FORM 1.

1 SELF-ASSESSMENT CHECKLIST

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.
COMPETENCIES
CAN I? YES NO
BASIC COMPENTENCIES
1. PARTICIPATE IN WORKPLACE COMMUNICATION
B 1.1 Obtain and convey workplace information

B 1. 2 Complete relevant work related documents

B1.3 Participate in workplace meeting and discussion

2.WORK IN A TEAM ENVIRONMENT
B2.1 Describe and identify team role and responsibility in a team.

B2.2 Describe work as a team.

3.PRACTICING CAREER PROFESSIONALISM
B3. 1 Integrate personal objectives with organizational goals

B3.2 Set and meet work priorities

B3.3 Maintain professional growth and development

4.PRACTICING OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
B4.1 Identity hazards and risks

B4.2 Evaluate hazards and risks

B4.3 Control hazards and risks

B4.4 Maintain occupational health and safety awareness

COMMON COMPETENCIES
1. APPLY APPROPRIATE SEALANT/ADHESIVE
C1.1 Identify appropriate sealant/adhesive

C1. 2 Prepare surface for sealant/adhesive

C1. 3 Apply sealant/adhesive evenly

C1. 4 Store/dispose-of sealant/adhesive

2. MOVE AND POSITION VEHICLE
C2. 1 Prepare vehicle for driving.

C2. 2 Move and position vehicle

C2. 3 Check the vehicle

COMPETENCIES
CAN I? YES NO
3. PERFORM MENSURATION AND CALCULATION
C3. 1 Select measuring instrument

C3.2 Carry out measurement and calculation

C3.3 Maintain measuring instruments.

4. READ, INTERPRET AND APPLY SPECIFICATION AND MANUAL
C4. 1 Identify/accessed manuals and interpret data and specification.

C4. 2 Apply information accessed in manual.

C4. 3 Store manual

5. USE AND APPLY LUBRICANT/COOLANT
C5. 1 Identify types of lubricants/coolant

C5. 2 Use and apply lubricants/coolant

C5. 3 Perform housekeeping activities

6. PERFORM SHOP MAINTENANCE
C6. 1 Inspect and clean tools, equipment and the work area

C6. 2 Store/arrange tools and shop equipment

C6. 3 Dispose waste and used lubricants

C6.4 Report damaged tools and equipment.

CORE COMPETENCIES
1. SERVICE STARTING SYSTEM
CO 1.1 Test starting system components and identify faults

