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First Aid Skills Assessment

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RanchSafety Team January 20, 2026 5 min read

Practical Skills Evaluation for Ranch Emergency Response

Use this assessment to evaluate hands-on first aid competency. Skills should be demonstrated and observed by a qualified evaluator.

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ASSESSMENT INFORMATION

Participant Information

FieldEntry
Name_________________________________
Position_________________________________
Date of Assessment_________________________________
Evaluator Name_________________________________
Evaluator Credentials_________________________________

Assessment Type

  • [ ] Initial certification
  • [ ] Annual recertification
  • [ ] Post-incident review
  • [ ] Remedial training
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SKILL 1: SCENE ASSESSMENT AND EMERGENCY CALL

Scenario

You arrive at a scene where a worker has fallen from a ladder and is lying on the ground.

Performance Criteria

Skill ComponentDemonstratedNotes
Scene Safety
Scans area for hazards before approaching[ ] Yes [ ] No_____
Identifies potential dangers (ladder, power lines, etc.)[ ] Yes [ ] No_____
Ensures scene is safe before proceeding[ ] Yes [ ] No_____
Patient Assessment
Checks responsiveness (tap and shout)[ ] Yes [ ] No_____
Checks for breathing[ ] Yes [ ] No_____
Checks for severe bleeding[ ] Yes [ ] No_____
Calling for Help
Calls 911 (or directs someone to call)[ ] Yes [ ] No_____
Provides location (GPS coordinates if needed)[ ] Yes [ ] No_____
Describes nature of emergency[ ] Yes [ ] No_____
Describes patient condition[ ] Yes [ ] No_____
Stays on line for instructions[ ] Yes [ ] No_____
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SKILL 2: CPR AND AED USE

Scenario

You find a coworker unresponsive. They are not breathing and have no pulse.

Performance Criteria

Skill ComponentDemonstratedNotes
Initial Response
Confirms unresponsiveness[ ] Yes [ ] No_____
Calls for help/AED or directs someone[ ] Yes [ ] No_____
Places patient on firm, flat surface[ ] Yes [ ] No_____
Compressions
Correct hand placement (center of chest)[ ] Yes [ ] No_____
Correct depth (2-2.4 inches)[ ] Yes [ ] No_____
Correct rate (100-120/minute)[ ] Yes [ ] No_____
Allows full chest recoil[ ] Yes [ ] No_____
Minimizes interruptions[ ] Yes [ ] No_____
Rescue Breaths
Opens airway (head tilt-chin lift)[ ] Yes [ ] No_____
Creates adequate seal[ ] Yes [ ] No_____
Delivers breaths that make chest rise[ ] Yes [ ] No_____
Correct ratio (30:2)[ ] Yes [ ] No_____
AED Use
Turns on AED[ ] Yes [ ] No_____
Correctly places pads[ ] Yes [ ] No_____
Ensures no one touching during analysis[ ] Yes [ ] No_____
Clears and delivers shock when indicated[ ] Yes [ ] No_____
Resumes CPR immediately after shock[ ] Yes [ ] No_____
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SKILL 3: BLEEDING CONTROL

Scenario

A worker has a severe laceration on their forearm with heavy bleeding.

Performance Criteria

Skill ComponentDemonstratedNotes
Personal Protection
Puts on gloves before contact[ ] Yes [ ] No_____
Direct Pressure
Applies direct pressure immediately[ ] Yes [ ] No_____
Uses appropriate dressing material[ ] Yes [ ] No_____
Maintains consistent pressure[ ] Yes [ ] No_____
Elevates limb if possible[ ] Yes [ ] No_____
Pressure Bandage
Applies pressure bandage correctly[ ] Yes [ ] No_____
Bandage is snug but not cutting off circulation[ ] Yes [ ] No_____
Checks for distal pulse after bandaging[ ] Yes [ ] No_____
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SKILL 4: TOURNIQUET APPLICATION

Scenario

A worker has a severe arterial bleed on the upper thigh that cannot be controlled with direct pressure.

