Supervisor's Comments

  • Good attendance

  • Comments on attendance

  • Punctuality

  • Comments on punctuality

  • Well Presented

  • Comments on appearance and presentation

  • Shows interest

  • Comments on interest whilst on placement

  • Works well as part of a team

  • Comments on team work

  • Able to follow instruction

  • Comments

  • Works well under own initiative

  • Comments

  • Interacts well with clients/children

  • Comments

  • Completes tasks required

  • Comments

  • Applies care value base

  • Respectful at all times

  • Comments

  • Able to deal with problems

  • Comments

  • Asks for help and advice / asks questions

  • Comments

  • Accepts constructive criticism

  • Comments

  • Listens to others

  • Comments

  • Supervisor's Comments

  • Strengths

  • Weaknesses

  • Observation details (if carried out)

  • Supervisor's Signature

  • Date Completed

Student Experience

  • Health and Safety checklist completed?

  • Attendance record up to date?

  • Comments from Student

Action Plan

  • Personal Development / Welfare

  • College Paperwork to complete

  • Comments from Work Placement Coordinator

Authentication

  • Student Signature

  • Work Placement Coordinator Signature

  • Date of Observation

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