Generic Port Evidence Temp

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Generic Template for a Portfolio of Evidence
This Generic Template for a Portfolio of Evidence was collated by Medihelp using inter alia templates provided by the ICN (International Competencies Network).
The material is generic in nature. Its purpose is to serve as a guide for the further development and customisation of company-specific, learner-specific, and situation-specific assessments.
Disclaimer: Whilst every effort has been made to ensure that the learning material is accurate, INSETA takes no responsibility for any loss or damage suffered by any person as a result of the reliance upon the information contained herein.
Portfolio Of Evidence
To be completed by the Candidate, Assessor, Internal Moderator and External Verifier NAME OF ROVIDER CONTACT PERSON CONTACT NUMBER ETQA ACCREDITATION NUMBER NAME OF CANDIDATE DATE WHEN PORTFOLIO WAS STARTED DATE WHEN PORTFOLIO WAS COMPLETED NAME OF ASSESSOR DATE RECEIVED BY ASSESSOR FOR FINAL ASSESSMENT NAME OF INTERNAL MODERATOR DATE RECEIVED BY INTERNAL MODERATOR RECOMMEND FOR MODERATION NAME OF EXTERNAL VERIFIER DATE ISSUED TO EXTERNAL VERIFIER DATE POSTED BACK TO INTERNAL MODERATOR DATE RECEIVED BY INTERNAL MODERATOR DATE RETURNED TO CANDIDATE (VIA THE INTERNAL MODERATOR AND/OR THE ASSESSOR)
CONTENTS AND EVIDENCE SUMMARY PAGE

DESCRIPTION OF EVIDENCE COLLECTED AGAINST SPECIFIC OUTCOMES OF REGISTERED UNIT STANDARD
DOCUMENT NUMBER
TAB/PAGE
ASSESSORS INFORMATION
Assessors information Assessors Curriculum Vitae Document 1.1 Document 1.2
CANDIDATES INFORMATRION
Candidates information An updated Curriculum Vitae A copy of the candidates ID Document Copies of relevant certificates Supplementary information such as testimonials, wards, letters from customers, ect Document 2.1 Document 2.2 Document 2.3 Document 2.4 Document 2.5
ASSESSMENT RECORDS
Records of discussions held Declaration of meetings held Initial meeting Candidates confirmation to be assessed Pre-assessment meeting Confirmation of assessment plan meeting Document 3.1 Document 3.2 Document 3.3 Document 3.4 Document 3.5 Document 3.6
ASSESSMENT STRATEGY, PLAN INSTRUMENTS AND EVIDENCE

Assessment strategy Am I ready for assessment? Unit standard Assessment plan Assessment instruments Behavioural observation (on the job) Behavioural observation (Simulation / role-play) Structured interview Knowledge test: Model answers
Document 4.1 Document 4.2 Document 4.3 Document 4.4 Document 4.5 Document 4.5.1 Document 4.5.2 Document 4.5.3 Document 4.5.4
DESCRIPTION OF EVIDENCE COLLECTED AGAINST SPECIFIC OUTCOMES OF REGISTERED UNIT STANDARD Knowledge test: Candidates answers Assessment evidence
DOCUMENT NUMBER Document 4.5.5 Document 4.5.6
TAB/PAGE
ASSESSMENT COMPETENCE JUDGEMENT AND APPEALS APPLICAION

Competence judgement: overall competence record Assessment decision Third party declaration Appeals application Document 5.1 Document 5.2 Document 5.3 Document 5.4
ASSESSESSMENT REVIEW, RESULTS AND MODERATION REPORT

Assessment review Confirmation of assessment results Internal moderators report Recommendations to improve assessment practices Declaration by External Verifier Document 6.1 Document 6.2 Document 6.3 Document 6.4 Document 6.5
OTHER INFORMATION / EVIDENCE

