Forms 1.1-1.4

Supervise
Work-Based
Learning
Date Developed: Document No. AIT-EIM NC II-00

Electrical Installation and
Issued by:
Maintenance NC II
September 2019 AL-HIDAYAH
Installing Wiring Devices of Floor
INSTITUTE OF
and Wall Mounted Outlets, Developed by: Page __of __
TECHNOLOGY
Lighting Fixture/Switches And
INC.
Auxiliary Outlets
ADIAMIN U. ABDULHAMID
Revision # 00
FORM 1.1 SELF-ASSESSMENT CHECK
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
PARTICIPATE IN WORKPLACE COMMUNICATION
LO1 Obtain and convey workplace information 
LO2 Participate in workplace meetings and discussions 
LO3 Complete relevant work related documents 
WORK IN TEAM ENVIRONMENT

LO1 Describe team role and scope 
LO2 Identify own role and responsibility within team 
LO3 Identify own role and responsibility within team 
PRACTICE CAREER PROFESSIONALISM

LO1 Integrate personal objectives with organizational goals 
LO2 Set and meet work priorities 
LO3 Maintain professional growth and development 
PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES

LO1 Identify hazards and risks
LO2 Evaluate hazards and risks 
LO3 Control hazards and risks 
LO4 Maintain OHS awareness 

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
COMMON COMPETENCIES
USE HAND TOOLS
LO1 Plan and prepare for tasks to be undertaken 
LO2 Prepare hand tools 
LO3 Use appropriate hand tools and test equipment 
LO4 Maintain hand tools 
PERFORM MENSURATION AND CALCULATION

LO1 Select measuring instruments 
LO2 Carry out measurements and calculation 
LO3 Maintain measuring instruments 
PREPARE AND INTERPRET TECHNICAL DRAWING


LO1 Identify different kinds of technical drawings

LO2 Interpret technical drawing

LO3 Prepare/ make changes to electrical/ electronic
schematics and drawings

LO4 Store technical drawings and equipment/ instruments
APPLY QUALITY STANDARDS


LO1 Assess quality of received materials or components

LO2 Assess own work

LO3 Engage in quality improvement
TERMINATE AND CONNECT ELECTRICAL WIRING AND

ELECTRONICS CIRCUIT

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00

LO1 Plan and prepare for termination/ connection of electrical
wiring/electronics circuits

LO2 Terminate/ connect electrical wiring/ electronic circuits

LO3 Test termination/ connections of electrical wiring/
electronics circuits
CORE COMPETENCIES
PERFORM ROUGHING-IN ACTIVITIES, WIRING AND CABLING WORKS
FOR SINGLE-PHASE DISTRIBUTION, POWER, LIGHTING AND
AUXILIARY SYSTEMS
LO1 Install electrical metallic /non- metallic (PVC conduit) 
LO2 Install wire ways and cable tray 
LO3 Install auxiliary terminal cabinet and distribution panel 
LO4 Prepare for cable pulling and installation 
LO5 Perform wiring and cabling lay out 
LO6 Notify completion of work 
INSTALL ELECTRICAL PROTECTIVE DEVICES FOR DISTRIBUTION,

POWER, LIGHTING, AUXILIARY, LIGHTNING PROTECTION AND
GROUNDING SYSTEMS
LO1 Plan and prepare work 
LO2 Install electrical protective devices 
LO3 Install lighting fixture and auxiliary outlet. 
LO4 Notify completion of work. 
INSTALL WIRING DEVICES OF FLOOR AND WALL MOUNTED

OUTLETS, LIGHTING FIXTURE/SWITCHES AND AUXILLIARY
OUTLETS
LO1 Select wiring devices 

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO2 Install wiring devices 
LO3 Install lighting fixture/ switches 
LO4 Notify completion of work 
Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
Evidences/Proof of Current Competencies
Form 1.2: Evidence of Current Competencies acquired

related to Job/Occupation
Current competencies Proof/Evidence Means of validating

