American Integrated Training Systems, Inc. personnel managed the development of the US Department of Transportation Emergency Vehicle Operator Course (Ambulance) National Standard Curriculum and Train the Trainer courses in 1994 and has been conducting the Train the Trainer courses nationwide ever since. The course duration is 20 hours. The first 12 hours are in the classroom and then the class is divided into two groups. Each group spends 4 hours conducting and evaluating presentations including each participant making a 15 minute presentation.  They then spend 4 hours on the cone course driving range and learning the techniques of commentary driving. Participants normally operate an ambulance and fire apparatus on the cone course. An administrative vehicle, such as an SUV or Crew Cab Pickup Truck is used for the commentary driving. Law Enforcement Officers (LEO's)  attend a separate 4 - 6 hour LEO  academic track and operate vehicles such as an SUV or sedan.

A few years ago, AITS supplemented the ambulance portion of the course with the National Fire Protection Association (NFPA) Standards because many on the people attending the courses are Firefighter/EMT's and operated both ambulances and fire apparatus. The EVOC for their organizations would have to include both fire apparatus and ambulances. NFPA 1002 Standard for Fire Apparatus Driver/Operator Professional Qualifications was adopted by the Department of Homeland Security and is the National Standard.

Classroom , USAF Fire and Emergency Services
Cheyenne Mountain Air Force Station, CO

When the US Coast Guard contracted with AITS to conduct their EVOC training they included Fire, EMS and Police and operators of several other types of special vehicles. The Air Force also sends police officers to the course. The course focuses on how to conduct EVOC and is more an adult education course than a skills building course. Personnel attending the course need to be proficient in operating emergency vehicles when they come to the course. In most cases, people will need to practice a lot more when they return to their organization to improve their proficiency so that they can demonstrate the driving procedures for each type of vehicle that they will use in their training program. AITS provides the documentation such as the USDOT Instructor Guide with the Lesson Plans and the PowerPoint visuals and NFPA 1002 Checklists to conduct EVOC training.

One of the important things that AITS personnel have learned traveling over the United States is that it is absolutely necessary for each organization, regardless of size, to have a solid, set of organizational Standard Operating Procedures (SOP) to use as the foundation for the EVOC. The International Association of Fire Chiefs (IAFC) sample SOP available at their web site, www.iafc.org/vehiclesafety is first class and AITS recommends it as a guide. The procedures are almost identical for all emergency responders and the IAFC sample provides a version of the specific procedures in Microsoft Word that can be edited very easily. AITS demonstrates how to edit these SOP procedures in class.

AITS continues to fine tune the Train the Trainer program as new training materials become available. AITS instructors have the opportunity to see a wide variety of emergency responder organizations - large and small - volunteer and paid. Some organizations have great EVOC programs and SOP's in place and only need some minor revisions while other have no EVOC program and no SOP and find the training materials they receive during the T3 program become the foundation for their EVOC program. AITS provides the EVOC National Standard Curriculum in Microsoft Word and PowerPoint so both can be edited easily to make them appropriate for local use.


Each participant receives the USDOT EVOC Instructor Guide and the AITS Training Resources CD-ROM or Flash Drive with the PowerPoint Visuals for each lesson and several other references


The AITS Training Resources Flash Drive contains the following Information:

1. USDOT Emergency Vehicle Operator  Course (Ambulance) (National Standard Curriculum) MS Wiord

2. PowerPoint visuals for each of the 10 Lessons  in  the EVOC National Standard Curriculum 

3. :PowerPoint Visual Presentation on Decontamination

4. USDOT NHTSA Guide for Interfacility Patient Transfer

4. U.S Fire Administration Developing Effective Standard Operating Procedures for Fire and EMS  Departments.FA-197/1999

5. U.S. Fire Administration, Emergency Vehicle Safety Imitative FA-336/February 2014

6. U.S. Fire Administration, Traffic Incident Management Systems FA-330/March 2012

7.North Carolina  DVD on how to stage emergency vehicles at a crash scene.

8. Defense Safety Oversight Council (DSOC) Firefighter Injury Prevention Course

9. International Association of Fire Chiefs (IAFC) Guide to IAFC Model Policies an Procedures for Emergency Vehicle Safety

10. USDOT Traffic Incident Management Handbook

Each participant receives the
USDOT EVOC Instructor Guide and the
AITS Training Resources CD-ROM or Flash Drive with the PowerPoint Visuals for each lesson and several other references

American Emergency Vehicles (AEV) provides each participant with the Ambulance Crashworthiness Defined CD showing the quality construction of their ambulances.  The CD is also available on line at AEV.com

Classroom was set up in the Station Bay at the Air Force Academy Fire and Emergency Services since the course was conducted for the shift on duty. USAF Police officers also attend this course

Participants move into small groups to solve challenging SOP items

SGT Michael Montgomery, EVOC Instructor, District of Columbia, Fire and EMS describes the route for responding to an emergency call using model vehicles.  U.S. Capitol Police, August 2015

SGT Michael Montgomery, EVOC Instructor, District of Columbia, Fire and EMS describes the route for responding to an emergency call using model vehicles.  U.S. Capitol Police, August 2015

Captain Anthony Wade Detroit Fire Department EMS use model vehicles to demonstrate how he would respond to an emergency call.

