H033 Captain Emergency Medical Services 2026 Preparation Guide

This Exam Preparation Guide has been prepared to introduce you to the EMS Captain promotional process with the San Francisco Fire Department. The first thing you can do to prepare for your promotional process is to read this assessment preparation guide.

1. Introduction

This guide is intended to help prepare you for your upcoming promotional process for the H033 EMS Captain. It is anticipated that the 2026 H033 EMS Captain promotional exam will be comprised of multiple job-related components. The first will be a Written Exam tentatively scheduled to be administered on May 13, 2026. The Assessment Center is tentatively scheduled to be administered on May 14, 2026.

A general description of the exam is provided, along with sample exam instructions and questions, so that you have a general idea of what to expect on the day of the exam. 1 The Department of Human Resources Public Safety Team (PST) has also included some suggestions, tips, and recommendations that have been known to help candidates here in San Francisco and elsewhere. Of course, the PST cannot guarantee that following these suggestions and tips will automatically result in a high exam score. Preparing for an exam is ultimately each candidate’s responsibility. In fact, many successful candidates go well beyond what is suggested in this guide to prepare.

Candidates are reminded that the exam process is ultimately governed by the job ad and official documents such as Civil Service Rules. Many of these regulations are available on the City’s websites, Department of Human Resources and Civil Service Commission.

If you have any questions after reading this Preparation Guide, please send them to dhr-publicsafety@sfgov.org. Your email must be received no later than 4:00 PM Pacific time on April 20, 2026. Please include “H033 candidate question” in the email’s subject line. In order to be fair, the PST will share answers to individual questions with all candidates. PST responses to relevant questions will be emailed to candidates and posted on the DHR website no later than 5:00 PM on April 27, 2026. We will not answer questions that might compromise the security or integrity of the exam.

It is each candidate’s responsibility to provide a current and valid e-mail address to the PST to which to send all official notifications. If you changed your e-mail address or name after filing your application, you must visit https://www.smartrecruiters.com/account/sign-in and update your contact information.

We wish you the best of luck as you prepare for and participate in this promotional process.

¹ The PST reserves the right to make changes to this guide, if necessary. If modifications are required at a later date, the PST will notify you of the revision as soon as possible prior to the exam.

2. Overview of the 2026 Promotional Process

The primary focus of this guide is to help you prepare for the H033 Written Exam. In this guide, you will learn about the Written and Assessment Center exam format and instructions, and tips that could help you to do your best on the day of the assessment.

Read through the entire guide carefully. By learning the process through which your assessment is being developed and conducted, as described within this study guide, you can better understand how to use the remainder of your pre-assessment preparation time to be ready for this process.

2.1 The Exam Components

The H033 EMS Captain promotional exam process will include two components: a Written Exam (WE) and an Assessment Center, which consists of an MCI, a Performance Exercise, and a Written General Form Exercise (AC).

Component 1: Written Exam (WE)

The Written Exam will be used to determine which candidates possess the job-related clinical knowledge necessary to assume first-line supervisor responsibilities.

All qualified candidates will be invited to complete the Written Exam, which is tentatively scheduled for Wednesday, May 13, 2026.

Written Exam = 60%

Components 2, 3, and 4: Assessment Center (AC)

MCI, Performance Exercise & Management, and Written General Form Exercises

The AC is a method that is often used in the public sector to determine which candidates possess the requisite knowledge, skills, and abilities (KSAs) necessary to perform effectively for the position of interest. The H033 EMS Captain test process will include three components: an MCI scenario, a Performance Exercise & a Management Exercise, and a Written General Form exercise. The test components are designed to measure basic knowledge, skills, and abilities (KSAs) necessary to perform tasks required of an H033 EMS Captain. The component weights are based on the knowledge areas and abilities that each component will measure, and the value assigned to those knowledge areas and abilities by the subject matter experts (SMEs) during job analysis. The weights of the components are:

MCI Exercise = 15%

Performance & Management Exercises = 20%

Written General Form= 5%

All candidates will be scheduled to take the AC on the same day, tentatively scheduled for administration on May 14, 2026.

3. Exam Development Process

3.1 Job Analysis

Job analysis is the process of studying a job to determine the specific tasks that employees in that position perform, as well as the competencies (i.e., KSAs) needed to perform those tasks. Results from job-analysis studies often yield job descriptions and lists of KSAs and other attributes that may be required of individuals who perform the job being studied. For the current H033 EMS Captain promotional process, information gathered from the most current job analysis review completed in 2022 was used to identify the tasks and KSAs that serve as the foundation of the exam process.

3.1.1 Results

The following sections present tasks (organized by major duty area), abilities, and knowledge areas that were determined by the job analysis to be important to the H033 EMS Captain position.

Responds to Incidents and Performs Treatment

• Responds to life-threatening, ALS upgrade calls, shootings, critical pediatric calls, greater alarm fires, rescue calls, HazMat calls, Multi-Casualty Incidents (MCI), and high-profile incidents as dispatched by the Division of Emergency Communications.
• Responds to calls at the request of Medic units and officers to supervise incidents.
• Self-initiate response to calls based on the incident and the responders.
• Communicates via radio or cell phone with units to obtain updates, evaluate situation and provide guidance.
• Drives Department vehicle to the scene of emergency incidents as quickly and safely as possible.
• Performs primary and secondary patient assessment surveys as required.
• Provides basic and advanced medical treatment to patients when required.
• Manages distraught or upset citizens at incidents by consoling them, guiding them away from the scene, and/or referring them to support agencies or networks.
• Assumes the Incident Command System role and responsibilities at major incidents as needed both within the county and mutual aid deployments.
• Utilizes advanced equipment and procedures deployed with EMS Captains.

