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
Supervisor's Comments
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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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Well Presented
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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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Applies care value base
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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 / asks questions
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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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Strengths
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Weaknesses
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Observation details (if carried out)
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Supervisor's Signature
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Date Completed
Student Experience
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Interim Report completed?
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Health and Safety checklist completed?
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Attendance record up to date?
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Ten key themes added to?
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Comments from Student
Action Plan
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Personal Development / Welfare
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College Paperwork to complete
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Comments from Work Placement Coordinator
Authentication
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Student Signature
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Work Placement Coordinator Signature
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Select date
