Tech Sim Assessment – Blackrock 3 Partners

Level 1

Technology Simulation Assessment & Feedback

Instructions:

A participant from the group leads the exercise and discussion. Preceptor submits ONE form for the whole group. We are looking for a general idea whether the task was not done (0 pts), done but could be improved (5 pts), or done effectively (10 pts). At end, add up all the points and enter a total score.

Date *

Company Name *

Group Number (if applicable)

Group/Team: 1

Who is leading the exercise (Incident Leader)? *

Who is responsible for Communications? *

Who is responsible for Tactical Documentation? *

Preceptor Email: *

Confirm Email

Please score performance on the following scale:
0 = not done
5 = done but could be improved
10 = done effectively

1. Leader provides initial direction (strategy) briefing to group

Selected Value: 0

2. Leader controls the flow of the discussion and drives the exercise forward in an effective and timely manner.

Selected Value: 0

3. Person performing Tactical Documentation accesses online form, creates timeline for exercise and captures key events.

Selected Value: 0

4. Person responsible for Communications accurately captures key events and creates/delivers effective CAN report or LNO briefing to the group

Selected Value: 0

5. Did the group develop and maintain good momentum from exercise start to finish?

Selected Value: 0

6. Did the person leading the exercise involve all members of the group effectively?

Selected Value: 0

7. Were there effective interactions between the people filling the key roles: Leadership, Tactical Documentations, Communications?

Selected Value: 0

COMBINED TOTAL *

Preceptor Comments:

Blackrock 3 Partners

Online Training

Incident Management Training for IT Operations

Level 1

Technology Simulation Assessment & Feedback