Title Page
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Conducted on
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Instructor Name
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Staff Member (Trainee)
WI TI-001 - Inflator (Milwaukee)
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Has the Staff Member read and understood the Work Instruction: WI TI-001 Inflator (Milwaukee)
Demonstration by Instructor
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Instructor has demonstrated the correct use per WI TI-001 to the staff member? (Show)
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Comments (if required)
Coaching by Instructor to Staff Member
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Instructor has coached the staff member in correct use per WI TI-001? (Coach)
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Comments (if required)
Independent use of Tool by Staff Member
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Staff member has used tool independently and assessed by Instructor as competent? (Assess)
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Comments (if required)
Overall Assessment Result
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Overall Assessment Result: Competent in Independent use of this Tool?
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Comments (if required)