Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
- Training details
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Trainee Name :
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Assesor Name:
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What task specific training is being assessed?
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What equipment is involved ?
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Who trained the employee how to carry out the work safely ?
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Has the employee received training in this task before? (formal or informal)
Verbal theory questions- trainee to answer
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What hazards does the task involve ?
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What protective equipment have you been provided to carry out the work safely?
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How do you raise the alarm?
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Do you know how to check the machine/equipment is safe ?
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Do you feel competent to carry out the work safely ?
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Do you require further training?
Practical assessment- Assessor to observe the trainee work and answer the below questions.
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Has the trainee entered their place of work according to the safe system of work?
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Is the trainee wearing appropriate protective equipment ?
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Did the employee check equipment is safe before use?
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Has the employee demonstrated an ability to work safely for an extended period of time
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How would you rate the trainee's work on a scale between 1 and 10 ?
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Is the trainee safe to work unsupervised ?
Evaluation
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Has the trainee taken time to ask any questions?
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Trainee signature
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Assessor signature