Document 7.1 Document 7.2 Document 7.3 Document 7.4 Document 7.5
Document 1
___________________________________
(NAME AND SURNAME OF ASSESSOR)
Document 1.1
(To be completed by the Assessor) 1. PERSONAL INFORMATION Full name/s Surname Occupation Employee number Identity number Home language Equity:
Black: African Black: Coloured Black: Indian/Asian White Male Female
Gender:
Assessor: Registration date Assessor: Registration number Postal Address of Assessor (Home)
Physical Address of Assessor (Home)
Home telephone number Home fax number Home E-mail Address Cell number Do you have access to Internet at home?
( (
) )
Yes
No
2.
WORKPLACE INFORMATION Name of Employer Supervisors / Managers name and surname Designation of Supervisor / Manager
Postal Address of Employer
Physical Address of Employer
Work telephone number Work fax number Work E-mail Address Do you have access to Internet at work? 3. EDUCATIONAL BACKGROUND (In date order: from the oldest to the latest) QUALIFICATIONS (RECOGNISED QUALIFICATIONS)
( (
) )
Yes
No
PROVIDERS NAME
YEAR QUALIFIED
4.
WORK EXPERIENCE (List previous occupations/jobs from the most recent to the oldest) ORGANISATION JOB TITLE MAIN TASKS / OUTCOMES / RESPONSIBILITIES YEARS / MONTHS
5.
CURRICULUM VITAE (Please insert your CV after the next page)
PRINT NAME AND SURNAME
SIGNATURE
ID NUMBER
DATE
Document 1.2
ASSESSORS CURRICILUM VITAE
(Insert CV after this page)
Document 2
CANDIDATES INFORMATION
______________________________________ (NAME AND SURNAME OF CANDIDATE)
Document 2.1
CANDIDATES INFORMATION
(to be completed by the Candidate) 1. PERSONAL INFORMATION Full name/s Surname Candidates previous surname Occupation Employee number Identity number Home language Disability
None Sight (even with glasses) Hearing (even with a hearing aid) Communication (talking, listening Physical (moving, standing, grasping) Intellectual, retarding (difficulties in learning) Emotional (behavioural or psychological) Multiple Disabled but unspecified
Equity:
Black: African Black: Coloured Black: Indian/Asian White Male Female
Gender:
Postal Address of Candidate (Home)
Physical Address of Candidate (Home) Home telephone number Home fax number Cell number Home e-mail Address ( ( ) )
Do you have access to Internet? 2. WORKPLACE INFORMATION Name of Employer Supervisor / manager Designation of Supervisor / Manager Postal Address of Employer
Yes
No
Physical Address of Employer
Work fax number Work telephone number Work E-mail Address Do you have access to Interne at work? 3.
( (
) )
Yes
No
REASON/S FOR REGISTERING FOR ASSESSMENT (The reason/s why I want to register for assessment is/are: Formal unit standard credits on the National Qualifications Framework (NQF) A formal qualification on the National Qualifications Framework (NQF) To apply for a certain position/job To up-skill my knowledge and competencies Other: Please explain
4.
UNIT STANDARD TO BE ASSESSED AGAINST TITLE OF THE UNIT STANDARD NQF NUMBER NQF LEVEL CREDITS
5.
MOTIVATION WHY YOU (THE CANDIDATE) THINK YOU ARE READY FOR ASSESSMENT AGAINST THE QUALIFICATION / UNIT STANDARD AS SPECIFIED IN NUMBER 4: I think I am ready for assessment because: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
6.
EDUCATIONAL BACKGROUND (In date order: from the oldest to the latest) QUALIFICATIONS (RECOGNISED QUALIFICATIONS) PROVIDER NAME YEAR QUALIFIED
7.
SPECIAL REQUIREMENTS List of requirements Requires interpreter (if so indicate language you prefer) Any physical requirements (E.g. Blind, deaf etc.) Descriptions
Any other special needs
8.
WORK EXPERIENCE (List previous occupations/jobs from the most recent to the oldest) ORGANISATION DEPARTMENT JOB TITLE YEARS
7.
CURRICULUM VITAE (Please insert your CV after the next page)
PRINT NAME AND SURNAME
SIGNATURE
ID NUMBER
DATE
Document 2.2
CANDIDATES CURRICILUM VITAE
(Insert CV after this page)
Document 2.3
A COPY OF CERTIFIED ID DOCUMENT
(Insert copy of ID document after this page)
Document 2.4
COPIES OF RELEVANT CERTIFICATES
(Insert certificates after this page)
Document 2.5
SUPPLEMENTARY INFORMATION
(Insert information after this page)
Document 3
ASSESSMENT RECORDS
Document 3.1
RECORDS OF DISCUSSIONS HELD

(To be completed by the Assessor) DICUSSION TOPIC
E.g.
NOTES
Background information Assessment procedures Policies
DATE
VENUE
TIME
EVIDENCE NUMBER
Initial meeting with candidate Meeting with candidates supervisor / manager Pre-Assessment Meeting
E.g.
Confirm Unit Standard/s Discuss possible assessment methods
Confirmation of Assessment plan
E.g.
Agree on Assessment plan Determine assessment dates, time and venue/s
Feedback to Candidate Feedback to Manager/Supervisor Feedback to Internal Moderator / Assessment Committee Final feedback to candidate
Document 3.2
DECLARATION OF MEETINGS HELD
I _____________________________________ (name and surname of candidate) herewith declare that the meetings took place as indicated above.
CANDIDATE
DATE
ASSESSOR
DATE
Document 3.3
INITIAL MEETING
Dear ___________________________ Date ______/_____/_______
As discussed with you I herewith like to confirm that our Initial Meeting will be held on (date) _____/_____/______ at (time) _____________ in (venue) ______________________________. The agenda is as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Background information on SAQA and the NQF What is assessment? Discuss the purpose of the assessment The Assessment process Quality Assurance Policies which coven the process Discuss suitable Unit Standard/s Complete personal information Complete candidates confirmation to be assessed. Set date for pre-assessment meeting where unit standard and assessment principles will be discussed.
Please confirm your attendance. If you require any more information dont hesitate to phone me. I am looking forward to meet with you. Thank you _________________________________ ASSESSORS SIGNATURE _____ / _____ / _____ DATE
I _______________________________ (name and surname of candidate) herby declare that the above agenda was discussed and I understand the context of it. ______________________________ CANDIDATES SIGNATURE _____ / _____ / _____ DATE Insert minutes after this page
Document 3.4
CANDIDATES CONFIRMATION TO BE ASSESSED

