Ver 2.

0: Revised 20th July 2017

INDUSTRIAL INTERNSHIP
EVALUATION FORMS
FOR
ICB/IDB3037
STUDENT INDUSTRIAL TRAINING (SIT)
(HOST COMPANY’S SV COPY)

Student’s Name : _______________________________

Matric No. : ________________________________

Programme : ________________________________

Place of Training : ________________________________

Period of Training : ________________________________

UTP SV Name & Stamp : ________________________________

HC SV Name & Stamp : ________________________________

Note: Host Company Supervisor to submit evaluation form booklet to UTP Supervisor at the end of
the assessment visit. Please make copies for your reference.
 COURSE SYLLABUS
Subject Name Student Industrial Training
Code ICB/IDB3037
Subject Status Major
Level Sarjana Muda / Bachelor
Credit Value 7
Prerequisite  CGPA not less than 2.0
 Earned at least 75 credit hours for Engineering and Petroleum Geosciences programmes
(as at semester 5 result)
Earned at least 60 credit hours for ICT/BIS and Applied Sciences programmes (as at
semester 4 result)
Assessment  Pass (≥50%) / Fail – Log Book, Student’s Performance & Competency and Presentation &
Short Report
Percentage (%)
Item
Host Company Supervisor UTP Examiner
Log Book 20 -
Student’s Performance 35 15
Presentation & Short
15 15
Report
Total 70 30
Lecturer Professionals from the industry and UTP Lecturers

Semester Taught Engineering and Petroleum Geosciences - After completion of semester 6

ICT/BIS and Applied Sciences - After completion of semester 5
Course Learning Outcomes At the end of this course, students should be able to:
1. Demonstrate skills in communication, management and teamwork
2. Adopt ethic, professionalism and HSE practices in work culture
3. Demonstrate continuous building of skills and knowledge throughout the training
4. Appreciation of sustainability issues in industry
Subject Synopsis  The Student Industrial Training provides opportunity to the students to experience the
real working environment of the industry.
 The students will develop skills in work ethics, communication, management and
working in a team.
 Furthermore, this Student Industrial Training will establish close relationship between
the industry and UTP.
Subject Planning Duration
The Student Industrial Training comprises the following
components:
 Knowledge of the workplace
 Understanding on the job
 Job performance
 Quality of work
 Job timeliness 14 weeks
 Commitment in teamwork
 Integrity
 Communication skills
 Discipline
 Inquisitiveness and Initiative

Reference 1. Student Industrial Training Guidelines for Academic

Supervisors, Host Company and Students, Universiti Teknologi
PETRONAS.
Main Reference
2. Engineering Codes, Manuals and Standards
3. Information Technology Standard and Guidelines
4. Host Company’s policy and guidelines
 PRIVATE & CONFIDENTIAL
Attention:
1. DO NOT DISCLOSE THIS ASSESSMENT TO STUDENT
2. If the student has more than one Host Company supervisor then all supervisors should
assess the student by specifying the period of training using separate forms.
3. The Host Company Supervisor need not assess any attribute that are not relevant to
the student’s performance.
4. Host Company Supervisor to submit this form to UTP Supervisor at the end of the
assessment visit.
 FORM SIT – A – HC

ORAL PRESENTATION EVALUATION FORM

 FORM SIT-A-HC

ORAL PRESENTATION EVALUATION

Student’s Name: Student ID: Programme:

Place of Training: _______________________ Period of Training: ___________

Please award the correspondent mark to each category in the box provided

Score
CATEGORY Criteria for Judging Quality
Beginning Developing Accomplished Exemplary
(<4.0) (4.0 to <6.5) (6.5 to <8.0) (8.0 to 10.0)
 Appearance; Facial expression; Confidence Little eye contact, lack confidence with Some eye contact, fairly confident Good eye contact, confident with the Excellent eye contact, very confident
Visual (Non-Verbal
 Gestures; Eye contact the speech throughout the presentation throughout the presentation and speech throughout the presentation and throughout the presentation and well /10
Communication) and fairly groomed adequately groomed pleasantly groomed groomed

Clear and concise background, objectives, continuity of Unclear background and objectives but The background and objectives are The background and objectives are well The background and objectives are well
content showed some organization implied and organized fairly well prepared and well organized prepared and extremely organized
/10

Illustrated poor understanding of work Illustrated fair understanding of work Illustrated good understanding of work Illustrated exceptional understanding of
Content Explanation of work culture and work experience
culture and work experience culture and work experience culture and work experience work culture and work experience
/10