Performance Criteria

Skill ComponentDemonstratedNotes
Decision Making
Recognizes need for tourniquet (life-threatening bleed)[ ] Yes [ ] No_____
Application
Places tourniquet high and tight (2-3" above wound)[ ] Yes [ ] No_____
Tightens until bleeding stops[ ] Yes [ ] No_____
Secures windlass properly[ ] Yes [ ] No_____
Verifies bleeding has stopped[ ] Yes [ ] No_____
Notes time of application[ ] Yes [ ] No_____
Does NOT remove or loosen tourniquet[ ] Yes [ ] No_____
Communication
Reports tourniquet use to EMS[ ] Yes [ ] No_____
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SKILL 5: SHOCK MANAGEMENT

Scenario

A worker has been injured and is showing signs of shock (pale, clammy skin, rapid pulse, anxiety).

Performance Criteria

Skill ComponentDemonstratedNotes
Recognition
Identifies signs of shock[ ] Yes [ ] No_____
Treatment
Calls or has called for emergency help[ ] Yes [ ] No_____
Controls any obvious bleeding[ ] Yes [ ] No_____
Positions patient appropriately (legs elevated if no spinal injury suspected)[ ] Yes [ ] No_____
Maintains body temperature (covers with blanket)[ ] Yes [ ] No_____
Loosens restrictive clothing[ ] Yes [ ] No_____
Reassures patient[ ] Yes [ ] No_____
Does NOT give food or drink[ ] Yes [ ] No_____
Monitoring
Continues to monitor vital signs[ ] Yes [ ] No_____
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SKILL 6: HEAT ILLNESS RESPONSE

Scenario

During summer work, a coworker becomes confused, stops sweating, and has hot, red skin.

Performance Criteria

Skill ComponentDemonstratedNotes
Recognition
Identifies heat stroke (vs. heat exhaustion)[ ] Yes [ ] No_____
Immediate Actions
Calls 911 immediately[ ] Yes [ ] No_____
Moves person to shade/cool area[ ] Yes [ ] No_____
Rapid Cooling
Removes excess clothing[ ] Yes [ ] No_____
Applies cold packs to neck, armpits, groin[ ] Yes [ ] No_____
Wets skin and fans[ ] Yes [ ] No_____
Does NOT give fluids if unconscious/confused[ ] Yes [ ] No_____
Monitoring
Monitors breathing and responsiveness[ ] Yes [ ] No_____
Prepared to perform CPR if needed[ ] Yes [ ] No_____
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SKILL 7: EPINEPHRINE AUTO-INJECTOR USE

Scenario

A coworker who is allergic to bee stings was just stung. They are having difficulty breathing and have hives spreading across their body.

Performance Criteria

Skill ComponentDemonstratedNotes
Recognition
Identifies anaphylaxis[ ] Yes [ ] No_____
Preparation
Retrieves EpiPen[ ] Yes [ ] No_____
Removes safety cap correctly[ ] Yes [ ] No_____
Administration
Positions at outer thigh[ ] Yes [ ] No_____
Swings and presses firmly[ ] Yes [ ] No_____
Holds for 10 seconds[ ] Yes [ ] No_____
Removes and massages area[ ] Yes [ ] No_____
Follow-Up
Calls 911 (before or immediately after)[ ] Yes [ ] No_____
Notes time of administration[ ] Yes [ ] No_____
Knows second dose may be needed[ ] Yes [ ] No_____
Saves device for EMS[ ] Yes [ ] No_____
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SKILL 8: SPLINTING

Scenario

A worker has an obvious deformity of the lower leg after being struck by equipment.

