Title Page
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Unit Completion Date
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Assessor
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Student
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Job 1 Address
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Job 2 Address
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Job 3 Address
Assessor Checklist
Risk Assessments and Method Statements
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Has a Risk Assessment been completed for job 1
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Location of evidence
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Has a Risk Assessment been completed for job 2
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Location of evidence
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Has a Method Statement been completed for job 1
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Location of evidence
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Has a Method Statement been completed for job 2
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Location of evidence
Additional Photographic Evidence Required.
What 2 pieces of access equipment have been evidenced.
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Ladder
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Location of evidence
What 2 pieces of access equipment have been evidenced?
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Ladder
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Location of evidence
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Tower scaffold or MEWP
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Location of evidence
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Stepladder
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Location of evidence
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Platform
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Location of evidence
Additional Evidence Needed
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PPE Used Correctly
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Location of evidence
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Use of guards, notices, barriers
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Location of evidence
Assessor Feedback and Forward Planning
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Assessor Feedback To Learner
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Forward Planning For Learner
Signatures and Completion
Assessor Signature
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I agree that the information provided here is an accurate account of what has taken place.
Expert Witness Signature
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As the expert witness I can confirm that all the work carried out in this unit has been done by the student named above under my supervision to the required standards.