Monitors and Evaluates Employees

• Supervises scene safety and intervenes as needed.
• Oversees actions of paramedics and EMTs to ensure proper delivery of care.
• Directly supervises performance of paramedics, EMTs, or Communication Center staff to ensure compliance with Department protocols, standards and/or procedures.
• Monitors employee health and welfare.
• Meets with subordinates to discuss their performance appraisals, provide feedback, and resolve performance or conduct issues.
• Recommends formal training when necessary to correct or improve employee performance.
• Recommends disciplinary action for subordinates when necessary to correct work behavior.
• Carries out specific steps in the employee disciplinary processes in accordance with SFFD, Civil Service and MOU provisions.
• Provides individualized remediation, coaching or counseling to enhance performance or correct deficiencies.
• Detects potential personal problems experienced by subordinates and provides advice (minor issues) or referral to other units such as EAP or Stress Unit.
• Mediates differences among subordinate personnel and resolves interpersonal conflicts.
• Intervenes in disputes between subordinates and personnel involving other Departments and/or superiors as necessary. 3. Performs Administrative Functions

Performs Administrative Functions

• Reviews e-mails, journal and log entries from previous watch to determine what needs to be done during his or her shift.
• Reviews assignments in HR System to determine the on-duty staffing.
• Makes assignments to ensure appropriate staffing.
• Approves requests for trades by taking into account staffing needs.
• Revises company assignments using HR System to reflect trades.
• Reviews forms completed by subordinates for accuracy and completeness.
• Audits Paramedic and Firefighter/EMT pre-hospital care reports (PCR) as required.
• Uses the computer to monitor the number and location of units in service at any given time to determine where adjustments must be made.
• Prepares projections and monitors staffing to ensure adequate staffing at all times.
• Listens to calls handled by Communication Center personnel to ensure incidents are appropriately triaged and pre-arrival instructions are provided following Medical Priority Dispatch System (MPDS).
• Coordinates manual mode operations with Communication Center in situations wherein the CAD is not functioning.
• Ensures units in field and private providers are updated regarding hospital diversion status by monitoring calls.
• Ensures code 2 deferral occurs as appropriate based on resource limitations.
• Receives and processes complaints from public and/or Chief Officers by forwarding and/or taking appropriate actions.
• Retrieves information regarding calls for service for Chief's Office, PIO, Division Chiefs, Arson Investigators, EMS Division and others.
• Monitors EMT and Paramedic Licenses to ensure they are current and valid.

Acquires and Maintains Technical Knowledge

• Reads General Orders, e-mails, EMS memos etc., to learn about changes in practice, policy, procedures or other information.
• Attends training classes (e.g., ACLS, PALS, CPR, etc.) required for Department officers and/or Paramedic Captains.
• Interprets policies, codes, rules, and regulations to ensure compliance.
• Participates in research studies.
• Identifies and reduces opportunities for injury to the public or Department members as a result of Department activities.

Trains, Coaches and Instructs Others

• Disseminates new information to employees as directed. (e.g., Training Bulletins, new policies/procedures, and updates).
• Develops training materials (e.g., lesson plans, handouts, checklists) for training and evaluating subordinates.
• Provides formal EMS training for firefighters and paramedics including clinical labs and demonstrations.
• Maintains treatment and performance standards by conducting on-the-job training regarding equipment, policies and protocols.
• Provides training to employees and allied agencies on policies, procedures and equipment.
• Assists as an instructor with the EMS In-Service Training Section and EMS Academy.
• Conducts Return to Duty Training.

Informs and Exchanges Information with Others

• Provides briefings and notifications to designated Department personnel regarding the nature and status of emergency incidents.
• Updates SFFD Public Information Officer, when appropriate, with background or details regarding incidents.
• Responds to media inquiries as RC at dispatch DEC (Department of Emergency Communication).
• Coordinates with other City Agencies such as Central Shop or Radio Shop for repair and maintenance of vehicles, radio or computer equipment.
• Coordinates with Bureau of Equipment (BOE) to resolve issues related to supply shortages and vehicle maintenance and repair.
• Communicates with external agencies regarding emergency incidents, impacts, and required resources.
• Attends routine and as-needed meetings to provide input, receive information, formulate plans and resolve problems.
• Performs station visits to confer with Firefighter/EMTs, Paramedics, and Company Officers regarding the delivery of medical care.
• Performs site visits to other units in districts to coordinate patient care (e.g., ER Physicians, Hospital Liaison RNs).
• Responds to questions from hospital personnel after an emergency incident regarding patients to ensure that they are given appropriate information.
• Interacts with other agencies including receiving hospitals, OME (Office of the Medical Examiner), LEMSA (Local Emergency Medical Services Agency), SFPD, and others.
• Meets with the on-coming and off-going EMS Captains to exchange information and review the change-of-watch report.
• Updates superiors regarding the investigation of unusual occurrences.
• Notifies dispatch and/or updates HR System when ambulances are de-commissioned and are not part of the fleet.
• Forwards required reports to the appropriate personnel to ensure that proper documentation is maintained.
• Telephones complainants to provide feedback regarding resolution of complaints.
• Attends community meetings to address EMS issues.
• Participates in planning efforts to improve policies, protocols, equipment, training methods, and vehicles.