Police Officers from Boca Raton, Florida  attend the course to become qualified Instructors for the 40' Mobile Incident Command Vehicle 

Each participant makes a 15 minute practice presentation and receives peer and instructor feedback. MedFlight Columbus, Ohio

AITS Trailer and Rest Area on the Driving Range in Kensington, MD. AITS assisted Kensington VFD in getting a FEMA Grant to conduct this training.

American University Police Department in
Washington, D.C. sent 6 officers to attend
the T3 Course (Law Enforcement Officers Track)
in Kensington, MD

AITS Instructor acting as a spotter at Central Yavapai Regional Training Academy.

Firefighters should also wear their helmet when acting as a spotter - it provides
protection and has reflective tape.

AITS uses the hand signals as shown in the International Association of Fire Chiefs (IAFC)
sample Standard Operating Procedures,

AITS conducted a special EVOC Train the Trainer
for the U.S. Forest Service, Porterville, CA 2016 

US Coast Guard Maritime Security Force (Bomb Dog) SUV on the Serpentine Course Exercise, USCG Air Station, Elizabeth City, NC

EMS Tactical Unit Van on Cone Course, American Samoa

Chief of Samoa EMS, Fuapopo Avegalio, Graham Jamieson (orange cap), AITS Master Trainer, and four of the American Samoa EMS participants who attended the Train the Trainer Course in Pago Pago, American Samoa February 4 - 6, 2012. These instructors then conducted
the first in a series of EVOC courses for their personnel.

U.S. Capitol Police Hazardous Incidents Response Team  Vehicle
on the cone course at RFK Stadium parking lot August 2015.

LifeCare Ambulance on the cone course
at RFK Stadium parking lot August 2015

PMT ambulance  on the Cone Course, Tempe, AZ 

AITS competed and won the FEMA Grant contract
to train 32 Emergency Responders at the
Central Yavapai Fire District Training Center
in Prescott Valley, Arizona

(Left) Driving range at Cape May, NJ. This ambulance from the Town of Hamilton, NJ was equipped with 5 video cameras - Forward, Rear Backup, Interior and each fender.

AITS began seeing more Backup cameras on fire apparatus and ambulances and decided to evaluate what impact they were going to have on EVOC training. The cameras are certainly a plus when in rare circumstances there is no one to act as a spotter/ground guide when backing.

The USDOT Ambulance Curriculum, NFPA 1451 and the IAFC sample SOP all require at least one spotter when backing an ambulance/apparatus and in some instances up to 3 spotters even if the vehicle is equipped with a BUC.

The IAFC SOP also describes a simple set of hand signals for directing the apparatus when backing. AITS found a huge advantage for the Engineer and Ambulance driver when the spotter (s) wore the high visibility vest (HVV) and high visibility gloves. AITS recommended to the IAFC and USDOT that they revise the backing procedures to include having the spotter wear the HVV and gloves and show photos of the hand signals instead of just words.

Emergency Medicine Institute (EMI) , Kingdom of Saudi Arabia 


AITS expanded the agreement with the Emergency Medicine Institute (EMI) in Saudi Arabia.  We are very pleased that EMI could have gone to any place in the world but they came to the United States for the US Department of Transportation EVOC National Standard Curriculum and AITS to help with implementing this course in the Middle East.

AITS sent a team to Riyadh, Saudi Arabia in 2012 to conduct a Train the Trainer (T3) course for the faculty of the Emergency Medicine Institute (EMI). EMI trainers now conduct EVOC throughout the Middle East. The AITS EVOC National Trainer Registry has become the EVOC International Trainer Registry.

AITS has also established an EVOC International Registry for those personnel who attend an EVOC conducted by an AITS trained instructor using the USDOT National Standard Curriculum. EMI has trained over 1200 people in EVOC since July 2012.

All graduates of the EVOC T3 are automatically enrolled in the EVOC International Trainer Registry. They may now offer to enroll personnel who they train using the USDOT EVOC Curriculum supplemented with NFPA 1002 when appropriate in the EVOC International Registry (EVOCIR). Personnel who have previously attended an EVOC may also attend an 8 hour Refresher Course conducted by an EVOCITR Trainer and be enrolled in the EVOCIR. The Courses establish a standard for EVOC and also place the accountability for their actions on all personnel who attend a course. It is certainly worth the $15.00 administrative fee to enroll people in the Registry.   AITS provides EVOCITR Trainers with a Certificate of Completion and Certification Card with a Registry Number

EMI EVOC Training uses the US Department Of Transportation Ambulance National Standard Curriculum.   Personnel who complete the Course are enrolled in the AITS EVOC International Registry 


Remember you only have to avoid one minor crash to pay for the EVOC Training.