NATIONAL GENERAL Assessor's marking CERTIFICATE sheet PART B ~ THE PRACTICAL ASSESSMENT nebosh Candidate name H. Black Candidate rumberC_9999Z Examination contre “Dominus Training Date of practical assessment _G /_5 /_O1 Nameotassessor__R Green Maximum | pssessore | Mand available |" bo (gp) Observations 1 Range of issues identified 5 4 2 Number of hazards identified 20 12 3 Identification of immediate, medium and long term actions | 10 6 4 Suitability of remedial action / time scales Report to management 5 Selection of topics for urgent management action 10 F © Consideration of cost implications 5 0 7. Identfication of possible breaches of legislation 5 id 8 Presentation of information 10 8 8 Effectiveness in convincing management totake action | 15 tf TOTAL MARKS 100 61 SATISFACTORY (60% or more) [7] _ UNSATISFACTORY (less than 60%) Outcom [please do nat waite inthis box Date assessed 14/5 /OL Assessor's signature R Green __ Date received by programme organiser ' Date received by NEBOSH (if applicable) o | Guide to marking ‘ie practical assessment (revised June 2004)”NATIONAL GENERAL Candidate’s observation CERTIFICATE sheet PART B - THE PRACTICAL ASSESSMENT nebosh Sheet number_1_of _3 Candidate name. H Black Candidate number C__9 99 92 Place inspected __ MOTOR TRANSPORT AREA ___—_Date of inspection__4_/__5_/_O1 ‘Observations Priority! ‘Retions to be taken (if any) Time scale Lsthasartunsatpracios an good pracces | «SK | Lit allmmediat andlongriem actos eaures | Vinee ‘ety Uneven; worwnon-ilip floor |M | Hooryneedrewurfacing 3 mith Plenty of xgnw L None Drinking water available but | L Drinky water disperser moved to-| 3 why no-provision to-washandy area where handwashing: tot available Howekeeping could be better | L Generally ok but could be better | 2 mthy Forklift ovuse H | Training certificatey need to-be | Immed, checked Loty of lifting equipment - L Inspected by insurance None maintenance inspections? company 6 monthly Od fuelsplly L Dealt with - granules usedto | None adsor- Showery avaiable L None, Deion oF aha tn pon? Emptied|L | Od not lifted but pumped out | None 2 Supervision while irvpit: Ee Yew None Work with enginey running L Occ! exhaust ventilation inv None we Lotyof well marked L Allinvdate None Solventyusedto-wasparty- | — | Although good signage no PPE| Immed, what PPE | trhand Lifting ropey held together H | shouldbe removedand Immed- wothteape- destroyed 8 Guide to marking the practical assessment (revised June 2004)si | NATIONAL GENERAL i CERTIFICATE PART B - THE PRACTICAL ASSESSMENT nebosh Sheet number Candidate's observation sheet 2 of Candidate name H Black Candidate number C__9 9 9 92 Place inspected MOTOR TRANSPORT AREA Date of inspection__4 /_5_/__OL Observations Priority! | ‘Actions to be taken (if any) ‘Time scale Listas, uate races ae goed rats | «SK, | Ut a nmediate and gee acions recured | Fone) Furst-aid/kit | eye writation (| L Ne-action necesary None notice of qualified forst-aider | Memo-re- tagging witemfor |L | Equipment: concerned movedito- | 4 whe | lifting equipment - no-tagy alternative area | CoB No smoking policy # | Sitoking policy shouldbe, 2 wky | =r | Substancerin cupboard:-one |# — | Extracupboarderequiredand | 3 why | locked / some stuck on top locked Manual handling taney | New manager uuurewhere | Immed training record held | Some storage quitehighow |M | Extrwracking/ storage Ake soorerwith smolyte stand ory required. Itemy should be removed fromvtop of racking: Moving vehicley mpervised? te Yew None ‘Hot steam from party washer - | M Signa should be provided 2 weeky no-warning signe Firepowntyiveentralarea |L —_| Shouldfirepointybe considered | / nearer exity? | Battery - charging- explosiow/ | L Good vignage - fire exit iv room | None | electricutiony tual clade Boatterierowfloor ivfrontof | M Extra work surface to accom~ 2 mthy othery charging modate batteries found on floor Workery own bikey/ motor L | Puhedinnot driven, / Dikevinaren Guide to marking the practical assessment (revised June 2004) a