Completes, Reviews and Maintains Logs, Reports and Forms

• Completes RC (Clinical Evaluation) Contact (Log) to document observations and assessment of EMTs and Paramedics daily work performance, including strengths and areas for improvement.
• Maintains accurate records to ensure proper documentation of activities such as patient contacts, medical care provided, staff training, administrative duties, etc.
• Completes Injury Reports involving paramedics and EMTs assigned to Station 49.
• Completes MCI and Unusual Occurrence Reports to document the incident and the actions of Department personnel.
• Prepares and maintains reports mandated by the CCSF EMSA regarding emergency medical service provided by the Department (e.g., response times, nature of medical incidents, frequency and disposition of medical incidents, etc.).
• Completes action plans related to assigned investigations to ensure that the investigation is thorough and complete.
• Completes reports on assigned investigations to document investigative steps and findings.
• Writes reports explaining disposition or recommendations regarding a complaint/investigation.
• Completes and/or forwards equipment loss/damage reports to EMS Division or other relevant Departments.
• Uses the computer to prepare reports.
• Prepares follow-up reports on greater alarm fires, multi-casualty incidents, and other significant events.
• Documents and forwards the reports of investigative findings to the Chief of Department.
• Collects and compiles data to perform task such as determining operational logistics or clinical audits.

Inspects, Inventories and Upkeeps Equipment and Supplies

• Inspects EMS Captain response vehicle for proper functioning, medical equipment, and supplies.
• Maintains inventory of narcotics in EMS Captain response vehicle to ensure accurate tracking and accountability.
• Checks with paramedic crews to determine ambulances are in proper working order and have the necessary equipment and supplies.
• Puts company out of service if equipment or operation is not functioning properly/safely.
• Oversees a fleet of relief ambulances and assigns them as necessary.
• Arranges for replacement of lost or damaged equipment by submitting required documentation to EMS Division or BOE.
• Arranges for resupply of narcotics, as required, to Medic units and ALS engines.
• Performs random review of narcotic logs to ensure compliance with DEA regulations.
• Investigates narcotic records discrepancies to ensure that an accurate accounting of all narcotics is maintained.
• Assists Assistant Chiefs, as required, with tri-annual inspections of Medic Units, Rescue Ambulances, and ALS engines.
• Assists Battalion Chiefs with monthly inspections, as directed by EMS Operations Section.
• Assists with troubleshooting and retrieval of malfunctioning biomed equipment and supplies from medic units and ALS engines.

Researches and Investigates

• Responds to complaints from hospitals and/or public regarding paramedic crews by determining the nature of the complaint and actions needed to resolve the situation.
• Investigates complaints against subordinates by collecting and examining evidence and interviewing witnesses, complainants, and other subordinates.
• Investigates EMS-related incidents/unusual occurrences on behalf of the Department.
• Works with Battalion Chiefs and/or Company Officers, as appropriate, to conduct field investigations.
• Interviews hospital personnel and reviews hospital records as part of an investigation.
• Reviews Division of Emergency Communications tapes and other records as part of an investigation.
• Assists in the management of chronic 911 users by investigating their background to find out if they have been assigned a social worker and offering them alternatives.