(To be completed by the candidate)
Dear __________________________________________ (Assessors name and surname), I herewith agree to be assessed against the following unit standard _________________________ ____________________________________ (title) on level __________ of the National Qualifications Framework (NQF) which are _____________ credits. I understand the purpose of assessment in the organisation. I further declare to be committed to the process and support all assessment systems. I also understand it is my responsibility to gather evidence as agreed on with my Assessor and to submit it on the agreed date/s.
I thank you for the opportunity and agree to meet with you on the dates which we will specify. Kind regards
_________________________________ CANDIDATES SIGNATURE
________________________________ NAME
_____/_____/_____ DATE
Document 3.5
PRE-ASSESSMENT MEETING
Dear ___________________________ Date ______/_____/_______
As discussed with you I herewith like to confirm that our Pre-Assessment Meeting will be held on (date) _____/_____/______ at (time) ___________ in (venue) ___________________________ _____________________________________.
The agenda is as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Identify special needs Confirm selected Unit Standards Analyse the Unit Standard to identify the required evidence Discuss and agree the assessment methods and instruments Identify the best assessment opportunities Identify the role players taking part in the assessment Agree on the procedure to draft an assessment plan Discuss assessment process Discuss appeals procedures and other assessment policies Discuss moderation procedures Agree on review and feedback process Set date for meeting where Assessment plan will be finalised
Document 3.6
CONFIRMATION OF ASSESSMENT PLAN MEETING
Dear ___________________________
Date ______/_____/_______
As discussed with you I herewith like to confirm that our Confirmation of your Assessment plan Meeting will be held on (date) _____/_____/______ at (time) _____________________________ in (venue) __________________________________________________________.
The agenda is as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. Discuss and agree on the assessment plan Agree on assessment methods and instruments Determine dates, time and venue for assessment Set up an contingency plan for each assessment Confirm understanding of assessment process Confirm understanding and agreement of assessment plan Confirm understanding of appeals procedures and other assessment policies Confirm understanding of moderation procedures Confirm agreement on review and feedback process
Document 4
ASSESSMENT STRATEGY, PLAN, INSTRUMENTS AND EVIDENCE
Document 4.1
ASSESSMENT STRATEGY
(To be completed by the Assessor) UNIT STANDARD TITLE LEVEL SAQA UNIT STANDARD NUMBER CREDITS General Education and Training Certificate (GETC) Further Education and Training Certificate (FETC) Higher Education and Training Certificate (HETC)
BAND ON THE NQF TARGET GROUP (AS SPECIFIED ON UNIT STANDARD) ENTRY LEVEL REQUIREMENT (AS SPECIFIED ON UNIT STANDARD EMBEDDED KNOWLEDGE)
THE PURPOSE OF THE ASSESSMENT
CONTEXT OF ASSESSMENT:
ASSESSMENT APPROACH Pre-Assessment (Baseline assessment) (Baseline assessment is used to decide where to start a learning intervention and to identify gaps in learning where support may be needed) Formative assessment (Refers to assessment that takes place during the process of learning and teaching. This assessment gives valuable information about the knowledge, skills and attitudes/values of the candidate.) Summative assessment (Is assessment for making a judgment about achievement and to determine if the candidate can obtain the credits for the unit standard. This is carried out when a learner is ready to be assessed at the end of a programme of learning. ) Integrated assessment (Combination of formative and Summative assessment)
ASSESSMENT INSTRUMENTS Types of Evidence Assessment Method (Tick appropriate box/es and/or specify) Direct observation of tasks and activities Questioning oral Questioning written Questioning multiple choice Questioning true / false Questioning completion/ short answer Questioning extended response Personal interviews Assignments Case studies Logbooks Portfolios Projects Role-plays Reflective journals Self-assessment Work related statistics Product output Other: Work completed at an earlier stage Training records Work related statistics Testimonials Performance appraisals Other:
Direct (Direct evidence is actual evidence produced by the candidate)
Indirect (Indirect evidence is produced about the candidate from another source)
Supplementary / Historical This type of evidence tells the Assessor what the candidate was capable of doing in the past)
Projects and portfolios Completed work (products) Performance appraisals Training records Work related statistics Testimonials Certificates and qualifications Customer / client ratings Curriculum Vitae Other:
ASSESSMENT CONDITIONS
ASSESSMENT TEAM
SPECIAL ASSESSMENT NEEDS
HEALTH AND SAFETY
ASSESSMENT PROCESS What: How:

