Information
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Trainee Name
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Assessor Name
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Conducted on
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Location
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Workplace
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Accepts responsibility for own actions
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Completes duties within guidelines of policies and procedures
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Fulfils duty requirements consistently
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Seeks clarification from supervisors regarding work requirements
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Seeks clarification of unclear instructions
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Uses problem solving skills to negotiate and resolve problems
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Areas of strength
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Areas in need of improvement
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Trainee Signature
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Assessor Signature