3.1.1(b) Abilities

• Ability to adapt or improvise methods, equipment, and procedures to the requirements of an unusual EMS response situation.
• Ability to trouble shoot and correct equipment that is malfunctioning.
• Ability to evaluate the information obtained from crews at emergency incidents in order to determine what needs to be done.
• Ability to assess multiple events and circumstances to coordinate a response.
• Ability to integrate information gathered from visual, auditory, and other senses and to act accordingly (e.g., presence of diabetic supplies, unusual odors, patient's Do Not Resuscitate (DNR) directive etc.).
• Ability to anticipate changes in conditions and circumstances and adapt approach accordingly.
• Ability to assess and evaluate the risk involved in EMS operations and/or specialized response and to perform accordingly.
• Ability to draw logical conclusions from a body of facts (e.g., evaluating appropriateness of subordinates' response to medical emergencies).
• Ability to determine the tools, equipment, supplies, and procedures appropriate to the situation during an emergency response.
• Ability to apply the correct treatment protocol to a particular victim's/patient's situation.
• Ability to integrate information from non-SFFD sources (e.g., police, hospital) with SFFD rules, regulations, and procedures.
• Ability to incorporate new material (e.g., new treatment protocol) through listening to information from others (e.g., presented in training classes).
• Ability to recall information learned in training for use in performing/supervising emergency response activities.
• Ability to use information obtained during an EMS response to instruct/coach/counsel subordinates.
• Ability to extract information from manuals and to apply to training, EMS response, and investigative activities.
• Ability to comprehend and learn from SFFD and EMSA manuals, training bulletins, and other professional publications.
• Ability to read and interpret written material available in EMS training, in manuals, or in material found at the scene of an emergency response.
• Ability to use basic arithmetic operations (i.e., addition, subtraction, multiplication, and division) in order to make necessary calculations (e.g., drug dosages based upon body weight).
• Ability to retain and accurately describe circumstances, conditions, and events that are observed throughout an emergency response.
• Ability to clearly express the expected standards of performance to subordinates.
• Ability to determine whether subordinates understand treatment protocols and directions by observing subordinates' behaviors.
• Ability to assess capabilities of subordinates and to assign them appropriately.
• Ability to assess whether a subordinate is experiencing stress or having difficulties that require help or referral.
• Ability to advise and counsel subordinates who are having difficulties about how they can improve.
• Ability to resolve disputes among subordinates or between self and subordinates.
• Ability to assume command of medical operations at multi-casualty incidents.
• Ability to remain calm, make decisions and to give clear directions when under pressure or in an emergency.
• Ability to decide quickly how to treat victims/patients in responding to emergency incidents.
• Ability to take initiative in making decisions in the absence of a superior officer.
• Ability to allocate resources according to the needs of the situation.
• Ability to coordinate emergency response activities with personnel from other agencies (e.g., police, highway patrol, other EMS providers, Red Cross, etc.).
• Ability to recognize limitations of authority and act accordingly.
• Ability to recognize situations that may compromise ethical standards.
• Ability to present and promote a professional image of the SFFD and EMS Division.
• Ability to carry out activities in a manner that serves as a model for other personnel, presenting positive command image.
• Ability to consistently apply policies in a fair manner.
• Ability to effectively work as part of a team.
• Ability to recognize and correct deficiencies in their own work.
• Ability to accept feedback when having their work (actions) critiqued in an appropriate manner.
• Ability to control personal feelings and to demonstrate respect.
• Ability to recognize the legitimacy of the viewpoints of others.
• Ability to select, organize, and present information in writing in a logical order.
• Ability to write a report that describes in concise and objective terms what was observed during an emergency response.
• Ability to maintain daily journal in a legible, concise, and chronological order.
• Ability to follow instructions to complete forms including those on-line, in a timely, concise, and accurate manner.
• Ability to use proper English grammar, spelling, punctuation and structure in written communications.
• Ability to use common computer technology (e.g., e-mail, word processing, internet).
• Ability to use current SFFD reporting software.
• Ability to review written reports and identify deficiencies.
• Ability to read and interpret written messages and dispatches.
• Ability to read and interpret maps in order to locate addresses, hospitals, etc.
• Ability to transmit messages clearly, concisely, and according to proper procedure using equipment such as radio or telephone.
• Ability to speak clearly at all times.
• Ability to question patients and others in tactful way to obtain the information needed to address the situation.
• Ability to communicate with and calm victims/patients and their friends or relatives.
• Ability to explain procedures to people who are upset, distressed, and anxious.
• Ability to explain reasons for action so that all will cooperate.
• Ability to explain or present arguments in support of actions, conclusions, or recommendations.
• Ability to communicate verbally with people from a wide variety of backgrounds.
• Ability to understand verbal communications from others.
• Ability to explain information and procedures in manuals and books to subordinates.
• Ability to communicate problems with equipment/supplies to others.
• Ability to explain technical information in a way that is understood.
• Ability to speak in a polite and courteous manner.
• Ability to apply muscular force over time or over a number of repetitions (e.g., carrying patient).
• Ability to operate tools and equipment used in EMS activities (e.g., defibrillator).
• Ability to withstand overall body fatigue and exhaustion while physically working for periods of time in stressful or uncomfortable conditions (e.g., during large-scale emergency response operations).
• Ability to bend or stretch the body limbs and work in awkward or contorted positions while performing/supervising EMS functions (e.g., during vehicle extrication).
• Ability to maintain the body in a stable position while performing EMS functions and to resist forces that would result in loss of balance (e.g., during cliff rescue).
• Ability to coordinate movements precisely that involve the hands, arms, legs, and/or body (e.g., transporting victim/patient on a gurney).
• Ability to perform coordinated, steady, and accurate actions involving wrists, hands, and/or fingers (e.g., establishing IV/I0 access).
• Ability to maintain cardiovascular fitness over time.
• Ability to perform Cardiopulmonary Resuscitation (CPR).
• Ability to drive in a safe and responsible manner.

3.1.2 How does this help you?

Review and familiarize yourself with the job tasks, knowledge areas, and abilities presented in the above sections. Doing so should help you better prepare for the upcoming EMS Captain promotional process. As discussed, job analysis information is used to support the development of assessments used in the selection process. The development of the actual assessments will approximate the behaviors that EMS Captains in your department currently perform. Thus, the exam components will measure these areas and requirements of the EMS Captain position.

Take time to carefully read through the tasks included for each of the job duty areas and familiarize yourself with these items. Assess your comfort level and understanding of the behaviors that would be required of you if you were to perform these job duties. From your review, think through job tasks for which you may need further preparation. Similarly, review the knowledge, and ability areas to identify those for which you may wish to improve or refine.

4. Your Promotional Written Exam

This section provides you with an overview of what to expect for the Written Exam. Take time to familiarize yourself with each of the areas below, understanding the basic set-up, typical scenarios, task clusters potentially simulated, and the dimensions that are typically measured.

4.1 What is the Written Exam (WE)?

The Written Exam relates to clinical/operational issues such as Disaster Procedures, Incident Command System, etc., which intertwine with clinical decisions that an H033 Rescue Captain needs to know.

The exam format will be the following: Multiple-choice Questions

The candidate will be instructed to choose from a series of four to five response options in a multiple-choice format. Candidates will receive a maximum of 2 points on a given question if they choose the correct response option identified by SFFD SMEs.

4.2 Sample Item

Below is a sample item from a Written Exam. This item is intended to show candidates the basic format of the items and the way in which they will be scored.

Multiple-choice Question - Which of the four options (a, b, c, or d) is the correct response to the scenario?

Sample Written Exam Item #1

Multiple-choice Question:

How much blood volume can an average healthy adult lose before the patient’s systolic blood pressure drops and they become hypotensive? (Prehospital Trauma Life Support PHTLS 9th edition)

a) 10%-15%

b) 20%-25%

c) 30%-40%

d) More than 50%

Correct Answer: Option C: 30%-40%

Points for choosing the correct answer: 2

Sample Written Exam Item #2

Multiple-choice Question:

You are the officer at Station 49. A member is fifteen minutes late for the start of their shift. This is the first time this member has been tardy. What is the appropriate response. (SFFD Rules & Regulations, Article 3928, CA Firefighter Procedural Bill of Rights)

a) Verbal coaching: Identify the problem. Review SFFD rules regarding being on time. Discuss the impact that being late has on the rest of the system. Come up with a plan to prevent lateness in the future. Follow up by making sure member is on time for future shifts.

b) Documented member conference: In documentation identify the problem, review SFFD rules regarding tardiness, during conference discuss the impact that being late has on the rest of the system. Come up with a plan to prevent lateness in the future. Instruct member to sign the documentation after the member conference. Follow up by making sure member is on time for future shifts. Send documentation to EMS1.

c) Write a General Form to CD-1 recommending formal discipline for violation of SFFD Article 3928. Do not discuss with the member.

d) None of the above

Correct Answer: Option A: Verbal coaching: Identify the problem. Review SFFD rules regarding being on time. Discuss the impact that being late has on the rest of the system. Come up with a plan to prevent lateness in the future. Follow up by making sure member is on time for future shifts.

