GWO Performance Assessment Form – 5th Point Australia

Course Details

Participant’s full name (as on provided ID)*

WINDA ID*

Course Module:*

Training Provider Name*

Module Version Number*

Date of completion*

Training setting*

Assessment

Performance levels explained
(0) Does not yet meet the learning objectives for the module.
(1) Achieved the minimum standard by the end of the module.
(2) Exceeded the minimum standard regularly throughout the module.
(3) Performance indicates prior experience with the subject matter.

Tick the box that indicates the observed level of performance.

Safety behaviour (during training)

Demonstrates understanding of, and adheres to, all safety rules throughout training.

Can correctly use PPE when required.

Demonstrates safe conduct and a professional disposition toward all safety measures and instructions.

Learning objectives

Demonstration of knowledge and understanding in verbal and written assessments (when not applicable, leave blank).

Demonstration of skills and abilities during practical tasks and assessment scenarios.

Can safely apply the relevant knowledge, skills, and abilities to demonstrate the achievement of all learning objectives at the correct taxonomic level defined by the GWO module.

Assessment Result

Do you confirm that the person named above has met all of the required learning objectives at the time of assessment?*

Yes

Not yet

Instructor’s name (as in provided ID)*

Instructor’s signature*

Additional comments

(Please give an account for any extremely high or low scores awarded i.e. 0’s and 3’s)

By signing below, you confirm that the assessment criteria and review process were both made clear to you prior to the assessment and that you have read the assessor’s final decision and comments following the assessment.

Participant’s signature*

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Course Details

Assessment

Safety behaviour (during training)

Learning objectives

Assessment Result

SITEMAP

TRAINING

INFO