Contact Report

Apprentice/trainee Name

Student Number


Contact Date
Contact Type
Activities Conducted
Delivery / Assessment activity - include details of any Training/and or Assessment activity conducted

The following course/s has/have been discussed with the apprentice/trainee together with their supervisor and have been identified that additional work log/on-the-job experience is required
Additional comments (not unit specific)

Employer verification regarding consistent demonstration of workplace tasks:
Contact officer has sighted the completed Work Logs and practical observation sheets signed by the workplace supervisor
I confirm that the apprentice/trainee has consistently demonstrated the ability to perform the workplace tasks as notes in the Training Record to a standard required by our organisation for the following units of competency and support a judgement of competent by Wide Bat TAFE (WBIT representative to list relevant unit/s of competency codes below that the employer/supervisor is verifying)
Signatures of all parties
Employer Representative
WBIT Representative

Privacy Statement
The Department of Education and Training is collecting information on this form to enable assessors in relation to progression and monitoring of the apprentice/ trainee whilst enrolled. Only authorised departmental officers have access to this information. Your personal information will not be disclosed to any other third party without your consent, unless authorised or required by law.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.