Title Page

  • Conducted on

  • Instructor Name

  • Staff Member (Trainee)

WI TI-001 - Inflator (Milwaukee)

  • Has the Staff Member read and understood the Work Instruction: WI TI-001 Inflator (Milwaukee)

Demonstration by Instructor

  • Instructor has demonstrated the correct use per WI TI-001 to the staff member? (Show)

  • Comments (if required)

Coaching by Instructor to Staff Member

  • Instructor has coached the staff member in correct use per WI TI-001? (Coach)

  • Comments (if required)

Independent use of Tool by Staff Member

  • Staff member has used tool independently and assessed by Instructor as competent? (Assess)

  • Comments (if required)

Overall Assessment Result

  • Overall Assessment Result: Competent in Independent use of this Tool?

  • Comments (if required)

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