Points for choosing the correct answer: 2

4.3 Suggested Reference List

Candidates should be familiar with all SFFD General Orders and Training Bulletins, as well as the SFFD manuals and other references listed below. Exam material may be drawn from the materials listed below. It may also be based on the collective EMS experience of subject matter experts.

• American Heart Association Advanced Cardiac Life Support (ACLS) provider manual 2020 edition
• American Heart Association Basic Life Support (BLS) provider manual 2020 edition
• American Heart Association Pediatric Advanced Life Support (PALS) provider manual 2020 edition
• Basic Trauma Life Support for Advanced Providers
• Department of Transportation Emergency Response Guidebook
• Disaster Operations Manual
• EMSA San Francisco County Policy Manual
• EMSA San Francisco County Treatment Protocols
• High Rise Manual
• Incident Command System Manual
• Injury & Illness Prevention Program Manual
• Maps and Thomas Guides to City
• Multi-Casualty Incident (MCI) Management Policy, SF EMSA Policy 8000
• Paramedic Care: Principles & Practice, Volume 1-5, 5th edition
• Prehospital Trauma Life Support (PHTLS) 9th edition
• SFFD 2013 Firefighter Rehabilitation Policy
• SFFD 2016 Fire Dept. Operations at Tactical Law Enforcement and Active Shooter Incidents
• SFFD EMS Standard Operating Procedures manual
• SFFD Rules & Regulations
• Tactical Emergency Critical Care (TECC) 2nd edition
• Transit Manual

5. Administration of the Written Exam (WE)

5.1 Location and Sign-in

The Written Exam is tentatively scheduled to be administered to all candidates on tentatively on Wednesday, May 13, 2026. Exam appointment notices will be sent via email approximately ten (10) days before the Written Exam is administered. The Written Exam will be held at:

Holiday Inn - Golden Gateway
1500 Van Ness Avenue
San Francisco, CA 94109

At sign-in, your identity will be verified against your picture identification (either Driver License or Department ID). Your picture ID will be collected and returned following your participation in the exam.

5.2 Applicants with Disabilities

Applicants with disabilities requiring reasonable accommodation for this examination process must contact DHR as soon as possible, but no later than April 20, 2026, by email to DHR- publicsafety@sfgov.org or, if hearing impaired 415.557.4810 (TDD).

5.3 Dress Code

There is no dress code for the administration of the Written Exam.

5.4 Test Format

The test will be administered in a paper-and-pencil format. You will be provided the following:

• two number two pencils (extra pencils will be available upon request)
• multiple-choice question booklet with an answer sheet
• calculator
• scratch paper

5.5 Time Limit

The anticipated time limit for this exam is two and a half (2 ½) hours. The test time will be displayed via a countdown timer on screen in the test room.

5.6 Prohibited Items

Certain items are prohibited during the assessment, including any and all electronic communication devices (this includes cellular phones, tablets, iPods, smart watches, recording devices, etc.), any large bags or portfolios (including backpacks and the like where paperwork or electronic devices could be hidden), food, and paperwork of any kind (e.g., policy manuals, previously prepared notes, notepads, etc.). These items will be collected from you when you register for the test and returned to you following your participation in the test.

You are prohibited from videotaping, audiotaping, or taking pictures as these methods capture test content. Please notify PST staff if you have any of these items as they must be stored until you are discharged from the test center. You must turn off your devices. You may place smaller devices in lockers. For larger devices, a card with your name will be attached via rubber band to the device. These items will be placed on a prohibited items table that will likely be located outside of the main holding room. Please note that this table is not in a secure area. For this reason, it is highly recommended that you leave such items, as well as any personal items, in your vehicle, or at home. The City will not be responsible for any lost or damaged devices.

Anyone caught with a prohibited item during testing is subject to disqualification and other penalties up to and including departmental disciplinary action and ineligibility for future promotional opportunities. Having a device in one’s possession that is “turned off” does not exempt a candidate from such consequences. You may not use any materials/devices during the Written Exam other than what is provided to you by PST including any external documents or notes.

You may bring a bottle of water. A regular wristwatch is okay to wear, but you may not use any watch that has an audible alarm or tone which could distract others. Apple Watches or other smart watches with photographic or communication capabilities are not allowed.

5.7 Exam Rules and Confidentiality

Please keep in mind that both the content and nature of the assessment components are confidential. Therefore, to participate in the test you will be required to sign a confidentiality agreement prior to the administration of all test components. There will be no exceptions to this requirement. By participating in the promotional process you must agree to keep the contents of the assessment confidential. Also, you may not take any of your notes or exercise instructions with you when you leave the assessment - you must turn in all materials once you have completed your test or assessment center exercise. You should not discuss the contents of the assessment with anyone, including other candidates (even those who have already participated) or individuals of a differing rank (whether they are participating or not). If any proctor, fire department employee, or City employee observes you discussing the content of the assessment with another candidate, you may be disqualified from current and future promotional opportunities. Further, aiding another candidate will tend to reduce your chance for success.

