Supervisor Competency Assessment

• Conducted on

  Date

• Name of assessed leader:

• Name of assessor:

• Location
  Address

• Project name/number and summary of type of work at the site:

• 1. The signatures below confirm that the assessed person has received a debrief on the outcomes and has been given advice or recommendations on their next steps for development. 2. In each competence, the assessor will find points to look for in the Competency Directory, Job Description or the Operational Leaders’ Aide Memoire. 3. A copy of this form and any evidence must be recorded in the individual’s personal folio.

• Supervisor

  Sign

• Assessor

  Sign

Core Skills

• Written communication

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Spoken communication

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Interpreting information

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Team work

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Time management

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• IT skills

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Quality control

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Planning and organising

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Heath, safety &<br>Environment<br>

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Customer service

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Finance

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Decision making

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Leadership skills

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

• Coaching, mentoring

  Standard 1

  Standard 2

  Standard 3, 4, 5

  Needs support

  Evidence not seen

Standard 1 Competencies

• Document Management

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Briefings

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Site Set Up (Transient)

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Managing Site Deliveries<br>

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Incident Management

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Waste management

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

Standard 2 Competencies

• Planning & Survey

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Hand Dig

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Confined Space

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Work at height

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Manual Handling

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Trolleys – Competency Held

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• ALO

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• CRT

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• DCCR

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• NRSWA Unit 15 (SLG)

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Working in the vicinity of OHLE

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

Standard 3 Competencies

• Routine Lifting Operations

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Station working

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Machine Dig

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Level crossings

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

Standard 4 Competencies

• Site Set Up (Depot)

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Complex Lifting Operations

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• RRV

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

Disciplines

• Pway

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Signalling

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Electrical

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Telecoms

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

• Civils & cabling

  Competent

  Needs support (capable)

  Needs support (not yet capable)

  Evidence not seen

Additional Comments or Observations

• Add media

  Media

• Add comment

Advice or recommendations given

• Comment

Comments or feedback from the supervisor

• Comment