EVIDENCE PLAN

OBSERVATION CHECKLISTCandidate name:

Assessor name:

Assessment Center:

Competency Standards:

Unit of Competency:

Instructions for the assessor:

1. Observe the candidate conducting

2. Describe the assessment activity and the date on which it was undertaken.

3. Place a tick in the box to show that the candidate completed each aspect of the activity to the standard expected in the enterprise.

4. Ask the candidate a selection of the questions from the attached list to confirm his/her underpinning knowledge

5. Place a tick in the box to show that the candidate answered the questions correctly.

6. Complete the feedback sections of the form.

Date of observation

Description of assessment activity

Location of assessment activity

The candidate.If yes, tick the box

Did the candidates overall performance meet the standard? Yes No

QUESTIONS

Questions to probe the candidates underpinning knowledgeSatisfactory response

Extension/Reflection Questions YesNo

1.

2.

3.

4.

Safety Questions

5.

6.

7.

8.

Contingency Questions

9.

10.

11.

12.

Infrequent Events

13.

14.

15.

16.

Rules and Regulations

17.

18.

19.

20.

The candidates underpinning knowledge was: Satisfactory Not Satisfactory

Feedback to candidate

General comments [Strengths / Improvements needed]

Candidate signature:Date:

Assessor signature:Date: