £ N/A
Remarks:
3. Is the Primary MCIWS/ MCITWS;
(a) Responsible for conducting the Emergency Response Plan (ERP) drill prior to beginning training?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.1().(b)] / £ Yes £ No £ N/A
Remarks:
(b) Ensure that all personnel in the ERP are briefed on and know their roles in the event of an emergency?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.1.(b)] / £ Yes £ No £ N/A
Remarks:
4. Does the Primary MCIWS/MCITWS ensure the following required rescue equipment is present prior to training:
(a) Automated External Defibrillator (AED)?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(b).1] / £ Yes £ No £ N/A
Remarks:
(b) Spine-board with supports and straps?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(b).2] / £ Yes £ No £ N/A
Remarks:
(c) Oxygen delivery system?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(b).3] / £ Yes £ No £ N/A
Remarks:
(d) Rescue equipment (tubes, shepherds crook, etc.)?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(b).4] / £ Yes £ No £ N/A
Remarks:
(e) Safety vehicle capable of holding a spine board?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(1).(b).5] / £ Yes £ No £ N/A
Remarks:
SECTION D. WATER SURVIVAL SAFETY OFFICER (WSSO)
1. Does each MCWSTP evolution have a designated WSSO responsible for supervisory oversight of safety for MCWSTP training?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(2)] / £ Yes £ No £ N/A
Remarks:
2. Does the designated WSSO supervise all activity occurring on the pool deck and within
the training tank?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(2).(a)] / £ Yes £ No £ N/A
Remarks:
3. Does the designated WSSO in the event of an emergency, act as the sole line of communication between the Primary MCIWS/ MCITWS and responding medical services?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(2).(b)] / £ Yes £ No £ N/A
Remarks:
SECTION E. SAFETY CORPSMAN OR EMERGENCY RESPONSE OFFICER (ERO)
1. Does the unit have a corpsman (or ERO for MRCD PI/SD, TBS, and EWTGPAC) present during the execution of the MCWSTP?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(3).(a)] / £ Yes £ No £ N/A
Remarks:
2. Is the ERO a MCIWS/MCITWS?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(3).(c)] / £ Yes £ No £ N/A
Remarks:
3. Is the ERO NOT assisting with training?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(3).(c)] / £ Yes £ No £ N/A
Remarks:
4. Is the MCIWS/MCITWS trained and certified by the American Red Cross to perform the requirements of 1500.52D, Chapter 2, [Para. 3.d.(3).(c). 1 – 6] / £ Yes £ No £ N/A
Remarks:
5. Does the Safety Corpsman have a current CPR cert?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.3.(c)] / £ Yes £ No £ N/A
Remarks:
6.Is the Corpsman trained sufficiently to fill duties?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.3.(c). 1 – 4] / £ Yes £ No £ N/A
Remarks:
7. When a Marine fails to perform/complete MCWSTP due to a physical or medical condition, is an evaluation an conducted per NAVMED P-117 & BUMEDINST 6320.66E?
Ref: MCO 1500.52D, Chapter 4, [Para. 1] / £ Yes £ No £ N/A
Remarks:
SECTION F. EMERGENCY RESPONSE PLAN (ERP) DRILL
1. Do MCRD PI/SD, The Basic School (TBS), MCWSS, and EWTG-PAC conduct monthly ERP drills? All other units must complete an ERP drill daily prior to commencing with training.
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4)] / £ Yes £ No £ N/A
Remarks:
2. Do ERP Drills at a minimum include:
(a) Function Check of rescue equipment?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4).1] / £ Yes £ No £ N/A
Remarks:
(b) Rehearsal of responsibilities of the WSSO, Safety Corpsman, and ERO (where applicable)?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4).2] / £ Yes £ No £ N/A
Remarks:
(c) Identification of Ingress/ Egress routes for Emergency Personnel?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4).3] / £ Yes £ No £ N/A
Remarks:
(d) Creation of "strip map" of route to nearest Medical Treatment Facility with trauma treatment capability?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4).4] / £ Yes £ No £ N/A
Remarks:
(e) Identification of training participants with medical considerations such as: taking any medication, immunizations within 12 hours, any open cuts or sores, pregnancy, etc?