Study the Candidates information. Study the Unit Standard which the Candidate wants to be assessed against. Have an initial meeting. Have a pre-assessment meeting. Select the most cost effective assessment instruments for assessment. Draw up assessment instruments. Review assessment instruments and validate the instrument against the unit standard. Develop an assessment plan for the learner. Have a confirmation of assessment plan meeting. Agree on an assessment plan with the candidate. Inform other role-players of assessment (Supervisor, witness ect.). Identify and prepare the venue to ensure fair assessment practice. Identify and prepare all the role-players. Consult with candidate and agree on assessment plan. Candidate complete Am I ready for assessment? form Review assessment plan with candidate. Gather, record and make judgements on all the evidence. Provide feedback to candidate on every assessment activity. Make assessment decision after consultation with Assessor panel and/or Internal Moderator and discuss the results with the candidate. Handle any disputes and identify matter that requires contingency planning. Provide feedback to the candidates direct Manager/Supervisor. Record and submit final results to the Internal Moderator/SDF and Senior Trainer.
Compile a plan for assessment
Prepare the workplace and the candidate Conduct Assessment Make assessment decision
ASSESSORS SIGNATURE
DATE
Document 4.2
AM I READY FOR ASSESSMENT?

(To be completed by the Candidate)
CANDIDATE : DATE :
_________________________________ _____ / _____ / _____
CHECKLIST: ASSESSMENT OF PERFORMANCE Have I arranged appropriate time with my assessor? Have I checked with my direct Manager/Supervisor that is okay for my assessor to come and assess me? Have I notified anyone else who needs to know? (E.g. security, reception, a witness) Have I got everything I need to carry out the planned activity? Have I got together any other evidence which supports unit standard which I am being assessed against? Am I clear which aspects of the unit standard I am being assessed upon? Have I checked that nothing will get in the way of being able to perform this activity? Have I practiced what I am planned to be assessed on to make sure I am as competent as I can be? I understand the appeals procedure I understand the assessment process
YES / NO
_________________________________ CANDIDATES SIGNATURE
________________________________ NAME
_____/_____/_____ DATE
Document 4.3
UNIT STANDARD
_________________________________________________________________________ (TITLE OF UNIT STANDARD) _______________________ (LEVEL OF UNIT STANDARD) _______________________ (CREDITS OF UNIT STANDARD)
(Insert a copy of the unit standard after this page)
Document 4.4
ASSESSMENT PLAN
(to be completed by the Assessor after consultation with candidate)
___________________________________________ (Name and surname of candidate)
CANDIDATES ASSESSMENT PLAN & PREPARATION SHEET