CO1. 2 Disassemble starter

CO1. 3 Repair/replace and assemble starter components/parts

2. SERVICE CHARGING SYSTEMS
CO2. 1 Test charging system components and identify faults

CO 2.2 Disassemble alternator

CO 2.3 Repair/replace and assemble alternator component/parts

3. SERVICE ENGINE MECHANICAL SYSTEM
CO3. 1 Explain coolant circulation within cooling system.

CO3. 2 Check thermostat condition

CO 3.3 Perform leakage test on cooling system

COMPETENCIES
CAN I? YES NO
CO 3.4 Repair/replace water pump

CO3. 5 Apply coolant additives

CO3. 6 Explain oil cycle within the engine

CO3. 7 Identify types, classifications and applications of engine oil

CO3. 8 Overhaul oil pump, replace oil fitter and change oil

4. SERVICE CLUTCH SYSTEM
CO4. 1 Diagnose clutch failure/problem

CO4. 2 Pull out and mount clutch component parts

CO4. 3 Dismantle/Install clutch mechanism

CO4. Overhaul hydraulic clutch mechanism

CO4. 5 Perform clutch parts failure analysis

CO4. 6 Set/Adjust clutch system components

CO4. 7 Bleed clutch hydraulic system

5. SERVICE DIFFERENTIAL AND FRONT AXLE
CO5. 1 Inspect drive shaft and joint

CO 5. 2 Dismount and mount differential assembly

CO5. 3 Overhaul differential

CO 5. 4 Overhaul rear/front wheel hub

CO5. 5 Analyze king pin condition

CO5. Inspect/replace l-beam

6. SERVICE MANUAL STEERING SYSTEM
CO6. 1 Analyze front-end geometry failure

CO6. 2 Service steering system

CO6. 3 Perform wheel balancing

CO6. 4 Conduct wheel alignment

7. OVERHAUL MANUAL TRANSMISSION
CO7.1 Diagnose manual transmission failure

CO7.2 Pull-out/mount manual transmission

CO7. 3 Disassemble/assemble manual transmission

CO7. 4 Inspect manual transmission parts

COMPETENCIES
CAN I? YES NO
CO7. 5 Test manual transmission

CO7. 6 Test/road test manual transmission

8. SERVICE BRAKE SYSTEM
CO8. 1 Pull-out/mount brake system components

CO 8.2 Disassemble/assemble brake system components.

CO8. 3 Conduct road test.

9. SERVICE SUSPENSION SYSTEM
CO9. 1 Diagnose suspension system failure

CO9. 2 Dismount/mount suspension component parts.

CO9. 3 Disassemble/assemble suspension parts

CO9. 4 Inspect/replace suspension component parts

10. PERFORM DIESEL ENGINE TUNE-UP
CO10. 1 Set and install injection pump to engine

CO 10.2 Inspect injection timing

CO10. 3 Bleed injection system components

CO10. 4 Conduct compression testing

11. PERFORM GAS ENGINE TUNE-UP
CO11. 1 Check and adjust valve tappet clearance.

CO11. 2 Inspect/test spark plug

CO11. 3 Check/replace fuel filter and air cleaner

CO11. 4 Inspect/replace contact point condenser.

CO11. 5 Test/adjust dwell angle and ignition setting.

CO11. 6 Adjust engine idle speed and mixture

CO 11.7 Check advance mechanism and adjust ignition timing.

CO11. 8 Conduct compression test.

12. SERVICE AUTOMOTIVE BATTERY
CO12.1 Identify and explain the operation and safe handling of
different types of battery.

CO12. 2 Demonstrate the testing of an automotive battery.

CO12. 3 Remove and replace batteries

COMPETENCIES
CAN I? YES NO
CO12. 4 Service and charge batteries

CO12. 5 Demonstrate the procedure of jump starting battery.

13. SERVICE IGNITION SYSTEM
CO13. 1 Check and evaluate ignition system components

CO13. 2 Perform spark test

CO13. 3 Perform ignition wiring installation

CO13. 4 Perform ignition timing

14.TEST AND REPAIR WIRING/LIGHTING SYSTEM
CO14. 1 Test electrical system of open and short circuit to determine faults

CO14. 2 Carry out necessary repair in the electrical system

15.PERFORM UNDERCHASSIS PREVENTIVE MAINTENANCE
C O15.1 Check clutch and brake fluid and lines
CO15. 2 Inspect and change power transmission/differential gear
oil.

CO15. 3 Inspect/replace power steering fluid
CO15. 4 Check/refill automatic transmission fluid.
CO15. 5 Inspect/bleed air tank
CO15. 6 Check tire and tire pressure.
CO15. 7 Check under chassis body bolts and nuts














Training Activity Trainee
Facilities/Tools
and Equipment
Venue
Date &
Time
Remarks
(Workstation/
Area)
Prayer




8:00 AM
to 8:30
AM

Recap of Activities
Unfreezing Activities
All
trainees

Feedback of Training

Rejoinder/Motivation
(Specific Activities of
each Trainee for the
day here)
Group 1
(List down all
Facilities/Tools
and Equipment
needed for the
workstation and
activities here)
Name of
Workstation1
8:30 AM
To 9:30
AM
observations
on the
progress of
each trainee
for the day
will be
written here

(Specific Activities of
each Trainee here)
Group 2
(List down all
Facilities/Tools
and Equipment
needed for the
workstation and
activities here)
Name of
Workstation 2
9:30 AM
to
10:00
AM
observations
on the
progress of
each trainee
for the day
will be
written here



(Specific Activities of
each Trainee for the
day here)
Group 1
(List down all
Facilities/Tools
and Equipment
needed for the
workstation and
activities here)
Name of
Workstation 3
10:00
AM to
11:00
AM
observations
on the
progress of
each trainee
for the day
will be
written here
(Specific Activities of
each Trainee for the
day here)
Group 2
(List down all
Facilities/Tools
and Equipment
needed for the
workstation and
activities here)
Name of
Workstation 4
11:00
AM to
12:00 PM
observations
on the
progress of
each trainee
for the day
will be
written here






Training Activity Matrix
TRAINING SESSION EVALUATION FORM
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.