Performance Criteria

Skill ComponentDemonstratedNotes
Assessment
Checks circulation below injury (pulse, color, sensation)[ ] Yes [ ] No_____
Does NOT attempt to realign severely angulated fracture[ ] Yes [ ] No_____
Splint Application
Immobilizes joint above and below injury[ ] Yes [ ] No_____
Pads splint appropriately[ ] Yes [ ] No_____
Secures splint without cutting off circulation[ ] Yes [ ] No_____
Splints in position found (unless no pulse)[ ] Yes [ ] No_____
Post-Splinting
Rechecks circulation after splinting[ ] Yes [ ] No_____
Applies ice over splint (with barrier)[ ] Yes [ ] No_____
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SKILL 9: CHOKING (CONSCIOUS ADULT)

Scenario

A coworker is choking and cannot speak, cough, or breathe.

Performance Criteria

Skill ComponentDemonstratedNotes
Recognition
Asks "Are you choking?"[ ] Yes [ ] No_____
Recognizes severe airway obstruction[ ] Yes [ ] No_____
Abdominal Thrusts
Positions behind victim[ ] Yes [ ] No_____
Correct hand placement (above navel, below sternum)[ ] Yes [ ] No_____
Delivers inward and upward thrusts[ ] Yes [ ] No_____
Continues until object expelled or victim unconscious[ ] Yes [ ] No_____
If Victim Becomes Unconscious
Lowers to ground safely[ ] Yes [ ] No_____
Calls 911[ ] Yes [ ] No_____
Begins CPR (checking mouth for object before breaths)[ ] Yes [ ] No_____
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SKILL 10: SNAKEBITE RESPONSE

Scenario

A worker was bitten by what appeared to be a rattlesnake on the lower leg.

Performance Criteria

Skill ComponentDemonstratedNotes
Immediate Actions
Moves victim away from snake[ ] Yes [ ] No_____
Keeps victim calm and still[ ] Yes [ ] No_____
Calls 911 or arranges transport[ ] Yes [ ] No_____
Proper Care
Removes jewelry/tight items near bite[ ] Yes [ ] No_____
Positions bite below heart level[ ] Yes [ ] No_____
Marks leading edge of swelling with time[ ] Yes [ ] No_____
Avoids Harmful Actions
Does NOT cut the wound[ ] Yes [ ] No_____
Does NOT suck the wound[ ] Yes [ ] No_____
Does NOT apply ice[ ] Yes [ ] No_____
Does NOT apply tourniquet[ ] Yes [ ] No_____
Documentation
Notes snake description if possible[ ] Yes [ ] No_____
Notes time of bite[ ] Yes [ ] No_____
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OVERALL ASSESSMENT SUMMARY

Skill Results

SkillPoints EarnedPoints PossiblePercentagePass/Fail
1. Scene Assessment_____11_____%_______
2. CPR/AED_____18_____%_______
3. Bleeding Control_____8_____%_______
4. Tourniquet_____8_____%_______
5. Shock Management_____9_____%_______
6. Heat Illness_____9_____%_______
7. EpiPen Use_____11_____%_______
8. Splinting_____8_____%_______
9. Choking_____10_____%_______
10. Snakebite_____12_____%_______
TOTAL_____104_____%_______

Overall Assessment

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REMEDIATION PLAN

|-------------------|-----------------|-------------|-----------| | _________________ | ________________ | ____________ | [ ] | | _________________ | ________________ | ____________ | [ ] | | _________________ | ________________ | ____________ | [ ] |

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SIGNATURES

Participant Acknowledgment

I have completed this skills assessment and understand my results.

FieldEntry
Signature_________________________________
Date_________________________________

Evaluator Certification

I certify that this assessment was conducted fairly and the results accurately reflect the participant's demonstrated skills.

FieldEntry
Evaluator Signature_________________________________
Evaluator Name (Print)_________________________________
Credentials_________________________________
Date_________________________________
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Tool ID: 7.5.7 Category: Health & First Aid Tools Last Updated: January 2026 Part of the Texas Ranch Safety Tool Series