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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.

eot.edu.au
Express Online Training
National Provider Code: 40592

Recognition of Prior Learning (RPL)


Application

CPCCWHS1001
Prepare to work safely in the construction
industry

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Instructions to the Applicant


Talk to your assessor if you need help to complete this application. Your assessor can ask
you questions and write your spoken answers in this application if needed.
Section 1: Applicant details page 3 This section records contact details for you,
your employer (if you have one) and the RTO
who will assess this application.
Section 2: Work & life experience page 4 This section lets you list the things you already
know (knowledge) and can do (skills) which
might be relevant to the unit of competency.
Section 3: Previous training page 5 This is where you can list training courses that
you have already done that might be relevant
to the unit of competency.
Section 4: Knowledge questions page 6 These questions allow you to do your own
assessment of your knowledge against the
critical aspects of assessment of the unit.
Section 5: Evidence page 10 The candidate should provide a range of
evidence to support sections 2, 3 and 4. The
candidate can use third part reports, workplace
documents and/or training records. Where
additional evidence is needed, the assessor will
use the candidate’s responses to section 5
Assessment questions to determine if RPL can
be granted.
Section 6: Assessment benchmarks page 11 This section is completed by the assessor. They
will review your responses to sections 2, 3, 4,
and 5 to determine whether or not RPL can be
granted for the unit.
Section 6: Record of assessment Page 13 This section is completed by the assessor. The
outcome assessor will summarise the evidence that you
give to support your claim for recognition.

All RPL applicants must successfully complete the online skills demonstration, as well as the
verbal/oral role-play assessment activities, in order to meet the assessment conditions specified in
the training package.

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 1-Applicant Details


Name:

Address:
Applicant

Contact: Phone:

Email:

Name:

Address:
Employer

Contact: Phone:

Email:

Name: Assessment
Date:
RTO

Contact: Phone:

Email:

Unit of Competency: CPCCWHS1001 Prepare to work safely in the construction


industry

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 2-Work and Life Experience

Explain below details of any work or life experience that you feel has given you skills and
knowledge relevant to this application (this can include paid or voluntary work)
Work Details
Employer Name and Dates Contact Person and Phone What type of work was
done?

Life Experience
Skills gained Knowledge gained How were these gained?

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 3-Previous Training

Explain any workplace health and safety training or construction induction orientation/
training that you have already attended which may be relevant to the unit (please attach
a copy of your training records)
Date approximate Name of training course What did you learn?

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 4- Knowledge Questions


Answer the questions below to demonstrate your knowledge against the critical aspects
of assessment for the unit of competency.

If you can answer a question, you should provide more information in the space below
each question.

If you cannot answer a question leave the space blank.

If you have evidence to support your response check the evidence box next to the
question. Complete Section 5 by including information about your supporting evidence.

An assessor will review your responses and the relevance of your evidence for each
criteria.
Unit: CPCCWHS1001 Prepare to work safely in the construction industry Evidence Assessor
Verified
1. I can identify health and safety legislative requirements of ☐ ☐
construction work
Applicant’s explanation:

Assessor’s comments:

2. I can identify and report construction hazards and risk ☐ ☐


control measures
Applicant’s explanation:

Assessor’s comments:

3. I can identify and explain risk control measures ☐ ☐


Applicant’s explanation:

Assessor’s comments:

4. I can identify health and safety communication and ☐ ☐


reporting processes
Applicant’s explanation:

Assessor’s comments:

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

5. I can identify incident and emergency response ☐ ☐


procedures
Applicant’s explanation:

Assessor’s comments:

6. I have knowledge of Personal Protective Equipment (PPE) ☐ ☐


and can select appropriate PPE to control risks
Applicant’s explanation:

Assessor’s comments:

7. I can demonstrate how to correctly fit PPE including eye ☐ ☐


protection, hearing protection, hard hat and high visibility
reflective vest
Applicant’s explanation:

Assessor’s comments:

8. I can identify and explain the meaning of required safety ☐ ☐


signs and symbols including:
• emergency information signs: exits, emergency equipment
and first aid
• fire signs: location of fire alarms and firefighting equipment
• hazard signs and symbols: danger and warning
• regulatory signs and symbols: prohibition, mandatory and
limitation or restriction
• safety and lockout tags: danger and out-of-service tags
Applicant’s explanation:

Assessor’s comments:

9. I can explain the purpose of job safety analyses (JSAs), ☐ ☐


safe work method statements (SWMS) and safety data
sheets (SDS)
Applicant’s explanation:

Assessor’s comments:

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

10. I can explain the role of health and safety personnel such ☐ ☐
as first aid officers, work health and safety representatives
and committee members and supervisors
Applicant’s explanation:

