TM TEMPLATES With Guide 2019

Picture of training in your
qualification
Sector : ( your sector)
Qualification Title: ( your qualification)
Unit of Competency: ( your gap)
Module Title:
Logo of your school, name of your school and address

Plan
Training
Session
Date Developed: Document No.

Issued by:
Date Revised:
School Logo Qualification Page i of vii
Developed by:
Name of School
Your Name
Revision #
Data Gathering Instrument for Trainee’s Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that best
describes you as a learner. Blank spaces are provided for some data that
need your response.
Name: ____________________________________ Hypothetical Trainee; highlight answers
Characteristics of learners
Language, literacy Average grade in: Average grade in:

and numeracy English Math
(LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
a. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:

language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________
Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female

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Age Your age: _____
Physical ability 1. Disabilities(if any)_____________________
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify)
__________________
Previous Work experience – related to your

experience with qualification
the topic a.
b.
Number of years as a (work) ______
Previous List down trainings related to (your

learning qualification
experience ___________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
___________________________
completed
___________________________
Special courses Other courses related to qualification

a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________
Learning styles a. Visual - The visual learner takes mental

pictures of information given, so in order for
this kind of learner to retain information,
oral or written, presentations of new
information must contain diagrams and
drawings, preferably in color. The visual
learner can't concentrate with a lot of activity
around him and will focus better and learn
faster in a quiet study environment.
b. Kinesthetic - described as the students in
the classroom, who have problems sitting
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still and who often bounce their legs while

tapping their fingers on the desks. They are
often referred to as hyperactive students with
concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text. Having
to read long texts is pointless and will not be
retained by the auditory learner unless it is
read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities where
they can watch, listen and then review what
has happened.
f. Theorist - Learns most when ideas are linked
to existing theories and concepts.
g. Pragmatist - Learns most from learning
activities that are directly relevant to their
situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)
___________________________

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FORM 1.1 SELF-ASSESSMENT CHECK ( COPY FROM YOUR TR)
INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
BASIC COMPETENCIES
CAN I…? YES NO
1. (Unit of competency)
1.1 (Learning Outcome)
2.
3.
4.
5.

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COMMON COMPETENCIES
CAN I…? YES NO
1.
5.

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CORE COMPETENCIES
CAN I…? YES NO
1.
5.

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Evidences/Proof of Current Competencies
Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation
BASIC/ COMMON/ CORE= entries are sample only; write your own
qualification’s competencies
Basic = basic to all qualifications

Common= common to your sector
Core= of your qualification
Current
Proof/Evidence Means of validating
competencies
BASIC
1. Participate in workplace communication
1.1 Obtain and
convey workplace Certificate of Employment Submitted original COE,
information called up issuing company
1.2 Participate in to verify authenticity,
workplace conducted interview
meetings and
discussions
1.3 Complete
relevant work
related documents
2. Work in a Team environment
2.1 Describe team
role and scope
2.2 Identify own
role and
responsibility
within the team
2.3 Work as a
team member
3. Practice career professionalism

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3.1 Integrate
personal objectives
with
organizational
goals
3.2 Set and meet
work priorities
3.3 Maintain
professional
growth and
development
4. Practice Occupational Health and Safety Procedures
4.1 Identify
hazards and risks
4.2 Evaluate
hazards and risks
4.3 Control
hazards and risks
4.4 Maintain
Occupational
Heath and Safety
COMMON
1.
1.1
CORE
1.
1.1
Certificate of Employment Submitted original COE,
called up issuing company
to verify authenticity,
conducted interview AND
ASKED TO
DEMONSTRATE

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Identifying Training Gaps
From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.
Form 1.3 Summary of Current Competencies Versus Required

Competencies
BASIC/ COMMON /CORE
Required Units of Current Training Gaps/

Competency/ Learning Competencies Requirements
Outcomes
BASIC
1. Participate in workplace communication
1.1 Obtain and convey Obtain and convey
workplace communication workplace
communication
2.
2.1
3.
3.1
4.
4.1

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Competency/Learning Competencies Requirements
Outcomes based on CBC
COMMON
1.
1.1
1.2
Competency/Learning Competencies Requirements
CORE
1.
1.1
1.2
Core - do not fill up the CURRENT COMPETENCIES of your gap;

instead fill up under the column “TRAINING GAP”
Form No. 1.4: Training Needs

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ONLY YOUR GAP ( L.O.)
Training Needs Module Title/
(Learning Outcomes) Module of Instruction
All the L.O’s , highlight your gap
Unit of competency of your
gap, add “ing”

