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sue. <br />EXHIBIT "D" <br />SCHOOL CROSSING GUARD CERTIFICATION 2002-2003 <br />oyee Name Dept <br />Intersection <br />'LE ONLY ONE SCORE FOR EACH SECTION OF THE EVALUATION <br />'TION I -Uniform <br />ve the Crossing Guazd in uniform at the site: <br />3uazd is using regulation stop sign, is wearing Company issued vest and hat, has <br />ppropriate shoes, is neat, clean and has an overall professional appeazance, score________________________ 20 <br />iuard is using all Company issued items, is wearing appropriate shoes, <br />~utdoesNOThaveaneat,clean,professionalappeazance,score________________________________________ 10 <br />3uazd is NOT using one or more Company issued items or is not wearing appropriate shoes, score _______. 5 <br />:TION II -Securing the Intersection <br />-ve the Crossing Guard in the act of crossing pedestrians: <br />iuard gives cleaz instructions to pedestrians to wait on curb until called, <br />~ look both ways before stepping from curb, AND successfully holds all pedestrians <br />~ curb until intersection is secured, score _____________________________ <br />-------------------------- 40 <br />?ITHER Guazd gives cleaz instructions but pedestrians do not wait OR pedestrians wait without guard <br />;wing cleazinstructions,score------------------------------------------------------------------------ 20 <br />~3uazd fails to give instruction and does not hold pedestrians to curb until intersection is secured, score ___ 0 <br />:TION III - Safety Agility Assessment <br />I is required to walk at a rate of four (4) feet per second. (Supervisor to use computation cazd) <br />alum allowed Safety Agility Score for this intersection Score obtained by Guazd <br />IfGuard'sscoreislowerthanmaximumallowed,score _____________________________________________ 40 <br />IfGuard'sscoreishigherthanmaximumallowed,score ____________________________________________. 0 <br />Passing Score is 65 points TOTAL SCORE EARNED ^ <br />reviewed the above information with my Supervisor and understand that if I have not earned a passing score <br />will be re-evaluated and must earn a passing score at that time or be subject to termination. <br />nployee Signature <br />ea Supervisor Signature <br />Date <br />Date <br />ISSUED: 3-03 <br /> <br />