Assessor’s comments:

11. I can explain the different types and purposes of fire ☐ ☐


safety equipment including water, carbon dioxide, powder
and foam fire extinguishers.
Applicant’s explanation:

Assessor’s comments:

12. I know basic duty of care, rights and responsibilities of ☐ ☐


business owners and workers in relation to working safely
while undertaking construction work

Applicant’s explanation:

Assessor’s comments:

13. I know the meaning of the terms hazard and risk ☐ ☐

Applicant’s explanation:

Assessor’s comments:

14. I know the principles of risk management including the ☐ ☐


five steps in order, identify hazard, assess risk, consult and
report, control hazard and review
Applicant’s explanation:

Assessor’s comments:

15. I know the basic procedures for accessing first aid ☐ ☐

Applicant’s explanation:

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Assessor’s comments:

16. I know about legislative requirements for high risk work ☐ ☐


licenses and the type of construction work that requires
licenses or permits

Applicant’s explanation:

Assessor’s comments:

17. I know safe work practices that should be followed ☐ ☐


including:
• accessing and using site amenities for drinking water, hand
washing and toilets
• following safety procedures when performing work tasks and
using equipment
• identifying and reporting hazards, incidents and injuries in
the workplace
• keeping the work area clean, tidy and free from debris
• not using or being affected by drugs and/or alcohol while at
work
• preventing bullying and harassment in the workplace
• selecting and using required PPE
• smoking only in designated areas
• storing and removing waste and debris in designated areas
Applicant’s explanation:

Assessor’s comments:

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 5: Evidence
The following table is intended to support your collection of Evidence. It relates to section 2, 3
and 4 of the RPL Process.
Unit: CPCCWHS1001 Prepare to work safely in the construction industry
Evidence Type Brief Description

Experience

Questions
Work/Life
Section 2

Section 3

Section 4
Training
This includes Third Party Reports, workplace
documents, training records or other relevant
evidence to support your RPL application.

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

Insert more rows If necessary

All RPL applicants must successfully complete the online skills demonstration, as well as the
verbal/oral role-play assessment activities, in order to meet the assessment conditions specified in
the training package.

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 6-Assessment Benchmarks


This section is to be completed by the assessor.
Unit: CPCCWHS1001 Prepare to work safely in the construction industry
Critical aspects for assessment Evidence provided Results
and evidence Satisfactory Not Yet
Satisfactory
Knowledge of appropriate ☐ Third party reports ☐ ☐
organisational processes in ☐ Workplace documents/training
response to each of the following records
gambling related situations ☐ Knowledge Questions
☐ Other
Assessor’s comments:

Knowledge of organisational ☐ Third party reports ☐ ☐


policies and procedures for ☐ Workplace documents/training
implementing responsible records
gambling practices ☐ Knowledge Questions
☐ Other
Assessor’s comments:

Knowledge of current legislation ☐ Third party reports ☐ ☐


and industry and organisational ☐ Workplace documents/training
policies and procedures in regard records
to responsible provision of ☐ Knowledge Questions
gambling services ☐ Other
Assessor’s comments:

Knowledge of indicators of ☐ Third party reports ☐ ☐


problem gambling ☐ Workplace documents/training
records
☐ Knowledge Questions
☐ Other
Assessor’s comments:

Knowledge of principles of harm ☐ Third party reports ☐ ☐


minimisation and strategies to ☐ Workplace documents/training
reduce the harm associated with records
problem gambling ☐ Knowledge Questions
☐ Other
Assessor’s comments:

☐ Third party reports ☐ ☐

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Knowledge of key requirements ☐ Workplace documents/training


of responsible gaming services records
☐ Knowledge Questions
☐ Other
Assessor’s comments:

Knowledge of processes and ☐ Third party reports ☐ ☐


procedures for responding to ☐ Workplace documents/training
problem gambling such as records
exclusion ☐ Knowledge Questions
☐ Other
Assessor’s comments:

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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1

Section 6-Record of assessment outcome


Applicant’s name:
Unit: CPCCWHS1001 Prepare to work safely in the construction Recognition Granted
industry
Yes No
The applicant has provided valid and reliable evidence to support ☐ ☐
proof of competence against the requirements of the unit of
competency

Further evidence/learning is required ☐ ☐

Decision Appealed ☐ ☐

The applicant has been given Assessor Name:


feedback and informed of the
assessment result and the Assessor Signature:
reasons for the decision.
Date:

I have been given feedback on Applicant Name:


the evidence I provided. I have
been informed of the Applicant Signature:
assessment result and the
reasons for the decision. Date:

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