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SESSION PLAN
Sector : T/R
Qualification Title : T/R
Unit of Competency : T/R Gap
Module Title : T/R (Gap)
Learning Outcomes:
After ___ hours of learning activities, the trainees will be able to effectively:
1.
2.
3.
A. INTRODUCTION- Module Descriptor

B. LEARNING ACTIVITIES All the L.O’s of the unit of competency ( your gap)
LO 1:
Learning Content Methods Presentation Practice Feedback Resources Time
PEC provisions on Refer to PTS CBLM Read Information Answer Self- Compare CBLM
installing lighting Modular Self-paced Sheet 1.1-1 title Check 1.1-1 answers
fixtures learning with
Lecture/discussion Answer Key
1.1-1
Demonstration Familiarize Task Perform Task Check
Sheet 1.1-1 title Sheet 1.1-1 performanc
title e using
Performanc

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e Criteria
Checklist
1.1-1
LO 2:
C. ASSESSMENT PLAN- CBC

 Written Test
 Performance Test
D. TEACHER’S SELF-REFLECTION OF THE SESSION ( leave blank)

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COMPETENCY-BASED LEARNING MATERIAL
Picture related to your Qualification
Sector:
Qualification Title:
Unit of Competency:
Module Title:
Name of your School:
Footer: Institution quality assurance logo (TESDA)

And the logo of your institution
HOW TO USE THIS COMPETENCY –BASED

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LEARNING MATERIALS
Welcome!
The core unit of competency, "_________________________", is one of the

competencies of ________________________________________ NC II, a course
which comprises the knowledge, skills and attitudes required for a TVET
trainee to possess.
The module, _______________________________________, contains

training materials and activities related to preparing area for bed making,
performing bed making and performing after care activities of materials and
equipment used for you to complete. This is prepared to help you achieve
the required competency in _________________________ NCII.
In this module, you are required to go through a series of learning

activities in order to complete each learning outcome. In each learning
outcome are Information Sheets, Task Sheets, Job Sheets and Operation
Sheets. Follow and perform the activities on your own. If you have
questions, do not hesitate to ask for assistance from your facilitator.
The goal of this module is the development of practical skills. You

must learn the basic concepts and terminology to gain these skills. For most
part, you will get this information from the Information Sheets.
This will be the source of information for you to acquire knowledge

and skills in this particular competency independently and at your own pace
with minimum supervision or help from your trainer.
You will be given plenty of opportunity to ask questions and practice

on the job. Make sure you practice your new skills during regular work shift.
This way you will improve both your speed and memory as well as your
confidence.
Reminder:

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 Read Information Sheet, perform Task Sheet, Job Sheet or Operation
Sheet until you are confident that your outputs conform to the Self-Check
(Answer Key) and Performance Criteria Checklist that follows the sheet.
Suggested references are included to supplement the materials provided
in this module.
 When you feel confident that you have had sufficient practice to achieve
competency, perform and submit output of the Task Sheet, Job Sheet or
Operation Sheet to your facilitator for evaluation and recording in the
Accomplishment Chart. Output shall serve as your portfolio during the
Institutional Competency Assessment. When you feel confident that you
have had sufficient practice, ask your trainer to evaluate you. The results
of your institutional assessment will be recorded in your Progress Chart.
You must pass the Institutional Competency Assessment for this

competency before moving to another competency. A Certificate of
Achievement will be awarded to you after passing the evaluation.
You need to complete this module before you can perform the module on
_________________________________________.
PARTS OF A COMPETENCY-BASED LEARNING MATERIAL

PACKAGE
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References/Further Reading
Performance Criteria Checklist

Operation/Task/Job Sheet
Self Check Answer Key
Self Check
Information Sheet
Learning Experiences
Learning Outcome Summary
Module
Module Content
Content
Module
List of Competencies
Content
Module Content
Module Content
Front Page
In our efforts to standardize CBLM,

the above parts are recommended for
use in Competency Based Training
(CBT) in Technical Education and
Skills Development Authority (TESDA)
Technology Institutions. The next
sections will show you the
components and features of each part.

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(Qualification Title)
COMPETENCY-BASED LEARNING MATERIALS
List of Competencies
Get from TRAINING REGULATIONS (BASIC, COMMON, CORE)
No. Unit of Competency Module Title Code
1.
2.
3.
4.
5.
6.

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MODULE CONTENT
UNIT OF COMPETENCY
MODULE TITLE
MODULE DESCRIPTOR: CBC
NOMINAL DURATION: T.R/CBC
LEARNING OUTCOMES: CBC

At the end of this module you MUST be able to:
1.
2.
3.
4.
ASSESSMENT CRITERIA: CBC, all the assessment criteria of all the

L.O’s
1.
2.
3.
4.
5.
6.

