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NEBOSH International General Certificate

in Occupational Health and Safety

UNIT GC3: HEALTH AND SAFETY PRACTICAL APPLICATION

Student Name:

Student Number:

Date of Submission:
APPENDIX 1
GC3 The Health and Safety Practical Application

Candidate and course provider declarations:

For completion by the candidate:

I declare that the work submitted for this practical application assessment ie. the completed observation sheets and
the report to management, is my own work. I recognise that contravention of this statement constitutes malpractice
and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print) _________________________________

Signature _________________________________

Date _________________________________

For completion by a course provider representative (e.g. internal practical assessor):

I declare that the work marked is identical to that received from the candidate. I recognise that contravention of this
statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH
Malpractice policy.

Name (Print) _________________________________

Signature _________________________________

Date _________________________________

For completion by the course providers internal practical assessor:

I declare that I have marked this work and am both qualified and approved by NEBOSH to do so. I recognise that
contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in
the NEBOSH Malpractice policy.

Name (Print) _________________________________

Signature _________________________________

Date _________________________________

NB: This declaration must be completed in full submitted and retained with the
candidates script. If this declaration is not submitted the candidates result may be
declared void.
APPENDIX 2
Assessors marking sheet

GC3 THE HEALTH AND


SAFETY PRACTICAL APPLICATION

Date of practical application Name of assessor

Course provider Course provider


number name

Student number Student name

NEBOSH
Maximum
Assessors moderated
marks
Criteria available
marks awarded marks
(if different)

1 Completion of observation sheets

1.
Range and outline of hazards and consequences 15
1
1. Identification of suitable control measures and
15
2 timescales

2 Report - Introduction and Executive Summary

2. Introduction providing an overview of the chosen


5
1 area
2.
Executive summary 5
2

3 Report - Main findings of the inspection

3.
Quality of interpretation of findings 15
1

3. Identification of possible breaches of international


5
2 standards

3.
Persuasiveness / conciseness / technical content 10
3

4 Report - Conclusions and Recommendations


Outcome:
4. Clear andPASS
concise conclusions which are clearly
(60% or more) REFER
15 (less than 60%)
1 related to report findings and are effective in
convincing management to take action
Date
4. assessed ____ / ____
Recommendations / ____
which present realistic actions to 15
2 improve health and safety in the chosen area
Assessors signature ______________________

Date received by course provider ____ / ____ / ____ 100


TOTAL MARKS
Date received by NEBOSH
(if applicable) _____ / _____ / _____
Assessors additional comments on the practical application:

ASSESSED BY (name in block letters) _________________________________________________

The mark sheet must be retained by the Course Provider and sent to NEBOSH only if requested.

NEBOSH USE ONLY

NEBOSH Moderators comments:


APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
01.Health and Hygiene Remove the food wastes and clean the Immediate
Food waste container over area.
flow at Restroom / labour
mess hall where hygiene Short Term Measure
condition is not maintained. Provision more waste container and 4 days
There is a risk of biological maintain hygiene condition.
hazard due to evolution of
microorganisms and other Long Term Measure
parasites. To prevent ill health, a dedicated person to 2 weeks
be appointed to clean the Rest room /
Labour Mess hall on regular basis with
daily cleanliness record.

2. Health and Hygiene Environmental friendly disinfectant to be 1 Day


Observed stagnant at the sprayed on the stagnant water to kill the
storage area with presence of mosquito breeds and fungus.
mosquito and fungus. The
area become slippery too. Short Term Measure
There is a risk of ill health due Ground should be levelled in-order to 2 Weeks
to communicable diseases like drain water to the drainage to prevent
dengue, malaria, etc. stagnant water.

Long Term Measure


Regular cleaning to be done to restrict
development of fungus, mosquito Regularly
breeding and becoming slippery surface.
Formulate and implement a regular health
and hygiene inspections system
procedure.
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
3. Health and Hygiene Empty the toilet by sewage contractor Immediate
It has been found that the before further use.
portable toilet is overflowing
at the site near control room. Short Term Measure
This cause ill health to Provide additional more temporary toilets 2 Week
workers due to biological in proportion with site workers.
hazard like parasites, etc.
Long Term Measure
Assign dedicated person to manage the 1 Week
cleanliness of toilets everyday with
housekeeping log.

4. Working at Height All materials on the platform to be Immediate


It has been found that a lots of removed
work materials and waste
materials stacked on the Short Term Measure
scaffold platform near the Provide lifting bucket, ropes and pulley to 1 Week
stack No.1. workers to lift up and down the necessary
Hazard of material fall from material and wastes when needed.
height and trip & fall exists
which can lead to serious head Long Term Measure
injury or broken bones of Routine inspection of scaffold platform by Daily
workers. scaffold inspector to be done.

A regular awareness communication of Weekly


work at height hazards and prevention
measures to be delivered to all workers.
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
5. Work at Height Install the missing toe guards and do a full Immediate
It has been observed that the inspection of the scaffold.
scaffold near the pump house
area is missing toe guard at Short Term Measure
one side and green tag Install safety net below to catch fallen 1 Day
available. There is a risk of materials.
material fall from height and
get head or body injury to the Validation of scaffold contractor worker 1 Week
worker pass by or work competency to be done.
nearby.
Long Term Measure
A routine inspection of scaffolds to be
done on daily basis by scaffold inspector. Regularly
The inspection report to be delivered to
safety department on weekly basis.

6. Hot Work
It was observed one worker Use fire blanket to cover the cable before Immediate
doing welding at the sinter further continue the work
plant building 2nd floor and the
sparks of welding falling Short Term Control
down upon the electrical Assign fire watcher for all Hot Work Jobs. 2 Days
cables below which is at risk
of insulation damage due to Long Term Measure
sparks. Worker to be trained on Hot Work 2 Weeks
Procedure and requirements.

APPENDIX 3 Candidates observation sheet


GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale


Hazards and consequences Immediate and longer term actions

APPENDIX 4
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Introduction including overview of area inspected and activities taking place

Executive Summary

Main findings of the inspection

Conclusions

Recommendations include as a table in the following format:

Recommendation Likely resource implications Priority Target date

UNIT GC3 THE HEALTH AND Candidate report template


SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Introduction including overview of area inspected and activities taking place

UNIT GC3 THE HEALTH AND Candidate report template


SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Executive Summary
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Conclusion
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Recommendations
Recommendation Likely resource implications Priority Target date
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Recommendation Likely resource implications Priority Target date