6. Your Assessment Center (AC) Components

For each test component, you will assume the role of EMS Captain “Chris Candidate”. The goal of the test exercises is to evaluate candidates’ abilities to apply their knowledge of department policies, procedures, best practices, and operations. This hopefully will produce an eligible list that reflects candidates’ relative abilities and readiness to perform if appointed to an H033 position. Again, these attributes were identified in the job analysis (see section 3.1 Job Analysis above) as important and required to perform the job of an H033 EMS Captain. In other words, they link directly back to the job analysis information.

The competencies that MAY be measured by the exercises are linked to the following clusters:

• Technical Knowledge
• Analysis and Judgment
• Learning and Recall
• Supervision
• Leadership
• Reading and Written Communication
• Oral Comprehension and Communication

6.1 Overview of the AC

The AC consists of three parts, “tactical” exercises wherein you will be in the role of an H033 Rescue Captain overseeing the field delivery of medical care. The stimulus material for the exercises will be provided to you in written, video, and audio formats. Each exercise will be driven by audio or video which will instruct you when to respond aloud to the information provided. Your responses will be recorded for later presentations to assessors for evaluation.

6.2 Sample Candidate Video and Narration

Watch a video demonstrating a candidate presentation with narration.

This is an example of a video you may see on the test.

The narration below is similar to what you can expect to hear on the day of the test.

Sample Audio Narration:

“This is the H033 Performance Exercise.

“You will now participate in a role-play scenario. In this scenario, you are Rescue Captain, Chris Candidate, currently assigned to RC100 at Fire Station 200.

“During the scenario, you will be shown images. You will be told how much time you have to review materials and to respond to questions. You will be told when to respond verbally to the evolving scenarios including when to start and stop your responses. Response periods will vary from 1 to 2 minutes.” Because your verbal responses will be recorded, you must ensure that you speak clearly when responding. Please note that new information will be introduced only after subsequent response periods and not during the response period. Everything that you know about the scenario will be based on the information provided.

“The following materials are provided for your use when responding to the exercise:

• MCI Board
• Two (2) photos
• Overhead street map
• Status Board
• EMT3 Go Kit MCI management materials
• Lined notepaper
• Calculator
• Pens/Pencils

“If you are missing any of these materials, immediately tell your proctor. All other information that I provide to you will NOT be in a written form. Therefore, it is important that you take notes so that you can make appropriate decisions regarding the information.

“The lined notepaper is for your use during the Exercise. You may request additional notepaper from your proctor at any time.

“You are free to draw or make notes on the MCI Board, photos, street map, status board or notepaper as an aid for you to track your actions. However, any notations on the MCI Board, photos, street map, status board or notepaper will not be scored.

“When you arrive on scene, you will verbally provide an initial report and indicate what, if any, actions you will take at that time. Any description of actions should include relevant information such as what you will do, assignments that you make to companies on scene, additional resources that you request, and why you need those resources. Remember that your verbal responses must be clear so that the raters can understand what you are saying.

“You will hear the initial dispatch. You will give an initial report, assume your role, and interact with additional companies as they arrive on scene.

“It is recommended that you specify the resource to which you are assigning a task and track your assignments as you make them. You will not receive credit for assigning tasks to resources that have not arrived on scene. If you request a resource that is not listed in the dispatch, you must specify the tasks that will be performed by that resource upon arrival. If you lose track of existing resources and double assign them, you will not receive credit for either assignment. However, if you have two resources available to you, (for example: Medic-105 and Medic-107), and one task to assign, you may assign the task to either resource and be correct.

“The resources included in the initial dispatch will reflect an initial response assignment. At any time after you begin your verbal response to the test questions, you may call for additional resources as you deem necessary.

“After the exercise is over, the proctor will collect all of your test materials, including your notes.

You now have two minutes to review and/or begin making notes on the Dispatch Schematic, the photos, the map, the status board or your notepaper. We will begin the scenario in two minutes. Begin your review now.”

[Candidate gets two minutes to review the documents.]

6.3 Suggested Reference List

Candidates should be familiar with all Fire Department General Orders and Training Bulletins, as well as the Fire Department manuals and other references listed below. Test material may be drawn from the materials listed below. It may also be based on the collective fire service experience of subject matter experts.

References:

• American Heart Association Advanced Cardiac Life Support (ACLS) provider manual 2020 edition
• American Heart Association Basic Life Support (BLS) provider manual 2020 edition
• American Heart Association Pediatric Advanced Life Support (PALS) provider manual 2020 edition
• Basic Trauma Life Support for Advanced Providers
• Breathing Apparatus Manual
• Communications Manual
• Department General Orders
• Department of Transportation Emergency Response Guidebook
• Disaster Operations Manual
• EMSA San Francisco County Policy Manual
• EMSA San Francisco County Treatment Protocols
• Hazardous Material Operating Guide
• High Rise Manual
• Incident Command System Manual
• Injury & Illness Prevention Program Manual
• Managing Employee Performance Manual and Procedures Guidebook
• Maps and Thomas Guides to City
• Multi-Casualty Incident (MCI) Management Policy, SF EMSA Policy 8000
• Paramedic Care: Principles & Practice, Volume 1-5, 5th edition
• Prehospital Trauma Life Support (PHTLS) 9th edition
• SFFD Rules and Regulations
• SFFD 2013 Firefighter Rehabilitation Policy
• SFFD 2016 Fire Dept. Operations at Tactical Law Enforcement and Active Shooter Incidents
• SFFD EMS Standard Operating Procedures manual
• Tactical Emergency Critical Care (TECC) 2nd edition
• Transit Manual
• Vehicle Operations Manual

7. Administration of Assessment Center (AC)

7.1 Location and Sign-in

The AC is tentatively scheduled to be administered to all candidates on Thursday, May 14, 2026. A test appointment notice will be sent via email approximately ten (10) days before the exam is administered. All three exercises will be held at: Holiday Inn - Golden Gateway 1500 Van Ness Avenue San Francisco, CA 94109 At sign-in, your identity will be verified against your picture identification (either Driver License or Department ID). Your picture ID will be collected and returned following your participation in the test.