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LEARNING OUTCOME NO. 4 Your Gap
(LO Title)
Contents: CBC
1.
2.
3.
4.
5.
Assessment Criteria CBC
1.
2.
3.
4.
Conditions CBC
The participants will have access to:
1.
2.
3.
Assessment Method: CBC
1.
2.
3.

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Learning Experiences
Learning Outcome No. (Gap)
(LO TITLE)
Learning Activities Special Instructions
(Copy from the session plan)
Copy the format from the CBLM,

apply your qualification

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Information Sheet _______
(Title)
Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to: SKA,
behaviorally stated or SMART
1.
2.
3.
Time allotment:
Picture related to your qualification

(Introductory Paragraph) stating connection of the topic to the
previous lesson and the main skill to be mastered.
(Body)
- Present a single idea
- Has relevant graphics/illustrations to enhance textual context

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Self- Check ______
(Type of Test) : (Instruction)

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ANSWER KEY ____
1.
2.
3.
4.

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TASK SHEET _____
Title: start with a verb
Performance Objective: Given (condition), ,you should be able to

(performance) following (standard) within ______
hour/s.
Supplies/Materials :
Equipment :
Steps/Procedure:
1.
2.
3.
4.
Assessment Method:

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Performance Criteria Checklist ______
CRITERIA
YES NO
Did you..?
1. √
2. √
3. √
4. √
5.
6.
7.
8.
9.
10.
11.

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JOB SHEET _____
Title: start with a verb

(performance) following (standard) within ___
hour/s.
Equipment :
Steps/Procedure:
1.
2.
3.
4.
Assessment Method:

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CRITERIA
YES NO
Did you…?
1. √
2. √
3. √
4. √
5. √
6. √
7. √
8. √
9. √
10. √
11. √

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OPERATION SHEET _____
Title: start with a verb. Ex. Operate, perform
Title:

(performance) following (standard). SMART
Equipment :
Steps/Procedure:
1.
2.
3.
4.
Assessment Method:

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CRITERIA
YES NO
Did you….
1. √
2. √
3. √
4. √
5.
6.
7.
8.
9.
10.
11.

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Evidence Plan
Competency Your qualification

standard:
Unit of Your Gap
competency:
Ways in which evidence will be collected:
Demonstration & Questioning

Observation & Questioning
[tick the column]
Third party Report
Portfolio
Written
The evidence must show that the trainee…
CBC, assessment criteria; check the
evidence guide from the TR and note the
critical aspects of the competency
 Tools, utensils and equipment are cleaned, √ √
sanitized and prepared based on the required
tasks*
 √ √
 √ √
 √ √









NOTE: *Critical aspects of competency

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TABLE OF SPECIFICATION
# of
Objectives/Content
Knowledge Comprehension Application items/
area/Topics
% of test
All the contents 5/%
35/100
TOTAL
%

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WRITTEN TEST

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Performance Test
(for the whole unit of competency)
Specific Instruction for the Candidate
Qualification
Unit of Competency
General Instruction:
Specific Instruction:

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QUESTIONING TOOL (refer to Plan CBLM page 222)
Satisfactory
Questions to probe the candidate’s underpinning knowledge respon
se
Extension/Reflection Questions Yes No
1. √
2.
Safety Questions
5.
6.
Contingency Questions
9.
10.
Job Role/Environment Questions
13.
14.
Rules and Regulations
17.
18.
The candidate’s underpinning √ Satisfactory Not
knowledge was: Satisfactory

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QUESTIONING TOOL with MODEL ANSWER
Satisfactory
Questions to probe the candidate’s underpinning knowledge respon
se
Extension/Reflection Questions Yes No
1. √
2.
Safety Questions
5.
6.
Contingency Questions
9.
10.
Job Role/Environment Questions
13.
14.
Rules and Regulations
17.
18.
The candidate’s underpinning √ Satisfactory Not
knowledge was: Satisfactory

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Inventory of Training Resources refer to your TR
Resources for presenting instruction
 Print Resources As per TR As per Remarks
Inventory
 Non Print Resources As per TR As per Remarks

Inventory
Resources for Skills practice

 Supplies and Materials As per TR As per Remarks
Inventory
 Tools As per TR As per Remarks

Inventory
 Equipment As per TR As per Remarks

Inventory
Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.

