115 Assessor Feedback and Checklist Sheet

• Unit Completion Date

  Date

• Assessor

• Student

• Job 1 Address
  Address
• Job 2 Address
  Address
• Job 3 Address
  Address
• Job 4 Address
  Address

• For 5357-23/94 has at least 1 job been done on a non domestic property?

  Yes

  N/A

Have electrical faults been identified? (Assess minimum of three from the following)

• Loss of supply

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Overload

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Short-circuit and earth fault

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Transient voltage

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Loss of phase/line

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Incorrect phase rotation

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• High resistance joints

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Component, accessory or equipment faults

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Open circuit

• Job Reference

  Job 1

  Job 2

  Job 3

  Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Signal fault

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

Have suitable diagnostic tests been performed, using the following instruments correctly? (Assess minimum of three from the following)

• Voltage indicator

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Low-resistance ohmmeter

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Insulation resistance testers

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• EFLI and PFC tester

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• RCD tester

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Tong tester/clamp-on ammeter

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Phase sequence tester

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

• Other appropriate

• Please list other equipment

• Job Reference

  Select Job 1 Job 2 Job 3 Job 4

  • Job 1
  • Job 2
  • Job 3
  • Job 4

• Location of evidence

• Location of evidence

• Location of evidence

• Location of evidence

Has Test Certificates Been Fully Completed

• Job 1

  EICR

  EIC

  Minor Works

• Job 2

  EICR

  EIC

  Minor Works

• Assessor Feedback To Learner

• Forward Planning For Learner

Assessor Signature

• I agree that the information provided here is an accurate account of what has taken place.

  Sign

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.

  Sign