Minimal analysis and evaluation of
Involve wide ranging or conflicting technical,
engineering and other issues
industrial based problems on various
possible solution
 Conclusions and recommendations Conclusion minimally summarizes the
 Adequacy of key ideas pertinent to objectives presentation with the least
Acceptable recommendations recommendations
Articulation is fair, uses inappropriate
 Fluency and choice of words
Tone of voice (monotonous, intonation)
word choice and speaks with lack
Clarity of presentation enthusiasm
Rate of speech is inappropriate and uses
 Pace and continuity
Use of aids
minimum selection of audio and/or visual
aids
Superficial analysis and evaluation of
industrial based problems on various
possible solution
Conclusion adequately summarizes the
presentation with reasonable
recommendations
Articulation is moderate, uses
appropriate word choices and speaks
with enthusiasm
Rate of speech is fairly appropriate and
Rate of speech is good and uses suitable
uses some selection of audio and/or
visual aids
Good analysis and evaluation of
industrial based problems on various
possible solution
Conclusion mostly summarizes the
presentation with acceptable
recommendations
Articulation is good, uses appropriate
word choice and speaks with high
enthusiasm
selection of audio and/or visual aids
In depth analysis and evaluation of
industrial based problems on various /10
possible solution
Conclusion effectively summarizes the
presentation with extensive /10
recommendations
Articulation is well, uses appropriate
word choice and speaks with great /10
enthusiasm
Rate of speech is appropriate and uses
impressive selection of audio and/or /10
visual aids

Ability to listen, attitude towards person asking the Fairly understand the questions given Fairly understand the questions given Understand the questions given and Fully understand the questions given
question (defensive, respect) and defensive towards the evaluators and respect the evaluators respect the evaluators and respect the evaluators
/10

Fairly understanding of the subject
 Technical and factual accuracy; Grasp of subject
matter and answered some questions
Questions and unconfidently
Answers
Uncomfortable with information and is
Creativity and ability to handle question and able to
relate to industry core business
able to answer only rudimentary
questions
Average understanding of the subject
matter and answered most questions
fairly confident
Ease with expected answers to all
questions but fails to elaborate with
hints given
Good understanding of the subject Impressive understanding of the
matter and answered all questions subject matter and answered all /10
fluently and confidently questions fluently and confidently
Demonstrates full knowledge (more
Ease with expected answers to all
than required) when answering all
questions but able to elaborate with
questions with explanation and
/10
clues provided
elaborations

Total Score /100

Additional Comments:
 FORM SIT – B– HC
ASSESSMENT OF STUDENT’S
PERFORMANCE & COMPETENCY

ASSESSMENT OF STUDENT’S PERFORMANCE & COMPETENCY
Student’s Name: ____________________ Student ID: _________ Programme: ______________
Place of Training: _______________________ Period of Training: ___________
Attributes
Section I : Performance
and Tasks Completion
Knowledge of the
workplace
1 the function and
Understanding of general
function and purpose of the
Department or section.
Understanding the Job
2 Ability to understand the
instruction or the
requirement of the job.
Job Performance
3 assigned job with
Ability to perform the
assigned job.
Quality of Work
4
Accuracy or acceptability of
the work done.
Job Timeliness
5 ahead of time with
Ability to complete the tasks
within a given time.
Section II : Student’s
Competencies
Commitment in
1 Teamwork
Able to work with others to
complete assignment given.
Integrity
2 accept & perform any
Willingness to accept and
perform any given task.
Communication Skills
3
Ability to work and express
ideas and views with others.
Inquisitiveness and
Initiative
4 Ability to work
independently and willing to
learn and apply new
knowledge.
Organisational Fit
Comply with the Host
5 Company’s (HC) Safety
procedures and support
Host Company’s vision and
mission
FORM SIT-B-HC
Please tick or circle the appropriate mark for each category
Beginning Developing Accomplished Exemplary
Score
(<4.0) (4.0 to <6.5) (6.5 to <8.0) (8.0 to 10.0)
Low understanding on Moderate understanding Good understanding on High understanding on
on the function and the function and the function and
/10
purpose of the purpose of the purpose of the purpose of the
Department or section. Department or section. Department or section. Department or section.
High understanding on
the instruction or the
Low understanding on Moderate understanding Good understanding on
requirement of the job
the instruction or the on the instruction or the the instruction or the /10
with the ability to
requirement of the job. requirement of the job. requirement of the job.
anticipate future
requirement.
Able to perform the
Able to perform the Able to perform the Able to perform the
assigned job with close assigned job with assigned job with some /10
minimum or no
guidance. moderate guidance. guidance.
guidance.
Jobs were performed Jobs were performed Jobs were performed Jobs were performed
moderately and with low accurately and with accurately and with with high accuracy and /10
quality. acceptable quality. good quality. with high quality.
Tasks were completed
Tasks were completed Tasks were completed Tasks were completed
within time with close within time with some within time with /10
minimum or without
monitoring. monitoring. minimum monitoring.
monitoring.
Beginning Developing Accomplished Exemplary
Score
(<4.0) (4.0 to <6.5) (6.5 to <8.0) (8.0 to 10.0)
Low ability to work with Moderate ability to work Good ability to work High ability to work with
other to complete the with other to complete with other to complete other to complete the /10
assignment. the assignment. the assignment. assignment.
Sometimes willing to
Seldom willing to accept Usually willing to accept Always willing to accept
& perform any given & perform any given & perform any given /10
given tasks with a
tasks with a reason. tasks. tasks.
reason.
Acceptable ability to Decent ability to express Good ability to express High ability to express
express ideas and views ideas and views with ideas and views with ideas and views with /10
with others. others. others. others.
Low initiative and Moderate initiative and Good initiative and High initiative and
seldom willing to learn sometimes willing to usually willing to learn always willing to learn
/10
and apply new learn and apply new and apply new and apply new
knowledge. knowledge. knowledge. knowledge.
Fully comply with the
Seldom comply with the Acceptably comply with HC’s Safety procedures,
Fairly comply with the
HC’s Safety procedures the HC’s Safety completely understand
HC’s Safety procedures
and unable to procedures and able to its vision and mission /10
and fairly understand
understand HC’s vision understand HC’s vision and works toward
HC’s vision and mission.
and mission. and mission. achieving common
goals.
Total Score /100
 (cont’d)

