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NATIONAL GENERAL Assessor's marking. CERTIFICATE sheet PART B- THE PRACTICAL ASSESSMENT nebosh candidate name 7 Pale_ candidate number C 29994 examination centre beeen Tet Coie Date of practical 7/4 Name of assessor C Mttard sj S| NOs mum | aasesors | moder aise: | ete lee (t apphcable) Observations 4 Range of issues | ‘identified 5 s 2 ‘Number of hazards identified 20 6 4 entiation of immediate, medium and fong frm actons 4 Suitability of remedial action /time scales Report to management 5 Selection of topics for urgent management action 6 Consideration of cost implications jes 7. Wentication of possible breaches of legislation 5 5 8 Presentation of information. 40 1 0 4 Effectiveness in convincing management t0 fake ‘ction 15 8 ‘TOTAL MARKS 100 » — a ‘outcome: SATISFACTORY (60% or more) UNSATISFACTORY (less than 60%) Date assessed 10 | £ ‘Assessor's signature ___@Mfartard__—— Date received by programme organiser (a Date received by NEBOSH (ifapplicable) 5 5 —ormaiting The araccal assessment (revised June 2004) TE NATIONAL GENERAL CERTIFICATE PART B - THE PRACTICAL ASSESSMENT Candidate name _J ale nebosh Candidate's observation sheet ‘Sheet number_£ of _6 Candidate number C 29994 Place inspected _Court House Offices Date of inspection 4 /_5_/_O1_ ‘Observations Priority! “Retions to be taken (ifany) Time scale Lst hazards unsafe pracoes and good pracicas | «f"SK,, | usta immadate andlongertem atone equres es 1 Risk of fal dve to defective 1 | Plce tose verre sith Aways external ight, Contractor to remedy defect 2 Days Health Safety at Work Ack, Monitor and maineain Cont. Workplace (Health, Safety and Welfare) Regulations 2 Risk of poor ventilation - non-use of | L —| Stitch on extractor fan immed extractor fan in capler rom Infurm staff Inmed Monitor use / link 40 light svatch Come. 3 Risk of strains from iting heavy | L | tnform staf to if small quantities tmmed axes: of copying paper n copy roam, Traln staff in manual handling 1 month Manual Handing Regulations Monitor sieuation Com, 4. Risk of Iyury when trying to A | Remove fles from High level an relocate | wmed resriere files prom gh level Inform atafp of risk and new location | Iwed shelring. Monitor situation to ensure Wo Cont, Manual Handing Regulations, reourrance Workplace (Health, Safety and Wetfare) Regulavions 5 Welfare faciities - Kitchen and work | | No action required Cont, surfaces clean and tidy condition Nonttor cleanliness | Decorate / replace fitting Witkin 5 ve 6 First-Ald box sultable and No action regutred cadecyately stocked Monitor Comb. Health and Safety (Firse-Ald) Replace out of date items ae necessary | Cott, Regulations la aaa Guide to marking the practical assessment (revised June 2004) NATIONAL GENERAL Candidate's observation __ CERTIFICATE sheet PART B - THE PRACTICAL ASSESSMENT nebosh Sheet number_2 of 6 _ Cenditstename_Jfae Candidate ruber C 299 94 Place inspected _Gourt House Offices. Date of inspection 4 /_5_/_OL ‘Observations Priority/ | ‘Actions to be taken (if any) Time scale Lsthazad, ust pracies anc good paces | g/K, |_Ustatimmedaeandongertrm acon rete ree F Welfare facitties | Gean microwave Imned Risk of contamination and cawsing Inform staff to clean afver use / pue up | Itarwed damage to microwave caused by ‘note, Monitor for cleantiness Com, ‘ul up of food particles inside Workplace Regnlations & Risk of fre from storage of 4 | Remove combustible materiale Inmed combustible materials adjacent to Inform eaty of risk and nat to stare in | immed ‘Ignition source (gas baller) his area | relocate materials / waned » Fire Precambions Act | increase collection of wasre Fed plan Workplace (Fire Precautions) Cont, Regulations Monitor situation 9 Risk of fre spread from fre doors # being wedged gpen Glose doors / ensure signa on doors / Jommed Fire Precautions Act instruct staff Con, Fire Precautions (Workplace) Manttor to ensure no reoccurrence Regilarions: 10R¢ek of tripping caused by staff | L starng files and bags aroand desks, Staff informed 40 remove and clear Workplace (Health, Safety and surrounding area / provide secure storage | Immed Welfare) Regulations area for personal teams weeks Review shelving provision Cont, Monitor to ensure no recurrence £1 Riek of ur from ies falling off | Mh immed overloaded shelf (bowed in middle) Remove fles and inform staff Health and Safety at Work Ack Replace shelves with appropriate Lweck widerpianing Con, | Monitor and ensure not overloaded 12 Welfare/santeary facilities: clean and tidy tolets No action required Come, Nontvor cleanness Find plow Maintenance / redecoration ‘Guide to marking the practical assessment (revised June 2004) 53

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