Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Work Placement Setting
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Good attendance
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Comments on attendance
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Punctuality
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Comments on punctuality
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Overall Presentation
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Comments on appearance and presentation
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Shows interest
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Comments on interest whilst on placement
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Works well as part of a team
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Comments on team work
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Able to follow instruction
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Comments
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Works well under own initiative
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Comments
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Interacts well with clients/children
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Comments
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Completes tasks required
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Comments
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Respectful at all times
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Comments
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Able to deal with problems
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Comments
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Asks for help and advice
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Comments
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Accepts constructive criticism
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Comments
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Listens to others
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Comments
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Supervisor's Comments
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Supervisor's Signature
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Date Completed
Placement Paperwork & Student Experience
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Practice Evidence Records
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Interim Professional Development Profile
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Final Professional Development Profile
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Welfare Issues
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Comments from Student
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WPC Feedback
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Comments from Work Placement Coordinator
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Strengths
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Areas for Development
Action Plan
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Action Plan
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Action points to be completed by
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Any other comments
Authentication
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Student Signature
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Work Placement Coordinator Signature