7.2 Sequestering

To protect the security of the tests, candidates with early appointment times will be sequestered until all candidates have registered. Candidates with late appointments will register early and be sequestered until their registration time. Sequestering times will vary for candidates.

7.3 Applicants with Disabilities

Applicants with disabilities requiring reasonable accommodation for this examination process must contact PST as soon as possible, but no later than 5:00 PM on April 20, 2026, by email to dhr-publicsafety@sfgov.org or by phone at (415) 557-4882 or, if hearing impaired (415) 557-4810 (TDD).

7.4 Video Recording

You will be video-recorded so that assessors can evaluate your performance at a later date. A proctor will be outside your test room during the exam to address any technical issues involving the video equipment, should they occur. In the event that there is a technical problem during your test administration, test staff will investigate and resolve the matter as soon as possible. In some cases, the only reasonable remedy might be to re-record a candidate’s performance immediately following the discovery of the technical problem.

7.5 Prohibited Items

You are prohibited from video recording, audio recording, or taking pictures as these methods capture test content and thus violate the integrity of the test. Certain items are prohibited during the assessment and any sequester period including any and all electronic communication devices (this includes cellular phones, tablets, iPods, smartwatches, recording devices, etc.), any large bags or portfolios (including backpacks and the like where paperwork or electronic devices could be hidden) and paperwork of any kind (e.g., policy manuals, previously prepared notes, notepads, etc.).

Please notify City staff if you have any of these items as they can be stored until you are discharged from the test center. You must turn off your devices. You must bring a clear plastic bag with your name on it in which to store your device(s). These items will be placed on a prohibited items table that will likely be located outside of the main holding room. Please note that this table is not in a secure area. For this reason, it is highly recommended that you leave such items, as well as any personal items at home.

The City and County of San Francisco is not responsible for any lost or damaged devices. Anyone who is caught with a prohibited item during testing is subject to disqualification and other penalties up to and including departmental disciplinary action and ineligibility for future promotional opportunities. Having a device in one’s possession that is “turned off” does not exempt a candidate from such consequences. You may not use any materials/devices during the test other than what is provided to you by PST, including any external documents or notes.

A regular wristwatch is acceptable to wear, but you may not use any watch that has an audible alarm or tone that could distract others. As indicated above, watches with advanced capabilities are not allowed.

7.6 Test Rules and Confidentiality

You should, of course, maintain silence with other candidates during the test to avoid the appearance of improper behavior. You should have on your desk only the materials that you need to take the test (e.g., test materials, a writing tool, notepaper, etc.). If you have to leave the test room for any reason, obtain the proctor’s permission. Do not bring any food or drinks (water is the only exception) into the test room unless you have received specific permission from the PST.

Since the content and nature of the assessment components are confidential, you will be required to sign a confidentiality agreement prior to the test in order to participate in the test. There will be no exceptions. By participating in the promotional process you must agree to keep the contents of the assessment confidential. Also, you may not take any of your notes or exercise materials with you when you leave the test site. You must turn in all materials once you have completed your test. Failure to do so may result in disqualification.

You should not discuss the contents of the assessment with anyone after the test, including other candidates (even those who have already participated) or individuals of a differing rank (whether they are participating or not). If any proctor, Fire Department employee or City employee observes you discussing the content of the assessment with another individual, you may be disqualified from the current and future promotional opportunities.

7.7 Dress Code

For the AC, you must be attired in Class A uniform consisting of a white shirt, navy blue pants, and boots. Note that the cap is not required and you must not wear any badge, nameplate or insignia.

8. Preparation Methods

In addition to reviewing job areas important to the H033 position and the reference material previously mentioned, it also may be helpful for you to prepare by using one of the approaches discussed below.

8.1 Informal Study Group Method

Some individuals may wish to form a study group to prepare for this assessment. This study group would spend some time individually brainstorming potential assessment content, scenarios, and questions. This could entail the creation of an extensive list of situations/incidents (incidents, supervisory problems, etc.) that an SFFD EMS Captain might face. The group could then review the individual brainstorming lists and combine this information into a master list.

The group might assign these scenarios to group members and each individual could outline several basic testing scenarios. The individuals could also outline general questions related to the scenarios and potentially research (and document) the appropriate responses. The group could submit their scenarios and questions to an administrative lead whose job would be to compile the scenarios into a study guide.

The group could meet to discuss the scenarios. This part of the process is critical. Individuals should share, discuss, and debate their responses. This is a process where real “learning” often occurs, as group members can gain the perspective of others in the group, especially in terms of how they would address a given scenario. For this reason, taking notes during these discussions is recommended.

8.2 Individual Study Method

Many of the recommendations included in the study group method also apply to individual preparation. One could brainstorm scenarios, outline responses related to the scenarios, and research the appropriate responses to these scenarios. This information then could be compiled into a study guide and used to prepare for this assessment.

If you choose to prepare on your own, you might try to network with others conducting a similar method of preparation. You can share your study guide with others in advance of the assessment administration and review the study guides created by other individuals.