(To be completed by the Assessor after consultation with the Candidate) DOCUMENTS REQUIRED You will be assessed against the registered Unit Standard, _____________ __________________________________ __________________________________ __________________________________ (Title) on level ______ of the NQF, it is worth _________credits on the General Education and Training Certificate (GETC) Further Education and Training Certificate (FETC) Higher Education and Training Certificate (HETC) NQF band towards the __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ (Title) qualification. DATE VENUE TIME OTHER ROLE PLAYERS CONTINGENC Y PLANS
Unit Standard (Document 4.3) Assessment plan (document 4.4)
DOCUMENTS REQUIRED In order to determine your level of competence we will be assessing you using the following instruments (Explain to the candidate what is expected using each instrument, explain how the assessor will assess and against what criteria will he/she make the judgements). Example: You will be asked the following types of questions. We require evidence against the following criteria .... Explain what type of evidence, form of evidence and how much evidence you want. Specific Outcome 1: __________________________________ __________________________________ __________________________________ __________________________________ Unit Standard (Document 4.3) Assessment plan (document 4.4) Assessment Instruments (as indicated on assessment strategy): Direct Indirect Supplementary / Historical
DATE
VENUE
TIME
OTHER ROLE PLAYERS
CONTINGENC Y PLANS
DOCUMENTS REQUIRED
DATE
VENUE
TIME
OTHER ROLE PLAYERS
CONTINGENC Y PLANS
Specific Outcome 2: __________________________________ __________________________________ __________________________________ __________________________________
Unit Standard (Document 4.3) Assessment plan (document 4.4) Assessment Instruments (as indicated on assessment strategy): Direct Indirect Supplementary / Historical
DOCUMENTS REQUIRED
DATE
VENUE
TIME
OTHER ROLE PLAYERS
CONTINGENC Y PLANS
You will need to bring the following preassessment / baseline results with you: The results of any pre-assessment / baseline assessments where available which might assist the Assessor to make appropriate decisions about your level of competence.
DOCUMENTS REQUIRED You will need to bring the following formative assessment results with you The results of any formative assessments where available which might assist the Assessor to make appropriate decisions about your level of competence. You and your direct Manager / Supervisor will receive feedback regarding your performance for: Explain who, how the candidate and his/her direct Manager/Supervisor will receive feedback. (Show candidate feedback sections of assessment instruments). Remind candidate of his/her right to appeal and explain the process. Explain the process of moderation.
DATE
VENUE
TIME
OTHER ROLE PLAYERS
CONTINGENC Y PLANS
Assessment Instruments Appeals Procedure Moderation Process
Your assessment results will be stored according to organisational policy. Confirm the confidentially of the policy.
Competence Records Confidentiality policy
DOCUMENTS REQUIRED You will have an opportunity to assist us to improve our assessment practices during the review session Explain how, why and what?
DATE
VENUE
TIME
OTHER ROLE PLAYERS
CONTINGENC Y PLANS
Review sheet
I, _____________________________________ (name and surname of candidate) herewith declare that I understand the assessment plan, know what is expected of me and I understand the assessment process.
________________________________ CANDIDATES SIGNATURE
_____ / _____ / _____ DATE
___________________________________ ASSESSORS SIGNATURE
_____ / _____ / _____ DATE
Document 4.5
ASSESSMENT INSTRUMENTS
Document 4.5.1
BEHAVIOURAL OBSERVATION
(On the job) NAME OF CANDIDATE VENUE WHERE ASSESSMENT WILL TAKE PLACE TITLE NAME OF ASSESSOR TIME UNIT STANDARD NUMBER
ASSESSMENT CRITERIA (AS INDICATED ON UNIT STANDARD)
REQUIRED / MODEL EVIDENCE
DESCRIPTION OF EVIDENCE OBSERVED
REQUIREMENTS MET C NYC
ACTION REQUIRED IF NOT YET COMPETENT
ASSESSORS FEEDBACK REMARKS:
COMMENTS FROM LEARNER:
DECLARATION BY CANDIDATE I, ___________________________________ declare that I am satisfied that the feedback given to me by the Assessor was relevant, sufficient and done in a constructive manner. I accept the assessment judgement and have no further questions relating to this particular assessment instrument.
CANDIDATE
ASSESSOR
MANAGER / SUPERVISOR OF CANDIDATE
INTERNAL MODERATOR
Document 4.5.2
BEHAVIOURAL OBSERVATION
(Simulation / Role-play) NAME OF CANDIDATE VENUE WHERE ASSESSMENT WILL TAKE PLACE TITLE ASSESSMENT CRITERIA (AS INDICATED ON UNIT STANDARD) NAME OF ASSESSOR TIME UNIT STANDARD NUMBER REQUIREMENTS MET C NYC ACTION REQUIRED IF NOT YET COMPETENT
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 4.5.3
STRUCTURED INTERVIEW
NAME OF CANDIDATE VENUE WHERE ASSESSMENT WILL TAKE PLACE TITLE ASSESSMENT CRITERIA (AS INDICATED ON UNIT STANDARD) NAME OF ASSESSOR TIME UNIT STANDARD NUMBER REQUIREMENTS MET C NYC ACTION REQUIRED IF NOT YET COMPETENT
REQUIRED / MODEL ANSWERS
ANSWERS OF CANDIDATE
REQUIRED / MODEL ANSWERS
ANSWERS OF CANDIDATE
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 4.5.4
KNOWLEDGE TEST: MODEL ANSWERS

(________ Time) NAME OF CANDIDATE VENUE WHERE ASSESSMENT WILL TAKE PLACE TITLE ASSESSMENT CRITERIA (AS INDICATED ON UNIT STANDARD) NAME OF ASSESSOR TIME UNIT STANDARD NUMBER
QUESTION
MODEL ANSWERS
QUESTION
MODEL ANSWERS
Document 4.5.5
KNOWLEDGE TEST: CANDIDATES ANSWERS