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Facilitate
Learning
Session

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Training Activity Matrix
Venue
Facilities/Tools Date &
Training Activity Trainee Remarks
and Equipment (Workstation/ Time
Area)
Prayer
Recap of Activities 8:00 AM
All to 8:30
Unfreezing Activities AM
trainees
Feedback of Training
Rejoinder/Motivation
observations
(List down all
on the
Facilities/Tools
(Specific Activities of progress of
and Equipment Name of
each Trainee for the each trainee
needed for the Workstation1
day here) for the day
workstation and
will be written
activities here)
here
observations
(Specific Activities of (List down all
on the
each Trainee here) Facilities/Tools
progress of
each trainee
needed for the Workstation 2
for the day
workstation and
will be written
activities here)
here
observations
(List down all
on the
Facilities/Tools
workstation and
will be written
activities here)
here
observations
(List down all
on the
Facilities/Tools
workstation and
will be written
activities here)
here

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Name of Trainer Date start: Date end:
Make sure that your charts are readable.

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Legend:
Name of Trainer Date start: Date end:

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Minutes of the Meeting
Focus Group Discussion
(This is a meeting of Trainers)
Date: ________________________
Agenda:
Competency-based Training Delivery
Present:
1. Your name - Facilitator
2. ____________
3. ____________
4. ____________
CBT Concerns Discussions Resolutions/Agreement

1. CBT Layout
2. Monitoring of
Attendance
3. Utilization of work
area
4. Orientation
a. CBT
b. Roles
c. TR
d. CBLM
e. Facilities
f. Evaluation system
5. RPL
6. Teaching methods
and technique
7. Monitoring of
learning activities
a. Achievement
chart
b. Progress chart
8. Feedback
9. Slow learners
10. Other
concerns
Training Evaluation Report

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1. Title of the Report
2. Executive summary
3. Rationale
4. Objectives
5. Methodology
6. Results and discussion

This is the body of the report. It should contain the following
parts:
Data interpretation
Data analysis
Conclusion
7. Recommendation
PRETEST/POST TEST QUESTIONNAIRE

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PRE- TEST, POST- TEST RESULT ANALYSIS

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OF ___________ TRAINEES
Summary of Report
Rationale
Objectives
Methodology
Presentation of Results and Discussion

Trainee Pre-Test Post Test
Name of Trainees
No. (50 items) (50 items)
Line Graph of the Pre-Test and Post Test Scores
Conclusion

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Supervise
Work-Based
Learning

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FORM 1.1 SELF-ASSESSMENT CHECK (Copy from you PLAN TRAINING
SESSION)
INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
CORE COMPETENCIES
CAN I…? YES NO
1.
2.
6.
7.
8.

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Evidences/Proof of Current Competencies(Copy from you PLAN
TRAINING SESSION)
Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation
Current
Proof/Evidence Means of validating
competencies

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Identifying Training Gaps
From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.
Form 1.3 Summary of Current Competencies Versus Required

Competencies (Copy from you PLAN TRAINING SESSION)
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
1.
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
2.
3.
4.

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Form No. 1.4: Training Needs (Copy from you PLAN TRAINING
SESSION)
Module
Gap Title/Module of Duration (hours)
Instruction

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TRAINING PLAN
Qualification: ____________________________
Pre-training activities ( 1-8) page 21 SWBL
Date
Trainees’ Training Training Mode of Facilities/Tools Assessment
Staff Venue and
Requirements Activity/Task Training and Equipment Method
Time

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Sample MOA ; your institution and your industry partner
(page 25, SWBL)

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Technical Education and Skills Development Authority This Trainees’ Record Book (TRB) is intended to
serve as record of all accomplishment/task/activities
___(your institution)___
while undergoing training in the industry. It will
eventually become evidence that can be submitted for
TRAINEE’S RECORD BOOK portfolio assessment and for whatever purpose it will
serve you. It is therefore important that all its contents
are viably entered by both the trainees and instructor.
The Trainees’ Record Book contains all the
I.D. required competencies in your chosen qualification. All
you have to do is to fill in the column “Task Required”
and “Date Accomplished” with all the activities in
accordance with the training program and to be taken
Trainee’s No._______________ up in the school and with the guidance of the
instructor. The instructor will likewise indicate his/her
remarks on the “Instructors Remarks” column
regarding the outcome of the task accomplished by the
trainees. Be sure that the trainee will personally
NAME: __________________________________
accomplish the task and confirmed by the instructor.
It is of great importance that the content should
QUALIFICATION: _______ be written legibly on ink. Avoid any corrections or
erasures and maintain the cleanliness of this record.
TRAINING DURATION :_______________ (OJT hours only) This will be collected by your trainer and submit
the same to the Vocational Instruction Supervisor (VIS)
and shall form part of the permanent trainee’s
TRAINER: __________________________________ document on file.
THANK YOU!
Instructions:
May 2018 Issued by:
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Developed by:
Your school
Your name
Revision #
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
NOTES:
_______________________________________________________
______________________________________________________
May 2018 Issued by:
Date Revised:
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Unit of Competency: 2 _________________________
(All Core units of competency) Your qualification
Unit of Competency: 1__________________
Your qualification
Learning Task/ Date Instructors

