Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
    Training details
  • Trainee Name :

  • Assesor Name:

  • What task specific training is being assessed?

  • What equipment is involved ?

  • Who trained the employee how to carry out the work safely ?

  • Has the employee received training in this task before? (formal or informal)

Verbal theory questions- trainee to answer

  • What hazards does the task involve ?

  • What protective equipment have you been provided to carry out the work safely?

  • How do you raise the alarm?

  • Do you know how to check the machine/equipment is safe ?

  • Do you feel competent to carry out the work safely ?

  • Do you require further training?

Practical assessment- Assessor to observe the trainee work and answer the below questions.

  • Has the trainee entered their place of work according to the safe system of work?

  • Is the trainee wearing appropriate protective equipment ?

  • Did the employee check equipment is safe before use?

  • Has the employee demonstrated an ability to work safely for an extended period of time

  • How would you rate the trainee's work on a scale between 1 and 10 ?

  • Is the trainee safe to work unsupervised ?

  • Evaluation
  • Has the trainee taken time to ask any questions?

  • Trainee signature

  • Assessor 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.