(Participants with any of the above will consult a corpsman or health care provider before training).
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(4).5 and 5.a] / £ Yes £ No £ N/A
Remarks:
3. Is the safety vehicle an authorized Government Safety vehicle or dedicated EMS vehicle (EMS/Advance Life Support), in the immediate proximity to where MCWSTP is occurring, and dedicated solely to the MCWSTP Evolution?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(5)] / £ Yes £ No £ N/A
Remarks:
4. Is the Safety vehicle capable of holding a spine board?
Ref: MCO 1500.52D, Chapter 2, [Para. 3.d.(5)] / £ Yes £ No £ N/A
Remarks:
SECTION G. RESPONSIBILITIES
COMMANDERS/OFFICERS IN CHARGE (OIC)
1. Do Commanders/OICs apply Operational Risk Management (ORM) when conducting MCWSTP in accordance with reference (a), (MCO 3500.27B)?
Ref: MCO 1500.52D, Chapter 3, [Para. 1.b] / £ Yes £ No £ N/A
Remarks:
2. Do the Commanders/OICs ensure the timely and accurate recording, reporting, and investigation of all MCWSTP training Class A-C mishaps via the Web Enabled Safety System (WESS)?
Ref: MCO 1500.52D, Chapter 3, [Para. 1.f] / £ Yes £ No £ N/A
Remarks:
3. Do the Commanding Officers (05+) and/or the Director of MCWSS revoke an individual's certification due to misconduct during water survival training?
Ref: MCO 1500.52D, Chapter 3, [Para. 1.g] / £ Yes £ No £ N/A
Remarks:
4. Do Commanding Officers ensure all "Class A" aquatic mishaps are entered into the Web Enabled Safety System (WESS)?
Ref: MCO 1500.52D, Chapter 5, [Para. 2.b] / £ Yes £ No £ N/A
Remarks:
5. Are all water survival training incidents reported using NAVMC 11630 (Water Survival Incident Report) and in accordance with MCO P5102.1B?
Ref: MCO 1500.52D, Chapter 5, [Para. 1] / £ Yes £ No £ N/A
Remarks:
6. Do all water training sites utilizing Individual Combat Equipment (ICE) or PPE for the conduct of MCWSTP training or qualification clearly mark these pieces of equipment as "TRAINING USE ONLY?
Ref: MCO 1500.52D, Chapter 9, [Para. 2] / £ Yes £ No £ N/A
Remarks:
SECTION H. INSTRUCTOR AND CHIEF INSTRUCTOR TRAINER
1. Does the Marine Corps Water Survival Chief Instructor Trainer (CIT) ensure all water survival training and certs are in accordance with orders and directives?
Ref: MCO 1500.52D, Chapter 3, [Para. 2.a] / £ Yes £ No £ N/A
Remarks:
2. Is the CIT a certified MCITWS and a current Red Cross Life Guard IT (ARC LGIT)?
Ref: MCO 1500.52D, Chapter 3, [Para. 2.d] / £ Yes £ No £ N/A
Remarks:
3. Does the MCITWS conduct at least one MCWIS certification course per calendar year?
Ref: MCO 1500.52D, Chapter 3, [Para. 3.a] / £ Yes £ No £ N/A
Remarks:
4. Does the MCITWS maintain required Red Cross certs?
Ref: MCO 1500.52D, Chapter 3, [Para. 3.i] / £ Yes £ No £ N/A
Remarks:
5. Does the MCITWS retain a copy of completed NAVMC 11629 and NAVMC 11632 (Emergency Response Drill) for three years?
Ref: MCO 1500.52D, Chapter 3, [Para. 3.l] / £ Yes £ No £ N/A
Remarks:
