Competency Assessment verification for Electrically qualified Technicians - AD HOC Report form - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Electrically Qualified Persons Name being assessed

• Contract

  M&S

  Homebase

  BP

  Morrisons

• Area

• Line Manager

• Purpose of Assessment

  Practical Assessment

  Periodic progress assessment

  Other

• Please give detail

• Length of service

• Years served as electrician

Description of the Assessments undertaken

What has been arranged and record what is to be assessed

• What vocational specifics are you assessing?

• Take photos of the assessed items

  Media

• Record what questions have been asked for verification, with answers given by the Assessed.

• Comments

Results of the Assessment

• Happy for the assessed to continue under the same electrical scope based on the assessment results?

  Yes

  No

  Refer for reassessment

• What date will the person be reassessed?

  Date

• What safety precautions have been put in place for this.

Signature by the assessor

• Signed

  Sign