FORM 1.

1 SELF-ASSESSMENT CHECK

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.
CORE COMPETENCIES
CAN I…? YE NO
S
1. Carry Out Minor Vehicle Maintenance and Servicing
LO 1. Clean vehicle unit
LO 2. Maintain and service the vehicle system
2. Drive Light Vehicle
LO 1. Perform light vehicle pre starting and warm up
LO 2. Drive light vehicle
LO 3. Monitor and maintain vehicle performance
3. Observe Traffic Rules and Regulations
LO 1. Observe traffic signs and road markers
LO 2. Obey traffic rules and regulations
LO 3. Practice road courtesy
LO 4. Respect traffic enforcers and other traffic
management unit
4. Implement and Coordinate Accident/Emergency Procedures
LO 1. Respond to emergencies
LO 2. Arrange follow-up support and assistance

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.
Evidences/Proof of Current Competencies(Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
Maintain and Certificate of Driving Submitted Certificate of
service the vehicle Course (Theoretical and Driving Course
system hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Perform light Certificate of Driving Submitted Certificate of
vehicle pre starting Course (Theoretical and Driving Course
and warm up hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Drive light vehicle Certificate of Driving Submitted Certificate of
Course (Theoretical and Driving Course
hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Monitor and Certificate of Driving Submitted Certificate of
maintain vehicle Course (Theoretical and Driving Course
performance hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Perform light Certificate of Driving Submitted Certificate of
vehicle pre starting Course (Theoretical and Driving Course
and warm up hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Observe traffic Certificate of Driving Submitted Certificate of
signs and road Course (Theoretical and Driving Course
markers hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Obey traffic rules Certificate of Driving Submitted Certificate of
and regulations Course (Theoretical and Driving Course
hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Practice road Certificate of Driving Submitted Certificate of
courtesy Course (Theoretical and Driving Course
 hands-on) (Theoretical and hands-
on) with affixed signature
of Instructor
Respect traffic Certificate of Driving Submitted Certificate of
enforcers and other Course (Theoretical and Driving Course
traffic management hands-on) (Theoretical and hands-
unit on) with affixed signature
of Instructor
Identifying Training Gaps
From the accomplished Self-Assessment Check (Form 1.1) and the
evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.

Form 1.3 Summary of Current Competencies Versus Required

Competencies
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
1. Carry Out Minor Vehicle Maintenance and Servicing
LO 1. Clean vehicle unit Clean vehicle unit
LO 2. Maintain and service Maintain and service
the vehicle system the vehicle system
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
2. Drive Light Vehicle
LO 1. Perform light vehicle Perform light vehicle
pre starting and warm up pre starting and
warm up
LO 2. Drive light vehicle Drive light vehicle
LO 3. Monitor and Monitor and
maintain vehicle maintain vehicle
performance performance
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
3. Observe Traffic Rules and Regulations
LO 1. Observe traffic signs Observe traffic signs
and road markers and road markers
LO 2. Obey traffic rules Obey traffic rules
and regulations and regulations
LO 3. Practice road Practice road
courtesy courtesy
LO 4. Respect traffic Respect traffic
enforcers and other traffic enforcers and other
management unit traffic management
unit
Required Units of Current Training
 Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
4. Implement and Coordinate Accident/Emergency Procedures
LO 1. Respond to Respond to
emergencies emergencies
LO 2. Arrange follow-up Arrange follow-up
support and assistance support and
assistance
 Using Form No.1.4, convert the Training Gaps into a Training
Needs/Requirements. Refer to the CBC in identifying the Module Title or
Unit of Competency of the training needs identified.

Form No. 1.4: Training Needs

Training Needs Module
(Learning Outcomes) Title/Module of
Instruction
Clean vehicle unit 1. Carry Out Minor
Vehicle
Maintenance
and Servicing
Respond to emergencies 2. Implement and
Arrange follow-up support and assistance Coordinate
Accident/Emerg
ency Procedures