(________ time)
NAME OF CANDIDATE VENUE WHERE ASSESSMENT WILL TAKE PLACE TITLE
NAME OF ASSESSOR TIME UNIT STANDARD NUMBER
QUESTION
CANDIDATES ANSWERS
REQUIRE-MENTS MET C NYC
REQUIRE-MENTS MET QUESTION CANDIDATES ANSWERS
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 4.7
ASSESSMENT EVIDENCE
(Insert other evidence after this page)
Document 5
ASSESSMENT COMPETENCE JUDGEMENT AND APPEALS APPLICATION
Document 5.1
COMPETENCE JUDGEMENT: OVERALL COMPETENCE RECORD

(To be completed by the Assessor)
NAME OF CANDIDATE DATE OF JUDGEMENT TITLE OF UNIT STANDARD
NAME OF ASSESSOR UNIT STANDARD NUMBER
TYPES OF EVIDENCE ASSESSMENT PRINCIPLES Direct: Requirements met C/NYC Indirect Requirements met C/NYC Supplementar y / Historical Requirements met C/NYC
Appropriateness: The method of assessment is suited to the performance being assessed Fairness: The method of assessment do not present any barriers to achievements which are not related to the evidence Manageability: The methods make for easily, cost-effective assessments that do not interfere with learning Time efficient: Assessments do not interfere with normal daily activities or productivity Integration into work or learning: Evidence collection are integrated into the work or learning process where it is appropriate and feasible Validity: The assessment focus on the requirements laid down in the unit standard; i.e. the assessment must be fit for purpose Direct: The activities in the assessment mirror the conditions of actual performance as closely as possible Authenticity: The assessor must be satisfied that the work being assessed is attributable to the person being assessed
TYPES OF EVIDENCE ASSESSMENT PRINCIPLES Direct: Requirements met C/NYC Indirect Requirements met C/NYC Supplementar y / Historical Requirements met C/NYC
Sufficient: The evidence collected must establish that all assessment criteria have bee met and the performance to required unit standard can be repeated consistently Systematic: Planning and recording are sufficiently rigorous to ensure that assessment is fair Open: Candidate contributed to the planning and accumulation of evidence. The candidate understands the assessment process and the criteria that apply Consistent: The same assessor must make the same judgement in similar circumstances
ADDITIONAL FEEDBACK FROM ASSESSOR:
DECLARATION BY CANDIDATE I, ___________________________________ (name and surname of candidate) declare that I am satisfied that the feedback given to me by the Assessor was relevant, sufficient and done in a constructive manner. I accept the assessment judgement and have no further questions relating to this particular assessment instrument.
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 5.2
ASSESSMENT DECISION
(to be completed by the Assessor)
The candidate has submitted evidence that is valid, relevant, current, sufficient and authentic against the listed specific outcomes and covered all range statements (Yes/No)
The candidate is competent in all the assessment criteria listed (Yes/No) The candidate is not yet competent in the The following items needed some corrective following assessment criteria: action or improvement: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________
RE-ASSESSMENT DECISION
The candidate has submitted additional evidence that was required. The evidence is valid, relevant, sufficient and authentic against the listed specific outcomes and covered all range statements (Yes/No)
The candidate is competent in all the assessment criteria listed (Yes/No) DECLARATION BY CANDIDATE I, ___________________________________ (name and surname of candidate) declare that I am satisfied that the feedback given to me by the Assessor was relevant, sufficient and done in a constructive manner. I accept the assessment judgement and have no further questions relating to this particular assessment instrument.
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 5.3
THIRD PARTY DECLARATION

