Learning Path Map
Purpose: Use this field tool during live operations, coaching, review, or certification.
Competency: ______________________________________________
Lesson: ______________________________________________
Practice: ______________________________________________
Evidence: ______________________________________________
Standard: ______________________________________________
Assessor: ______________________________________________
Status: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________
Simulation Scorecard
Purpose: Use this field tool during live operations, coaching, review, or certification.
Scenario: ______________________________________________
Discovery: ______________________________________________
Accuracy: ______________________________________________
Judgment: ______________________________________________
Documentation: ______________________________________________
Critical error: ______________________________________________
Result: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________
Remediation Plan
Purpose: Use this field tool during live operations, coaching, review, or certification.
Failed competency: ______________________________________________
Cause: ______________________________________________
Practice: ______________________________________________
Coach: ______________________________________________
Evidence: ______________________________________________
Review date: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________
Certification Record
Purpose: Use this field tool during live operations, coaching, review, or certification.
Learner: ______________________________________________
Role: ______________________________________________
Assessor: ______________________________________________
Knowledge score: ______________________________________________
Simulation score: ______________________________________________
Restrictions: ______________________________________________
Expiration: ______________________________________________
Signature: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________
Scenario Evidence Record
Purpose: Use this field tool during live operations, coaching, review, or certification.
Scenario: ______________________________________________
Observed facts: ______________________________________________
Applicable standard: ______________________________________________
Decision: ______________________________________________
Owner: ______________________________________________
Due date: ______________________________________________
Evidence: ______________________________________________
Completion result: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________
Completion and Escalation Gate
Purpose: Use this field tool during live operations, coaching, review, or certification.
Required behavior: ______________________________________________
Pass evidence: ______________________________________________
Critical failure: ______________________________________________
Remediation: ______________________________________________
Authority decision: ______________________________________________
Review date: ______________________________________________
Evidence attached: ______________________________________
Owner signature: ________________________________________