TRAINERS/INSTRUCTOR
S

Name of Trainer:
Mr. Roberto Santiago
Poor/
Unsatis
factory


1
Fair/
Satisfac
tory


2
Good/
Adequa
te


3
Very
Good/
Very
Satisfac
tory

4
Outsta
nding



5
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/she 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 and
hygiene

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



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.

PREPARATION
Poor/
Unsatisf
actory

1
Fair/
Satisfact
ory

2
Good/
Adequat
e

3
Very
Good/
Very
Satisfact
ory
4
Outstand
ing


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
Poor/
Unsatisf
actory

1
Fair/
Satisfact
ory

2
Good/
Adequat
e

3
Very
Good/
Very
Satisfact
ory
4
Outstan
ding


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
Poor/
Unsatisf
actory

1
Fair/
Satisfact
ory

2
Good/
Adequat
e

3
Very
Good/
Very
Satisfact
ory
4
Outstan
ding


5
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
Poor/
Unsatisf
actory

1
Fair/
Satisfact
ory

2
Good/
Adequat
e

3
Very
Good/
Very
Satisfact
ory
4
Outstan
ding


5
1. Support Staff are
accommodating




Comments/Suggestions:

_____________________________________________________________________

Self Evaluation

The trainer shall design a self-evaluation questionnaire that he/she shall
answer after the conduct of the training. This shall serve as a checklist of what
he/she must do. A short sample is given below.

During the session, did I? Yes No
1. Establish an atmosphere of trust?

2. Encourage participation of the trainees?

3. Assist the trainees when they needed
assistance?

4. Consider the feedback of trainees?

5. Remain aware of non verbal communication?

6. Praise effort?

7. Summarize key points?

8. Vary activities and tasks to aid attainment of
competency?

9. Provide opportunities for practice?

10. Achieve the learning objectives?


Sample questions that the trainer could answer:

1. Were there any parts of the session which did not run as expected? Why?
2. Did any unexpected problem arise? Did I deal with them correctly?
3. Were the session outcomes achieved? If not, why?
4. Should anything be changed for the next training sessions?








AUTOMOTIVE SERVICING NC II
Trainees 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.
Characteristics of learners
Language, literacy
and numeracy (LL&N)
Average grade in:
English
a. 95 and above
b. 90 to 94
c. 85 to 89
d. 80 to 84
a. 75 to 79
Average grade in:
Math
a. 95 and above
b. 90 to 94
c. 85 to 89
d. 80 to 84
e. 75 to 79
Cultural and
language
background
Ethnicity/culture:
a. Ifugao
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Tagalog
g. Others( please specify)_____________

Sex a. Male
b. Female
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 experience
with the topic
Certificates
A .Performing Underchassis Maintenance
b. Gas engine tune up
C. Diesel engine tune up
d.Others (please specify)___________________
Previous learning
experience
Trainings related to Automotive Servicing NC II
A .Performing Underchassis Maintenance
b. Automotive servicing NC I
C. Driving
d. Others (please specify) _________________
Training Level
completed
National Certificates acquired and NC level
a. Driving NCII
b. Automotive Servicing NC I
c. Others(please specify)__________________
Special courses
Other courses related to Automotive


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 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.
Learning styles h. 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.
i. Kinesthetic - described as the students in the
classroom, who have problems sitting 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.
j. 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.
k. Activist - Learns by having a go
l. Reflector - Learns most from activities where they can
watch, listen and then review what has happened.
m. Theorist - Learns most when ideas are linked to
existing theories and concepts.
n. 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) ___________________________