OBSERVATION CHECKLIST

Candidate 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 knowledge

Satisfactory
respon
se

Extension/Reflection Questions

Yes

No

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Infrequent Events

13.

14.

15.

16.

Rules and Regulations

17.

18.

19.

20.

Safety Questions

Contingency Questions

The candidates underpinning knowledge was:

Satisfactory

Not Satisfactory

Feedback to candidate
General comments [Strengths / Improvements needed]

Candidate signature:

Date:

Assessor signature:

Date: