Regulation
s Standards
and Industry
requirements
Is
behaviour
observed?
Assessor’s Notes
Y
es
N
o
<Insert what it is the Assessor will be looking for during the
demonstration of the task>
<List any
standards,
policies or
procedures
to be
observed
during task>
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Page 45 of 89
© Department of Training and Workforce Development
<insert year>
Version 1,
<insert month year>
Option 1 Sample
Checklist

<insert Qualification Code and Qualification Title>
Section 4 – Practical Tasks and Observation Recording Sheets
Demonstration/Observation Checklist
Cluster/Skill Set
<insert number>
–
<insert of cluster or skill set name>
Task
<insert number>
–
<insert task name>
Candidate’s
name
Assessor’s general comments/observations:
Assessor’s name
Outco
me
(Please
circle)
S
(Satisfactory)
NYS
(Not Yet
Satisfactory)
Assessor’s
signature
Candidate’s
signature
Date
© Department of Training and Workforce Development
<insert year>
Page 46 of 89
Version 1,
<insert month year>

<insert Qualification Code and Qualification Title>
Section 4 – Practical Tasks and Observation Recording Sheets
Demonstration/Observation Checklist
Cluster/Skill Set
<insert number>
–
<insert of cluster or skill set
name>
Task
<insert number>
–
<insert task name>
Candidate’s name
Assessor’s name
Supervisor’s name
(if applicable)
Work activity
<
insert description of practical task to be completed by the
candidate
>
Cluster/Skill Set 1 –
Core units of
competency
Unit code Unit name
Unit code Unit name
Unit code Unit name
Unit code Unit name
Unit code Unit name
Unit code Unit name
Unit code Unit name
<Add or remove units as
required for this cluster or
skill set.>
Assessment
location
Date of
demonstration
Time
Instructions for the Assessor
<
insert any additional information relevant to the practical task to be demonstrated by the
candidate
>
Resources required for this task
Page 47 of 89 © Department of Training and Workforce Development
<insert year>
Version 1,
<insert month year>
Option 2 Sample
Checklist

<insert Qualification Code and Qualification Title>
Section 4 – Practical Tasks and Observation Recording Sheets
Demonstration/Observation Checklist
Cluster/Skill Set
<insert number>
–
<insert of cluster or skill set name>
Task
<insert number>
–
<insert task name>
Candidate’s
name
During the demonstration or observation of skills, did the candidate do
the following?
Y
es
N
o
Assessor’s Notes
<Insert what it is the Assessor will be looking for during the demonstration of the task>
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
© Department of Training and Workforce Development
<insert year>
Page 48 of 89
Version 1,
<insert month year>
Option 2 Sample
Checklist

<insert Qualification Code and Qualification Title>
Section 4 – Practical Tasks and Observation Recording Sheets
Demonstration/Observation Checklist
Cluster/Skill Set


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- Summer '18
- Skill, Vocational education, Registered training organisation, Department of Training and Workforce Development