6. Does the MCIWS ensure all water survival training and certifications are in accordance with orders and directives?
Ref: MCO 1500.52D, Chapter 3, [Para. 4.a] / £ Yes £ No £ N/A
Remarks:
7. Does the MCIWS ensure NAVMC 11629 (Training Requirements Checklist) is completed and signed prior to training?
Ref: MCO 1500.52D, Chapter 3, [Para. 4.c] / £ Yes £ No £ N/A
Remarks:
8. Does the MCIWS maintain required Red Cross certs?
Ref: MCO 1500.52D, Chapter 3, [Para. 4.d] / £ Yes £ No £ N/A
Remarks:
SECTION I. SHALLOW WATER EGRESS TRAINERS (SWET)
1. When using SWET Devices outside the conduct of the Underwater Egress Course/training conducted per OPNAVINST 3710.7U; is one MCIWS/MCITWS present per SWET device?
Ref: MCO 1500.52D, Chapter 9, [Para. 3] / £ Yes £ No £ N/A
Remarks:
SECTION J. PRE-MISHAP PLANS
1. Has the command reviewed training lessons/events that involve risk of injury/death and developed site-specific Pre-mishap Plan(s)?
Ref: MCO 1553.2B, Chapter 2 [Para. 5.n.(2)] / £ Yes £ No £ N/A
Remarks:
2. Has the command developed, reviewed and exercise pre-mishap plan(s) annually?
Ref: MCO 1553.2B, Chapter 2 [Para. 5.n.(2)] / £ Yes £ No £ N/A
Remarks:
3. Is a Pre-Mishap Plan developed for HRT evolutions and does the plan include (at a minimum) the following;
(a) Procedures to summon medical/emergency response?
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(b) Locations of first aid kits, fire extinguishers and any other on-site emergency equipment.
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(c) Procedures for emergency operation/shutdown of training equipment.
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(d) Backup communications procedures.
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(e) Sequential listing of personnel to be notified.
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(f) Is the Pre-Mishap Plan posted or otherwise available to all personnel at each
HRT site.
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(g) Are Students being briefed on the Pre-Mishap Plan prior to commencing training?
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
(h) Is the Pre-Mishap plan reviewed upon completion of each course cycle?
Ref: MCO 1553.2B, [Appendix M 4] / £ Yes £ No £ N/A
Remarks:
SECTION K. OPERATIONAL RISK MANAGEMENT (ORM) ASSESSMENT
1. Do all Marine Corps activities apply the ORM process in planning, operations and training to optimize operational capability and readiness?
Ref: MCO 3500.27B, [Para. 4.a.(1).(a)] / £ Yes £ No £ N/A
Remarks:
2. Apply the ORM process to all aspects of command operations and activities?
Ref: MCO 3500.27B, [Para. 4.b.(3).(a)] / £ Yes £ No £ N/A
Remarks:
3. Incorporate identified hazards, assessments and controls into briefs, notices, and written plans?
Ref: MCO 3500.27B, [Para. 4.b.(3).(b)] / £ Yes £ No £ N/A
Remarks:
4. Conduct a thorough assessment for new or complex evolutions, defining acceptable risk and possible contingencies?
Ref: MCO 3500.27B, [Para. 4.b.(3).(c)] / £ Yes £ No £ N/A
Remarks:
5. Elevate risk decisions through the chain of command?
Ref: MCO 3500.27B, [Para. 4.b.(3).(d)] / £ Yes £ No £ N/A
Remarks:
6. Conduct ORA for all lessons & maintain the ORAW, including the Cease Training (CT) criteria/procedures, as part of the MLF?
Ref: MCO 1553.2B, Chapter 2 [Para. 5.n.(1)] / £ Yes £ No £ N/A
Remarks:
7. Review all ORAWs annually and make required adjustments to the MLF.
Ref: MCO 1553.2B, Chapter 5 [Para. 4.a.2 and 3] / £ Yes £ No £ N/A
Remarks:

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