Details
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Client Name
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Student ID or DOB
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Assessor Name
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Commencement Date
Methods used to gather evidence
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Observation: The student will be observed by the assessor within the workplace to satisfy that the student is competent in the required area. A check list will be used to document this evidence
Verbal questioning: The student will be questioned by the assessor to obtain a guide of the student knowledge
Third party evidence: Third party report will be supplied by workplace manager or supervisor using the provided third party report. -
The following Questions should be asked of the student before assessment occurs:
- Are you ready for assessment?
-Has the assessment process been explained to you?
-Do you understand which evidence is to be collected and how?
-Have your rights and the appeal system been fully explained to you?
-Do you have and special needs to be considered during the assessment? -
I agree to undertake assessment in the knowledge that the information gathered will only be used for professional purpose and can be accessed by my manger and the RTO
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Students signature:
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Assessor signature:
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Time and Date
Apply basic Safety procedures
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The student understands worksite safety policies and applies to work tasks.
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The student can identify unsafe work hazards and report these to the appropriate person.<br>
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the student understands what to do if machine is to break down in relation to reporting and procedures.<br>
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The student understands what a fire hazard is and who to and how to report this.
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The student understand where and how dangerous goods are contained and stored.
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The student knows how to handle heavy materials as per work place policy
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The student contribute to any WHS meetings and participates where required.
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Location of assessment
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Signature
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Time and Date
Apply emergency procedures
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The student understand the workplace emergency procedures
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the student can identify an alarm and explain what they are for<br>
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The student can locate fire fighting appliances and explain what the different appliances are for.<br>
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The student understand who to report/contacts in the event of an emergency <br>
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The student can locate and fill in a incident report.
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The student understands what to do in a evacuation procedure.
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Location of assessment
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Signature
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Time and Date
Third party evidence
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Students name:
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Supervisors name:
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Copy of report to be inserted here:
Other Evidence
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Third part report is completed and photo attached of completed third party report.
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Add media
Sign off
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Candidate Name:
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Candidate Signature
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Assessor Name:
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Assessor Signature
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Observation
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Questioning