Learning Task/ Date Instructors Outcome Activity Accomplished Remarks
Outcome Activity Accomplished Remarks Required
Required

____________________ ________________
__________________ ______________ Trainee’s Signature Trainer’s Signature
Trainee’s Signature Trainer’s Signature

May 2018 Issued by:
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Your name
Revision #
Unit of Competency: 4 ____________________________
Unit of Competency: 3 __________________________
Your qualification
Your qualification
Learning Task/ Date Instructors Learning Task/ Date Instructor
Outcome Activity Accomplished Remarks Outcome Activity Accomplished s Remarks
Required Required
_____________________ ________________ _____________________ ________________

Unit of Competency: 5_____________________

May 2018 Issued by:
Date Revised:
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Your name
Revision #
NC Level I
Learning Task/ Activity Date Instructors
Outcome Required Accomplished Remarks
______________________ ________________

May 2018 Issued by:
Date Revised:
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Your name
Revision #
TRAINEE’S PROGRESS SHEET
Name : JUAN DELA CRUZ Trainer :

Nominal
Qualification : :
Duration
Training Training Date Date Trainee’s Supervisor’s
Units of Competency Rating
Activity Duration Started Finished Initial Initial
Total Hours
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical
rating or simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a
numerical rating for the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Training Session Evaluation
Instructions:
This post-training evaluation instrument is intended to measure how
satisfactorily your trainer has done his job during the whole duration of
your training. Please give your honest rating by checking on the
corresponding cell of your response. Your answers will be treated with
utmost confidentiality.
TRAINER/INSTRUCTOR
1 2 3 4 5
Name of Trainer: ____________________________
1. Orients trainees about CBT, the use of CBLM
√
and the evaluation system
2. Discusses clearly the unit of competencies and
outcomes to be attained at the start of every √
module
3. Exhibits mastery of the subject/course he is
√
teaching
4. Motivates and elicits active participation from
√
the students or trainees
5. Keeps records of evidence/s of competency
√
attainment of each student/trainees
6. Instill value of safety and orderliness in the
√
classrooms and workshops
7. Instills the value of teamwork and positive
√
work values
8. Instills good grooming √
9. Instills value of time √
10. Quality of voice while teaching √
11. Clarity of language/dialect used in teaching √
12. Provides extra attention to trainees and
√
students with specific learning needs.
13. Attends classes regularly and promptly √
14. Shows energy and enthusiasm while teaching √
15. Maximizes use of training supplies and
√
materials
16. Dresses appropriately √
17. Shows empathy √
18. Demonstrates self-control √

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
This post-training evaluation instrument is intended to measure how
satisfactorily your trainer prepared and facilitated your training. Please
give your honest rating by checking on the corresponding cell of your
response. Your answers will be treated with utmost confidentiality.
Use the following rating scales:
5 - Outstanding
4 - Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
PREPARATION 1 2 3 4 5
1. Workshop layout conforms with the components
of a CBT workshop
2. Number of CBLM is sufficient
3. Objectives of every training session is well
explained
4. Expected activities/outputs are clarified
DESIGN AND DELIVERY 1 2 3 4 5
1. Course contents are sufficient to attain
objectives
2. CBLM are logically organized and presented
3. Information Sheet are comprehensive in
providing the required knowledge
4. Examples, illustrations and demonstrations help
you learn
5. Practice exercises like Task/Job Sheets are
sufficient to learn required skills
6. Valuable knowledge are learned through the
contents of the course
7. Training Methodologies are effective
8. Assessment Methods and evaluation system are
suitable for the trainees and the competency
9. Recording of achievements and competencies
acquired is prompt and comprehensive
10. Feedback about the performance of learners are
given immediately
TRAINING FACILITIES/RESOURCES 1 2 3 4 5