BASIC COMPETENCIES
LO1 Obtain and convey  Certificate of  Submitted an
workplace information Achievement in authenticated
LO2 Participate in workplace Basic Certificate of
meetings and discussions Competencies of Achievement in Basic
EIM NC II Competencies of EIM
LO3 Complete relevant work
related documents NC II

LO1. Describe team role  Certificate of  Submitted an
and scope Achievement in authenticated
LO2. Identify own role and Basic Certificate of
responsibility within team Competencies of Achievement in Basic
LO3. Identify own role and NC II
responsibility within team
LO1. Integrate personal  Certificate of  Submitted an
objectives with Achievement in authenticated
organizational goals Basic Certificate of
LO2. Set and meet work Competencies of Achievement in Basic
priorities EIM NC II Competencies of EIM
NC II
LO3. Maintain
professional growth and
development
LO1. Identify hazards and  Certificate of  Submitted an
risks Achievement in authenticated
LO2. Evaluate hazards Basic Certificate of
and risks Competencies of Achievement in Basic
LO3. Control hazards and NC II
risks
Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO4. Maintain OHS
awareness
COMMON COMPETENCIES
USE HAND TOOLS
LO1 Plan and prepare for  Certificate of  Submitted an
tasks to be undertaken Achievement in authenticated
LO2 Prepare hand tools Common Certificate of
Competencies of Achievement in
LO3 Use appropriate hand EIM NC II Common
tools and test equipment Competencies of EIM
LO4 Maintain hand tools NC II

LO1 Select measuring  Certificate of  Submitted an
instruments Achievement in authenticated
LO2 Carry out Common Certificate of
measurements and Competencies of Achievement in
calculation EIM NC II Common
Competencies of EIM
LO3 Maintain measuring NC II
instrument

LO1 Identify different  Certificate of  Submitted an
kinds of technical Achievement in authenticated
drawings Common Certificate of
LO2 Interpret technical Competencies of Achievement in
drawing EIM NC II Common
Competencies of EIM
LO3 Prepare/ make NC II
changes to electrical/
electronic schematics and
drawings
LO4 Store technical
drawings and equipment/
instruments
LO1 Assess quality of  Certificate of  Submitted an
received materials or Achievement in authenticated
components Common Certificate of
LO2 Assess own work Achievement in
Common

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO3 Engage in quality Competencies of Competencies of EIM
improvement EIM NC II NC II
TERMINATE AND CONNECT ELECTRICAL WIRING AND ELECTRONICS
CIRCUIT
LO1 Plan and prepare for  Certificate of  Submitted an
termination/ connection Achievement in authenticated
of electrical Common Certificate of
wiring/electronics circuits Competencies of Achievement in
LO2 Terminate/ connect EIM NC II Common
electrical wiring/ Competencies of EIM
electronic circuits NC II
LO3 Test termination/

connections of electrical
wiring/ electronics
circuits
CORE COMPETENCIES
AUXILIARY SYSTEMS
LO1 Install electrical  Certificate of  Submitted an
metallic /non- metallic Employment as authenticated
(PVC conduit) Electrician Certificate of
LO2 Install wire ways and Maintenance in Employment as
cable tray Barangay Hall of Electrician
Barangay Maintenance in
LO3 Install auxiliary Bugawas, DOS, Barangay Hall of
terminal cabinet and Maguindanao Barangay Bugawas,
distribution panel DOS, Maguindanao
LO4 Prepare for cable
pulling and installation
LO5 Perform wiring and
cabling lay out
LO6 Notify completion of
work
GROUNDING SYSTEMS
LO1 Plan and prepare  Certificate of  Submitted an
work Employment as authenticated