While some individuals who engage in individual preparation may feel that they are potentially benefitting their “test competitors” by sharing a well-prepared study guide, it is nevertheless important to note that reviewing study guides and scenarios prepared by others provides one with an opportunity to explore perspectives that one otherwise might not consider when addressing an incident. In other words, it allows one to obtain the “best” information from others’ study guides for incorporation into one’s own guide. Individuals who prepare this way can spend the last few weeks before the assessment to continually review their revised study guide.

Note that these methods require no cost and simply rely on ingenuity, effort, and the cooperation of others.

8.3 General Strategies

8.3.1 Expectations of an SFFD H033 EMS Captain. Familiarize yourself with the roles and responsibilities of an SFFD H033 EMS Captain. Review the job analysis section presented earlier in this study guide. This will help you learn as much as you can about the position and what will be expected of you. The examination may ask you questions regarding how you will handle supervision and other issues as a supervisor. Therefore, it is important to understand what duties you will be responsible for in this role.

8.3.2 Reference List. Review the suggested reference list as this may help you learn proper ways to respond to various situations that may be presented in the exam.

8.3.3 Practice. Practice by creating hypothetical exam scenarios/questions, either alone or with a group, and preparing your responses and answers to those questions/situations.

Diligent preparation for this assessment will help you succeed; however, there are other considerations that can affect your performance on the day of the assessment such as:

8.3.4 Your Physical Well-being. If you can, get a good night’s rest before the assessment and eat right. Try to ensure that you are in the best possible condition, both physically and mentally on the day of the assessment. Candidates in public safety promotional processes across the U.S. often work the day before or even the day of testing. Plan ahead and think how you can put yourself in the best possible situation for the assessment.

8.3.5 Arrive Early. Make all necessary arrangements to ensure that you arrive early at the exam site. It would be wise to anticipate traffic delays in traveling to the site and to allocate extra travel time to ensure an early arrival even with delays, especially due to the limited parking in the neighborhood of the test center.

8.3.6 Controlling Anxiety and Stress. Many candidates experience anxiety as a result of the stress and pressure to perform well on the assessment. This is a common and natural response. Understanding this anxiety is important. This anxiety is sometimes displayed in individuals as tension or even anger (e.g., on edge, quick to be set off, etc.). Again, acknowledging these feelings may help you to relax and put yourself in a better mindset for taking the assessment. As much as possible, you need to have a positive attitude on the day of the assessment.

8.4 General Exam Taking Strategies

There are several strategies and tips to keep in mind when taking the exam that will ensure your test score is accurate and reflects your level of knowledge about the job.

1. Review all written material carefully. Scan all the material before you start. This may include the instructions, the test stimulus material, and test questions. Then read everything carefully. Underline key words and/or phrases. Be sure that you understand what you are being required to do.
2. Listen carefully. The exam administrator will provide you with complete instructions for taking the exam. Be sure that you pay close attention to all test instructions. It is extremely important that you completely understand the directions before the exam begins.
3. Ask questions. If there are instructions that you do not understand or if something is not clear, please feel free to ask the exam administrator any questions that you may have before the exam begins.
4. Keep track of time. For the written exam, it is important that you keep track of your time so that you are able to pace yourself throughout the exam. You want to have enough time to answer all the questions. It is important that you allot a few minutes of time to guess on unanswered questions at the end of the exam. Remember that the test time will be displayed on screens in the test room.
   
   For the PE exam, budget your time and pace yourself. You must track your time so that you are able to pace yourself throughout the exam. You do not want to run out of time and leave parts of the test unaddressed. You should allot a few minutes of time for one last review of your work at the end of the exam. The PE will be video driven with a count-down timer on screen during response periods. The test administrator will make announcements regarding remaining test time for the ME.
5. Remain calm. It is important that you remain calm throughout this exam so that you are able to work most effectively. You can’t allow yourself to become nervous or confused by a few difficult or challenging items. There are going to be times when you are not going to know the answer, and neither will other individuals taking the exam.
6. Read each question carefully (written exam). Be sure that you understand what the question asks of you.
7. Answer easy questions first (written exam). It is important that you answer the easy questions first on this exam. By doing so, you will afford yourself more time to spend on the difficult questions if necessary. Seek out questions you can answer. If there are particular kinds of questions with which you feel most comfortable, answer those questions first. For example, if you are particularly good at questions in a specific content area, then find those items first and complete them.
8. Don’t waste time on questions you can’t answer (written exam). If you believe that you are not able to answer a question, then skip it. It is better to skip a difficult question than to spend a lot of time on it and not be able to complete other exam questions.
9. Mark your exam booklet (written exam). Mark in your exam booklet those questions that you have skipped so that you are able to come back to them later in the exam. Marking questions that you have skipped in your test booklet will help to ensure that you have answered all the questions by the time the examination period has ended. That said, you will be required to mark all final answers on your answer sheet for the multiple-choice questions and to handwrite your answers on the open-ended question booklet.
10. Use a process of elimination (written exam). If a situation presents itself in which you are unable to answer a question, use a process of elimination to narrow your options. First, eliminate any answers that are clearly not the best response. Then determine how you feel about the remaining choices. If you believe that some answers are more correct than others, indicate that on your exam multiple-choice booklet. Later in the exam, you may have an opportunity to come back to these questions and answer them without having to read the entire question again.
11. Guessing. It is important that you try to get as many points as possible on the examination. Points are given for correct answers only. Because there is no penalty (i.e., points deducted) for guessing on this exam, you should try to answer every question. By leaving yourself enough time at the end of the test to fill in unanswered questions using your "best guess," you will increase the possibility of getting a few of them correct.

Use your time. If you finish the exam before the time period is over, review your answers and make any changes that are necessary. Also, for the written exam make sure that you have marked your answers to the multiple-choice questions on the answer sheet correctly. Be sure that you have attempted to address every question and/or issue.