May 2018 Issued by:
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Revision #
1. Training Resources are adequate
2. Training Venue is conducive and appropriate
3. Equipment, supplies, and materials are
sufficient
4. Equipment, Supplies and Materials are suitable
and appropriate
5. Promptness in providing Supplies and Materials
SUPPORT STAFF 1 2 3 4 5
1. Support Staff are accommodating
Comments/Suggestions:
Fill -up
SUPERVISED INDUSTRY TRAINING OR ON-THE-JOB

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
TRAINING EVALUATION FORM
Dear Trainees:
The following questionnaire is designed to evaluate the effectiveness of
the Supervised Industry Training (SIT) or On-the-Job Training (OJT) you
had with the Industry Partner ________________________. Please check (√)
the appropriate box corresponding to your rating for each question
asked. The results of this evaluation shall serve as a basis for improving
the design and management of the SIT in SICAT to maximize the benefits
of the said Program. Thank you for your cooperation.
Use the following rating scales:
5 - Outstanding
4 - Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
Item RATING
Question
No.
INSTITUTIONAL EVALUATION 1 2 3 4 5 N/A
Has (your institution) conducted
an orientation about the SIT/OJT
1 program, the requirements and
preparations needed and its
expectations?
Has (your institution) provided the
necessary assistance such as
referrals or recommendations in
2
finding the company for your OJT?
Has (your institution) showed

coordination with (industry
3 partner) in the design and
supervision of your SIT/OJT?
Has your in-school training
adequate to undertake (industry
4 partner) assignment and its
challenges?
Has (your institution) monitored
5 your progress in the Industry?
6 Has the supervision been effective
in achieving your OJT objectives
May 2018 Issued by:
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Revision #
and providing feedbacks when
necessary?
Did (your institution) conduct
7 assessment of your SIT/OJT
program upon completion?
Were you provided with the results
of the (industry partner) and (your
8 institution) assessment of your
OJT?
FILL UP
Item RATING
Question
No.
INDUSTRY PARTNER 1 2 3 4 5 N/A
Was (industry partner)
1 appropriate for your type of
training required and/or desired?
Has (industry partner) designed
2 the training to meet your
objectives and expectations?
Has (industry partner) showed
coordination with (your institution)
3 in the design and supervision of
the SIT/OJT?
Has (industry partner) and its staff
4 welcomed you and treated you
with respect and understanding?
Has (industry partner) facilitated
the training, including the
provision of the necessary
5 resources such as facilities and
equipment needed to achieve your
OJT objectives?
Has (industry partner) assigned a
6 supervisor to oversee your work or
training?
Was the supervisor effective in
supervising you through regular
7 meetings, consultations and
advise?
8 Has the training provided you with
May 2018 Issued by:
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Revision #
the necessary technical and
administrative exposure of real
world problems and practices?
Has the training program allowed
you to develop self-confidence,
9 self-motivation and positive
attitude towards work?
Has the experience improved your
10 personal skills and human
relations?
Are you satisfied with your
11 training in the industry?
FILL UP
Signature: ________________ Qualification: ________________________

Printed Name: __________________ Supervisor: _______________________
Host Industry Partner: Instructor:
_________________________________ ___________________________________
Period of Training: _______________________________________________
Program Evaluation Interpretation and Analysis

How to compute the average or the mean:

May 2018 Issued by:
Date Revised:
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Your name
Revision #
1. Add the points per item per rater
2. Divide the sum by the total number of raters
Example:
RATER Rating for Rating for

Item 1 Item 2
Rater A 3
Rater B 4
Rater C 5
Rater D 2
Rater E 4
Total points = 18
Number of Raters = 5
Computing for the Average or Mean

Total Points
Average =
Number of Rater
18
Average = ______________
5
Average = 3.6
Range:
0.00 - 1.49 = Poor/Unsatisfactory
1.50 – 2.49 = Fair/ Adequate
2.50 – 3.49 = Good/Satisfactory
3.50 – 4.49 = Very Good/Very Satisfactory
4.50 – 5.00 = Outstanding
Rater A
May 2018 Issued by:
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Revision #
X
of a CBT workshop
2. Number of CBLM is sufficient X
X
explained
4. Expected activities/outputs are clarified X
Rater B
X
of a CBT workshop
X
explained
Rater C
X
of a CBT workshop
X
explained
Rater D
X
of a CBT workshop
X
explained
Rater E
May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
X
of a CBT workshop
X
explained
Summary of Ratings
RATER Rating for Rating for Rating for Rating for