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO2 Install electrical Electrician Certificate of
protective devices Maintenance in Employment as
Barangay Hall of Electrician
LO3 Install lighting fixture
Barangay Maintenance in
and auxiliary outlet.
Bugawas, DOS, Barangay Hall of
LO4 Notify completion of Maguindanao Barangay Bugawas,
work. DOS, Maguindanao
INSTALL WIRING DEVICES OF FLOOR AND WALL MOUNTED OUTLETS,
LIGHTING FIXTURE/SWITCHES AND AUXILLIARY OUTLETS
LO1 Select wiring devices
LO2 Install wiring devices
LO3 Install lighting
fixture/switches
LO4 Notify completion of
work

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
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 (Sample)
Required Units of Current Competencies Training
Competency Gaps/Requirements
BASIC COMPETENCIES
LO1 Obtain and convey Obtaining and
workplace information conveying workplace
information
LO2 Participate in Participate in workplace
workplace meetings and meetings and
discussions discussions
LO3 Complete relevant Completing relevant
work related documents work related documents

LO1 Describe team role Describing team role
and scope and scope
LO2 Identify own role and Identifying own role and
responsibility within team responsibility within
team
LO3 Identify own role and Identifying own role and
responsibility within team responsibility within
team
LO1 Integrate personal Integrating personal
objectives with objectives with
organizational goals organizational goals
LO2 Set and meet work Set and meet work
priorities priorities

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO3. Maintain professional Maintaining
growth and development professional growth and
development
LO1 Identify hazards and Identifying hazards and

risks risks
LO2 Evaluate hazards and Evaluating hazards and

risks risks
LO3 Control hazards and Controlling hazards and

risks risks
LO4 Maintain OHS Maintaining OHS
awareness awareness
COMMON COMPETENCIES
USE HAND TOOLS

LO1 Plan and prepare for Planning and preparing
tasks to be undertaken for tasks to be
undertaken
LO2 Prepare hand tools Preparing hand tools
LO3 Use appropriate hand Use appropriating hand
tools and test equipment tools and test
equipment
LO4 Maintain hand tools Maintaining hand tools
LO1 Select measuring Selecting measuring
instruments instruments
LO2 Carry out Carrying out
measurements and measurements and
calculation calculation
LO3 Maintain measuring Maintaining measuring
instruments instruments
LO1 Identify different Identifying different

kinds of technical kinds of technical
drawings drawings
LO2 Interpret technical Interpreting technical

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
drawing drawing
LO3 Prepare/ make Preparing/ making

changes to electrical/ changes to electrical/
electronic schematics and electronic schematics
drawings and drawings
LO4 Store technical Storing technical
drawings and equipment/ drawings and
instruments equipment/
instruments
LO1 Assess quality of Assessing quality of

received materials or received materials or
components components
LO2 Assess own work Assessing own work
LO3 Engage in quality Engaging in quality

improvement improvement
CORE COMPETENCIES
AUXILIARY SYSTEMS
LO1 Install electrical Installing electrical
metallic /non- metallic metallic /non- metallic
(PVC conduit) (PVC conduit)
LO2 Install wire ways and Installing wire ways
cable tray and cable tray
LO3 Install auxiliary Installing auxiliary

terminal cabinet and terminal cabinet and
distribution panel distribution panel
LO4 Prepare for cable Preparing for cable
pulling and installation pulling and installation
LO5 Perform wiring and Performing wiring and
cabling lay out cabling lay out
LO6 Notify completion of Notifying completion of
work work
GROUNDING SYSTEMS

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
LO1 Plan and prepare Planning and preparing
work work
LO2 Install electrical Installing electrical
protective devices protective devices
LO3 Install lighting fixture Installing lighting
and auxiliary outlet. fixture and auxiliary
outlet.
LO4 Notify completion of Notifying completion of
work. work.
INSTALL WIRING DEVICES OF FLOOR AND WALL MOUNTED OUTLETS,
LIGHTING FIXTURE/SWITCHES AND AUXILLIARY OUTLETS
LO1 Select wiring devices Select wiring devices
LO2 Install wiring devices Install wiring devices

LO3 Install lighting Install lighting
fixture/switches fixture/ switches
LO4 Notify completion of Notify completion of
work work

