Yes no please circle if not originals have the

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Yes No (Please circle) If not originals, have the originals been validated or checked? Yes No (Please circle) Learner’s signature Assessor’s signature Supplementary Oral Questions (optional) – for assessor The below table is for you to document any supplementary verbal questions you have asked the learner to determine their competency. For example, if you are unsure of their answer to a question in the Learner Workbook, you may choose to ask them a supplementary question to clarify their understanding of the relevant criteria. Learner’s name
Assessor’s name Unit of Competence (Code and Title) Date of assessment Question: Learner answer: Assessor judgement: Satisfactory Not Satisfactory Question: Learner answer: Assessor judgement: Satisfactory Not Satisfactory Question: Learner answer:
Assessor judgement: Satisfactory Not Satisfactory Question: Learner answer: Assessor judgement: Satisfactory Not Satisfactory Question: Learner answer: Assessor judgement: Satisfactory Not Satisfactory Feedback for the learner
I have read, understood, and am satisfied with the feedback provided by the assessor. Learner’s name Learner’s signature Assessor’s name Assessor’s signature
Competency record to be completed by assessor This should be used by the trainer/assessor to document the learner’s skills, knowledge and performance as relevant to the overall unit. Indicate in the table below if the learner is deemed competent or not yet competent for the unit or if reassessment is required. Learner’s name Assessor’s name Unit of Competence (Code and Title) Date(s) of assessment Has the learner completed all required assessments to a satisfactory standard? Yes No (Please circle) Has sufficient evidence and information been provided by the learner to prove their competency across the entire unit? Yes No (Please circle) The learner has been assessed as competent in the elements and performance criteria and the evidence has been presented as: Authentic Yes No (Please circle) Valid Yes No (Please circle) Reliable Yes No (Please circle) Current Yes No (Please circle) Sufficient Yes No (Please circle)
Learner is deemed: Not yet competent Competent If not yet competent, date for re-assessment: Comments from trainer/assessor: Learner’s signature Assessor’s signature

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