Title Page
-
Unit Completion Date
-
Assessor
-
Student
-
Job 1 Address
-
Job 2 Address
-
Job 3 Address
-
For 5357-23/94 has at least 1 job been done on a non domestic property?
Assessor Checklist
Risk Assessments and Method Statements
-
Has a Risk Assessment been completed for job 1
-
Location of evidence
-
Has a Risk Assessment been completed for job 2
-
Location of evidence
-
Has a Method Statement been completed for job 1
-
Location of evidence
-
Has a Method Statement been completed for job 2
-
Location of evidence
Additional Photographic Evidence Required.
What 2 pieces of access equipment have been evidenced.
-
Ladder
-
Location of evidence
What 2 pieces of access equipment have been evidenced?
-
Ladder
-
Location of evidence
-
Tower scaffold or MEWP
-
Location of evidence
-
Stepladder
-
Location of evidence
-
Platform
-
Location of evidence
Additional Evidence Needed
-
PPE Used Correctly
-
Location of evidence
-
Use of guards, notices, barriers
-
Location of evidence
Assessor Feedback and Forward Planning
-
Assessor Feedback To Learner
-
Forward Planning For Learner
Signatures and Completion
Assessor Signature
-
I agree that the information provided here is an accurate account of what has taken place.
Expert Witness Signature
-
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.