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00
Using Form No.1.4, Convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.
Form No. 1.4: Training Needs
Module Title/Module
Gaps Duration (hours)
of Instruction
LO1 Select wiring Installing Wiring Devices
devices of Floor and Wall
Mounted Outlets,
LO2 Install wiring 48 Hours/6 Days
Lighting
devices
Fixture/Switches
LO3 Install lighting and Auxiliary Outlets
fixture/ switches
LO4 Notify
completion of
work

Issued by:
Maintenance NC II
INSTITUTE OF
TECHNOLOGY
INC.
Auxiliary Outlets
Revision # 00

Forms 1.1-1.4

Încărcat de

Informații document

Drepturi de autor

Formate disponibile

Partajați acest document

Partajați sau inserați document

Opțiuni de partajare

Vi se pare util acest document?

Este necorespunzător acest conținut?

Drepturi de autor:

Formate disponibile

Forms 1.1-1.4

Încărcat de

Drepturi de autor:

Formate disponibile

Supervise

Date Developed: Document No. AIT-EIM NC II-00

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

LO2 Participate in workplace meetings and discussions 

LO3 Complete relevant work related documents 

WORK IN TEAM ENVIRONMENT

LO2 Identify own role and responsibility within team 

LO3 Identify own role and responsibility within team 

PRACTICE CAREER PROFESSIONALISM

LO2 Set and meet work priorities 

LO3 Maintain professional growth and development 

PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES

LO3 Control hazards and risks 

LO4 Maintain OHS awareness 

Date Developed: Document No. AIT-EIM NC II-00

LO2 Prepare hand tools 

LO3 Use appropriate hand tools and test equipment 

LO4 Maintain hand tools 

PERFORM MENSURATION AND CALCULATION

LO2 Carry out measurements and calculation 

LO3 Maintain measuring instruments 

PREPARE AND INTERPRET TECHNICAL DRAWING

APPLY QUALITY STANDARDS

TERMINATE AND CONNECT ELECTRICAL WIRING AND

Date Developed: Document No. AIT-EIM NC II-00

LO1 Install electrical metallic /non- metallic (PVC conduit) 

LO2 Install wire ways and cable tray 

LO3 Install auxiliary terminal cabinet and distribution panel 

LO4 Prepare for cable pulling and installation 

LO5 Perform wiring and cabling lay out 

LO6 Notify completion of work 

INSTALL ELECTRICAL PROTECTIVE DEVICES FOR DISTRIBUTION,

LO2 Install electrical protective devices 

LO3 Install lighting fixture and auxiliary outlet. 

LO4 Notify completion of work. 

INSTALL WIRING DEVICES OF FLOOR AND WALL MOUNTED

Date Developed: Document No. AIT-EIM NC II-00

LO3 Install lighting fixture/ switches 

LO4 Notify completion of work 

Date Developed: Document No. AIT-EIM NC II-00

Form 1.2: Evidence of Current Competencies acquired

Current competencies Proof/Evidence Means of validating

WORK IN TEAM ENVIRONMENT

PERFORM MENSURATION AND CALCULATION

PREPARE AND INTERPRET TECHNICAL DRAWING

Date Developed: Document No. AIT-EIM NC II-00

LO3 Test termination/

Date Developed: Document No. AIT-EIM NC II-00

Date Developed: Document No. AIT-EIM NC II-00

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

Form 1.3 Summary of Current Competencies Versus

WORK IN TEAM ENVIRONMENT

Date Developed: Document No. AIT-EIM NC II-00

LO1 Identify hazards and Identifying hazards and

LO2 Evaluate hazards and Evaluating hazards and

LO3 Control hazards and Controlling hazards and

USE HAND TOOLS

LO1 Identify different Identifying different

Date Developed: Document No. AIT-EIM NC II-00

LO3 Prepare/ make Preparing/ making

LO1 Assess quality of Assessing quality of

LO3 Engage in quality Engaging in quality

LO3 Install auxiliary Installing auxiliary

Date Developed: Document No. AIT-EIM NC II-00