(Witness)
Name of Third Party/Witness (Witness) Occupation Dates of assessment Unit Standard title that Assessor Assessed Unit Standard number that Assessor assessed Name of Assessor Place/s of assessment Dates of assessment Name of Internal Moderator Date of Internal Moderation WITNESS STATUS RELATIONSHIP TO ASSESSOR-CANDIDATE: (Circle applicable number) 1 2 3 Occupational expert and Assessor Occupational expert and familiar with the standards Occupational expert not familiar with the standards
The assessment practices were fair, reliable, consistent and current. All assessment principles and organisation standards were adhered to.
Disagree Agree Disagree Agree
PROFESSIONAL RELATIONSHIP TO LEARNER-ASSESSOR SIGNATURE OF THIRD PARTY DATE
Document 5.4
APPEALS APPLICATION
(to be completed by the Candidate)
NAME OF CANDIDATE VENUE/S OF ASSESSMENT NAME OF ASSESSOR
DATE OF APPLICATION DATE OF ASSESSMENT
UNIT STANDARD AGAINST WHICH YOU WERE ASSESSED TITLE: NUMBER: NQF LEVEL: CREDITS:
What was the purpose of the assessment?
Explain how you were assessed?
List the reasons why you disagree with the assessment decisions.
Which one of the following options could resolve the matter?
Another Assessor Different Assessment Instrument Different Assessment Method Different Venue for Assessment Different Time
List any special needs you might have.
Signature of Candidate Signature of Assessor
: _______________________ : _______________________
Date: _____/_____/______ Date: _____/_____/______ Date: _____/_____/______ Date: _____/_____/______
Signature of Internal Moderator : _______________________ Signature of External Verifier : _______________________
Document 6
ASSESSMENT REVIEW, RESULTS AND MODERATORS REPORT
Document 6.1
ASSESSMENT REVIEW
(to be completed by the Candidate and Assessor)
NAME OF CANDIDATE DATE OF REVIEW TITLE OF UNIT STANDARD
NAME OF ASSESSOR UNIT STANDARD NUMBER
REVIEW DIMENSION The principles/criteria for good assessment were achieved? The assessment related to the registered unit standard?
ASSESSOR Agree Disagree Agree Disagree Agree
CANDIDATE Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree
ACTION
The assessment was practical? It was time efficient and costeffective and did not interfere with my normal responsibilities? The assessment instruments was fair, clear and understandable The assessment judgements were made against set requirements. The venue and equipment was functional? Special needs were identified and assessment plan was adjusted. Feedback was constructive against the evidence required.
Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree Agree Disagree
REVIEW DIMENSION An opportunity to appeals was given.
ASSESSOR Agree Disagree Agree
CANDIDATE Agree Disagree Agree Disagree
ACTION
The evidence was recorded.
Disagree
DECLARATION BY CANDIDATE I ______________________ (name and surname of candidate) am aware of the moderation process and understand that the moderator could declare the assessment decision invalid.
CANDIDATE
ASSESSOR
INTERNAL MODERATOR
Document 6.2
CONFIRMATION OF ASSESSMENT RESULTS

(To be completed by the Internal Moderator)
CONFIDENTIAL
TO: Senior Training Officer
FROM:
Internal Moderator
DATE:
Assessment Results
Please take note that _________________________________ (name and surname of candidate) _____________________ (employee number) has been assessed and was declared competent against the following Unit Standard.
Assessment decisions were moderated by _____________________________________ on ________________________________.
I attach his/her record of learning in order for to update all the records.
Thank you.
__________________________ INTERNAL MODERATOR
_____ / _____ / _____ DATE
Document 6.3
INTERNAL MODERATORS REPORT

(To be completed by the Internal Moderator) INTERNAL MODERATORS NAME REGISTRATION NUMBER COMPANY
ASSESSORS NAME REGISTRATION NUMBER COMPANY
ASSESSMENT PRACTICES MODERATED
THE FOLLOWING COMPONENTS WERE MODERATED Assessment Policy Moderation Policy Appeals Procedure RPL Policy
COMMENTS AND/OR ACTION REQUIRED IF NOT YET COMPETENT
Assessment Strategy
Assessment Plan
Candidates preparation / readiness
THE FOLLOWING COMPONENTS WERE MODERATED ASSESSMENT INSTRUMENTS Against Unit Standard Assessment methods suitable Assessment methods manageable Assessment methods cost-effective Prepared and discussed with learners/ candidates RESOURCES Workplace prepared Required equipment ready Disputes handled Special needs addressed All stakeholders involved ASSESSMENT DECISIONS Assessment judgements Fair Valid Consistent
THE FOLLOWING COMPONENTS WERE MODERATED Constructive Assessment decision based on sufficient evidence TYPED OF EVIDENCE Direct Indirect Supplementary Historical FEEDBACK If candidate did not meet requirements were sufficient guidance and advise given RPL considered ASSESSMENT REVIEW Assessment Practices were reviewed by Assessor Candidate was allowed to review practices Recommendations for improvements were made ASSESSORS CODE OF CONDUCT
THE FOLLOWING COMPONENTS WERE MODERATED Professional Well prepared Credible Flexible Open and transparent Create a relaxing and developmental environment Used appropriate language Cultural sensitive
Assessment decisions were moderated by _____________________________________ (name and surname of Internal Moderator) on ________________________________.
__________________________ INTERNAL MODERATOR
_____ / _____ / _____ DATE
Document 6.4
RECOMMENDATIONS TO IMPROVE ASSESSMENT PRACTICES

(to be completed by the External Verifier) NAME OF ASSESSOR NAME OF INTERNAL MODERATOR DATE OF REVIEW : : : _________________________________ _________________________________ _____ / _____ / _____
PRACTISES
STRENGTHS
WEAKNESS
RECOMMENDATION
Assessment Policy
Moderation Policy
Appeals Procedure
RPL Policy
Assessment Strategy
Assessment Plan
Learner Preparation / Readiness
Assessment Instruments The manner in which assessment decisions are made against specific outcomes
PRACTISES
STRENGTHS
WEAKNESS
RECOMMENDATION
Direct
Indirect
Supplementary
Historical
Unit Standards
Feedback Process
RPL Process
Assessment Review Process
Assessors Competence
Assessor Development
SIGNATURE OF INTERNAL MODERATOR DATE:
Document 6.5
DECLARATION BY EXTERNAL VERIFIER