Item 1 Item 2 Item 3 Item 4
Rater A 4 4 4 4
Rater B 4 4 4 4
Rater C 5 5 4 5
Rater D 5 5 4 5
Rater E 4 4 4 4
TOTAL 22 22 20 22
Average Rating
PREPARATION Average
1. Workshop layout conforms with the
4.4
components of a CBT workshop
2. Number of CBLM is sufficient 4.4
3. Objectives of every training session is
4
well explained
4. Expected activities/outputs are clarified 4.4
General Average 4.3
Range:
0.00 - 1.49 = Poor/Unsatisfactory
1.50 – 2.49 = Fair/ Adequate
2.50 – 3.49 = Good/Satisfactory
3.50 – 4.49 = Very Good/Very Satisfactory
4.50 – 5.00 = Outstanding
General Interpretation:

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Based on the results, the supervised-industry training was very good/very
satisfactory having attained a 4.3 average on the preparation aspect. It is
evident that the program was well-prepared and that the trainees were
equipped with the necessary information and guidance on how to go about
with the program.
Recommendation/s:
Though it is clear that the preparation was done well, there is still a room
for improvement especially on the aspects that were not outstanding. I is
still recommended that the institution through the trainer conduct further
enhancement on how to prepare the trainees for on-the-job training. It may
also be good to review the methodologies of the preparation and institute
some changes in order to achieve an outstanding rating.

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Maintain
Training
Facilities

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
WORKSHOP LAYOUT

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
OPERATIONAL PROCEDURE
Equipment Type
Equipment Code
Location
Operation Procedure:
OPERATIONAL PROCEDURE CHECKLIST YES NO

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
Did you?
1. ?
2. ?
3. ?
4. ?
5. ?
6. ?
HOUSEKEEPING SCHEDULE
May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
Qualification Station/Bldg
Area/Section
In-Charge
ACTIVITIES Schedule for the 2nd Semester, 2011
Responsible
(Based on your Person
Daily Every Weekly Every Month Remarks
other 15th ly
qualification) Day Day
1. Clean and check welding
equipment/ accessories
from dust and oil; dry and
properly laid-out/
secured/stable
2. Clean and free welding
booths and welding
positioners from
dust/rust /gums, used Mig
wire stubs and metal
scraps
3. Clean and arrange working
tables according to floor
plan/lay-out; check
stability
4. Clean and check floor,
walls, windows, ceilings
• graffiti/dust/rust
• cobwebs and
outdated/unnecessary
objects/items
• obstructions
• any used
materials/scraps
(slugs, stubs) spilled
liquid
• open cracks (floor)
5. Clean and check work shop
ventilation and
illumination by dusting
lamps/bulbs, replacing
non-functional lamps and
keeping exhaust clean
6. Clean and check computer
set -monitor, CPU,
keyboards, mouse – free,
unnecessary markings,
dust; cables and plugs are
in order; well-arranged; all
items functional
7. Clean, inspect air
conditioning equipment:
• keep screen and filter
free from dust/rust
• Check selector knobs if
in normal positions and
are functional
• Check if drainage is OK
8. Clean, check and maintain
Tool Room
• Free of dust, not damp
• Tools in appropriate
positions/locations
• With visible
labels/signage
• Logbook and forms are
complete, in order and
updated
• Lights, ventilation – OK
School Logo Qualification Date Developed: Document No.
10. Clean and check Rest May 2018
Room Issued by: Page 75 of 61
Date Revised:
• Urinals, bowls, wash
Developed by:
Your school
basins, walls and
partitions are free from Your name
stains, dirt, oils, graffiti Revision #
and unnecessary
objects;
___________ WORKSHOP HOUSEKEEPING INSPECTION
CHECKLIST

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Area/Section In-charge
DAILY TASK YES NO
WEEKLY TASK YES NO
MONTHLY TASK YES NO
REMARKS
Inspected by: Date:
EQUIPMENT MAINTENANCE SCHEDULE

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
EQUIPMENT TYPE
EQUIPMENT CODE
LOCATION
Schedule for the Month of _______
MANPOWER Daily Every Weekly Every Monthly Remarks
ACTIVITIES Other 15th
Day Day
(Based on your
qualification)
1. Check panel board, and
circuit breakers’
electrical connections,
cables and outlets
 Clean and kept dry
 Parts are well-
secured/attached
 Properly labeled
2. Check Mig gun (nozzle,
contact tip, diffuser)
and ground cable:
 Clean and kept dry
 Parts are well-
secured/ attached
 Inspect for damages
and replace parts if
necessary
3. Check adjustment
lever’s if functional
(amperages/speed); if
not, calibrate
4. Check Gas cylinder

outfit for any
abnormality
 Gate valve
 Co2 regulator
 Gas hose Fittings
 Fittings
5. Check/Clean wire
feeder (rollers, wire
speed/spool
adjustment); remove
used oil, dust; keep
dry.
6. Run the equipment for