Section III: Comment on the Student’s Performance

(This section is to be filled by the Host Company Supervisor. Please provide comments on the
student’s performance and attributes which are assessed above and other related matters).
 FORM SIT – C– HC

STUDENT INDUSTRIAL TRAINING REPORT

EVALUATION
 FORM SIT-C-HC

STUDENT INDUSTRIAL TRAINING REPORT EVALUATION

Student’s Name: Student ID: Programme:

Place of Training: _______________________ Period of Training: ___________

Please award the correspondent mark to each category in the box provided

Marks
CATEGORY Criteria for Judging Quality
Beginning Developing Accomplished Exemplary
(<4.0) (4.0 to <6.5) (6.5 to <8.0) (8.0 to 10.0)
Fairly or not detailed overview of the Moderately clear and detailed overview Clear and detailed overview of the Very clear and detailed overview of the
Introduction
 General Overview of the company company with not much emphasis on of the company with emphasis on the company with good emphasis on the company with great emphasis on the /10
the product and services of the company product and services of the company product and services of the company product and services of the company
Moderately clear and detailed Very clear and detailed explanation on
Fairly or not detailed explanation on the Clear and detailed explanation on the
 Occupational Health and Safety
company’s HSE practices and training
explanation on the company’s HSE
company’s HSE practices and training
the company’s HSE practices and /10
practices and training training
Fairly or not detailed explanation on Moderately clear and detailed Clear and detailed explanation on the Clear and detailed explanation on the
Work Culture  Company SOP
HC’s SOP explanation on the company’s SOP company’s SOP. company’s SOP.
/10
Moderately clear and detailed
Fairly or not detailed explanation on the Clear and detailed explanation on the Clear and detailed explanation on the
 Work environment
overall work environment
explanation on the overall work
overall work environment overall work environment
/10
environment
Fairly or not detailed description on the Moderately clear and detailed Clear and detailed description on the Very clear and detailed description on
 Skills gained skills gained through the experience at description on the skills and knowledge skills and knowledge gained through the the skills and knowledge gained through /10
HC gained through the experience at HC experience in at HC the experience in at HC
 Knowledge Gained Fairly or not detailed description on the Moderately clear and detailed Clear and detailed description on the Very clear and detailed description on
Work Experience  Understanding job requirement knowledge gained through the description on the knowledge gained knowledge gained through the the knowledge gained through the /10
 Completing task given on time experience at HC through the experience at HC experience at HC experience at HC
 Application
Relationship between the theory and Relationship between the theory and Relationship between the theory and Relationship between the theory and
 Relate the activities to theoretical
activity is not stated activity is moderately stated activity is clearly stated activity is extensively elaborated
/10
knowledge
 Summarize your SIT experience Moderately clear and detailed
Fairly or not detailed description on the Clear and detailed description on the Very clear and detailed description on
Conclusion  Relate theory to work experience
experience and knowledge gained
description on the experience and
experience and knowledge gained the experience and knowledge gained
/10
 Opinion on SIT experience knowledge gained
 Common practice and future
Discussion on recommendations on (if any):
Insufficient common practice and future Sufficient common practice and future Substantial common practice and future Significant common practice and future
Sustainability Issues in  Environmental
work recommended work recommended work recommended work recommended
/10
Host Company  Economical
 Political and cultural dimensions
 SIP Format Guidelines
 Writing Skills Comply to SIT Format Guidelines with Comply to SIT Format Guidelines with
Others Do not comply to SIT Format Guidelines Comply to SIT Format Guidelines with
 Grammar
with poor English and writing skills poor English and writing skills
good English and writing skills with excellent English and writing skills with /10
 Report Organization some grammatical errors minimum grammatical errors

Total Score /100

Additional Comments: