• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Participants' Details

  • Candidate's name

  • Assessor's name

  • Enter the date this record is made

SECTION B Competency Conversation record

  • Click to add question

  • question
  • Choose your unit

  • Type question here

  • Type response here. Key points - the candidate's response should evidence the following

  • Indicate if response addresses KP or IR

  • Industry Requirements - this must be evidenced in the candidate's response.

  • Type comments here. Record other key points and examples from conversation. Identify whether a practical assessment is warranted.

SECTION C Practical Tasks and Observation Record

  • Click to add task

  • Question
  • Choose your unit

  • NB: The skills listed below must be verified by a competent assessor through observed demonstrated either in the candidate's workplace as part of the candidate's normal work duty OR as part of a practical assessment/demonstration set by the assessor.

  • Enter task

  • Observable skills in task

  • Skill
  • (This it demonstrate if any preset task.) Check a task below

  • Skill 1

  • Skill 2

  • Skill 3

  • Enter industry requirements and context of and special resources for assessment

  • Enter Assessor's comments

  • Indicate if behaviour observed.

  • Evidences Units:

  • Unit
  • Choose your unit


  • Candidate's signature

  • Assessor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.