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Technician Proficiency Evaluation Date: Technician Name ...

Technician Proficiency EvaluationTechnician Name:_____Facility/Location:_____Date:__ ___Examiner:_____*Checks in the above blocks indicate that competency was assessed through direct observation (unless otherwise stated).Inspection ItemDescriptionCommentsRecordkeepingTech nician Certification (current/posted)Booth Certification (current/posted)Is the current booth cerification form used?DD2217 calibration checks (past 5 yrs)Retrieve calibration records from DOEHRSE lectroacoustic calibration checks (5 yrs)Command rosters received semi-annuallyCommand ResponsibilityCalibrationVisual check of equipmentFunctional Listening checkBiologic calibration check (DD2217)DOEHRS-HCCurrent DOEHRS-HC versionUpdated through monthly patches?

DD2217 calibration checks (past 5 yrs) Retrieve calibration records from DOEHRS Electroacoustic calibration checks (5 yrs) Command rosters received semi-annually Command Responsibility

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