(To be completed by the External Verifier) I __________________________________________ declare that I am satisfied with the assessment practices and that I agree with the judgement and final assessment decision made by _____________________________________ (name and surname of Assessor) the Assessor and _____________________________________ (name and surname of Internal Moderator).
I __________________________________________ am not satisfied with the assessment process and assessment practices implemented and therefore do not agree with judgements made. I declare the final assessment decision invalid and request that the following action is taken:
More evidence required Different assessment methods used All the assessment criteria to be assessed ACTION REQUIRED Other: Assessor require additional training Identify another Assessor to conduct assessment
COMMENTS FROM EXTERNAL VERIFIER
SIGNATURE OF EXTERNAL VERIFIER DATE
Document 7
OTHER INFORMATION / EVIDENCE
Document 7.1
Document 7.2
Document 7.3
Document 7.4
Document 7.5

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Generic Template for a Portfolio of Evidence

CONTENTS AND EVIDENCE SUMMARY PAGE

ASSESSMENT STRATEGY, PLAN INSTRUMENTS AND EVIDENCE

DOCUMENT NUMBER Document 4.5.5 Document 4.5.6

ASSESSMENT COMPETENCE JUDGEMENT AND APPEALS APPLICAION

ASSESSESSMENT REVIEW, RESULTS AND MODERATION REPORT

OTHER INFORMATION / EVIDENCE

Physical Address of Assessor (Home)

Postal Address of Employer

Physical Address of Employer

CURRICULUM VITAE (Please insert your CV after the next page)

PRINT NAME AND SURNAME

ASSESSORS CURRICILUM VITAE

(Insert CV after this page)

______________________________________ (NAME AND SURNAME OF CANDIDATE)

Postal Address of Candidate (Home)

Physical Address of Employer

Any other special needs

CURRICULUM VITAE (Please insert your CV after the next page)

PRINT NAME AND SURNAME

CANDIDATES CURRICILUM VITAE

(Insert CV after this page)

A COPY OF CERTIFIED ID DOCUMENT

(Insert copy of ID document after this page)

COPIES OF RELEVANT CERTIFICATES

(Insert certificates after this page)

(Insert information after this page)

______________________________________ (NAME AND SURNAME OF CANDIDATE)

RECORDS OF DISCUSSIONS HELD

Confirm Unit Standard/s Discuss possible assessment methods

Confirmation of Assessment plan

Agree on Assessment plan Determine assessment dates, time and venue/s

DECLARATION OF MEETINGS HELD

CANDIDATES CONFIRMATION TO BE ASSESSED

_________________________________ CANDIDATES SIGNATURE

CONFIRMATION OF ASSESSMENT PLAN MEETING

ASSESSMENT STRATEGY, PLAN, INSTRUMENTS AND EVIDENCE

______________________________________ (NAME AND SURNAME OF CANDIDATE)

THE PURPOSE OF THE ASSESSMENT

Direct (Direct evidence is actual evidence produced by the candidate)

SPECIAL ASSESSMENT NEEDS

HEALTH AND SAFETY

ASSESSMENT PROCESS What: How:

Compile a plan for assessment

AM I READY FOR ASSESSMENT?

_________________________________ _____ / _____ / _____

_________________________________ CANDIDATES SIGNATURE

(Insert a copy of the unit standard after this page)

___________________________________________ (Name and surname of candidate)

CANDIDATES ASSESSMENT PLAN & PREPARATION SHEET

Unit Standard (Document 4.3) Assessment plan (document 4.4)

OTHER ROLE PLAYERS

OTHER ROLE PLAYERS

Specific Outcome 2: __________________________________ __________________________________ __________________________________ __________________________________

Specific Outcome 3: __________________________________ __________________________________ __________________________________ __________________________________

OTHER ROLE PLAYERS

Specific Outcome 4: __________________________________ __________________________________ __________________________________ __________________________________

Specific Outcome 5: __________________________________ __________________________________ __________________________________ __________________________________

OTHER ROLE PLAYERS

Assessment Instruments Appeals Procedure Moderation Process

Competence Records Confidentiality policy

OTHER ROLE PLAYERS

________________________________ CANDIDATES SIGNATURE

_______________________________ _ / _ / ___

Specific Outcome 2:

Specific Outcome 3:

Specific Outcome 4:

Specific Outcome 5:

___ / _ / ___ DATE

___ / _ / ___ DATE

Date: ___/_/__ Date: _/_/__ Date: _/_/__ Date: _/_/____

Signature of Internal Moderator : _ Signature of External Verifier : _