5 minutes and observe
for unusual noise or
abnormal operation; if
repair is necessary,
send to technician.
EQUIPMENT MAINTENANCE INSPECTION CHECKLIST
Equipment Type :

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Property Code/Number :
Location :
YES NO INSPECTION ITEMS
Remarks:
Inspected by: Date:
WASTE SEGREGATION LIST

Qualification
Area/Section
May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
In-Charge
WASTE SEGREGATION METHOD
General/Accumulated Wastes
Recycle Compose Dispose
TAG OUT INDEX CARD
Description
Date Type
Log Serial (System components, test
Issued (Danger/Caution)
reference, etc.)

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
WORK REQUEST
Unit Description:

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
Observation/s: Date Reported:
Reported by:
Activity: Date completed:
Spare parts used: Signature:
Breakdown / Repair Report
Property ID Number
Property Name
Location
May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
Findings Recommendation
Inspected by: Reported to:
Date: Date:
Assigned to: Received assignment:
Date: Date:
Subsequent Action Taken: Recommendation:
By Technician: Reported to:
Date: Date:
SALVAGE REPORT
AREA / SECTION
IN-CHARGE
FACILITY TYPE PART ID RECOMMENDATION

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
EQUIPMENT RECORD WITH CODE
AND PICTURE
No. Location Eqpt. Qty Title Descrip- Picture

tion
#
1

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
2
3
INSPECTION REPORT A
Property ID No.
Property Name
Location

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Findings: Recommendation:
Inspected by: Reported to:
Date Date
INSPECTION REPORT B
Area/Section
In-charge
PROGRESS/
FACILITY TYPE INCIDENT ACTION TAKEN
REMARKS

May 2018 Issued by:
Date Revised:
Developed by:
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Your name
Revision #
Purchase Request

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
Indicate the amount and purpose

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
UTILIZE
ELECTRONIC
MEDIA

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #
CD

May 2018 Issued by:
Date Revised:
Developed by:
Your school
Your name
Revision #

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Picture of training in your

Sector : ( your sector)

Qualification Title: ( your qualification)

Unit of Competency: ( your gap)

Logo of your school, name of your school and address

Date Developed: Document No.

Language, literacy Average grade in: Average grade in:

Cultural and Ethnicity/culture:

Education & Highest Educational Attainment:

Date Developed: Document No.

Previous Work experience – related to your

Previous List down trainings related to (your

Special courses Other courses related to qualification

Learning styles a. Visual - The visual learner takes mental

still and who often bounce their legs while

Date Developed: Document No.

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

Date Developed: Document No.

Date Developed: Document No.

Date Developed: Document No.

Form 1.2: Evidence of Current Competencies acquired related to

Basic = basic to all qualifications

Date Developed: Document No.

Date Developed: Document No.

From the accomplished Self-Assessment Check (Form 1.1) and the

Form 1.3 Summary of Current Competencies Versus Required

BASIC/ COMMON /CORE

Required Units of Current Training Gaps/

Required Units of Current Training Gaps/

Core - do not fill up the CURRENT COMPETENCIES of your gap;

Form No. 1.4: Training Needs

Date Developed: Document No.

A. INTRODUCTION- Module Descriptor

Date Developed: Document No.

C. ASSESSMENT PLAN- CBC

Date Developed: Document No.

Picture related to your Qualification

Footer: Institution quality assurance logo (TESDA)

HOW TO USE THIS COMPETENCY –BASED

The core unit of competency, "_________________________", is one of the

The module, _______________________________________, contains

In this module, you are required to go through a series of learning

The goal of this module is the development of practical skills. You

This will be the source of information for you to acquire knowledge

You will be given plenty of opportunity to ask questions and practice

Date Developed: Document No.

You must pass the Institutional Competency Assessment for this

PARTS OF A COMPETENCY-BASED LEARNING MATERIAL

Performance Criteria Checklist

Self Check Answer Key

Learning Outcome Summary

In our efforts to standardize CBLM,

Date Developed: Document No.

Get from TRAINING REGULATIONS (BASIC, COMMON, CORE)

No. Unit of Competency Module Title Code

Date Developed: Document No.

MODULE DESCRIPTOR: CBC

NOMINAL DURATION: T.R/CBC

LEARNING OUTCOMES: CBC

ASSESSMENT CRITERIA: CBC, all the assessment criteria of all the

Date Developed: Document No.

The participants will have access to:

___________ _ ______