CHCCS012 Assessment Tool

Assessment cover sheet
General information
RTO Name JK Training House
Unit/s assessed CHCCCS012 – Prepare and maintain beds
CANDIDATE to complete this section
Name Suzanne Stanborough
USI * ASWL674RPU
Address 24 Bettong Place, St Helens Park
Phone Daytime 0406138106 Evening 0406138106
Email suzstananborough@gmail.com
Date submitted 24/07/21
Candidate declaration—By signing below, I certify that:

 I have been advised of the assessment requirements, have been made aware of my rights and
responsibilities as an assessment candidate and choose to be assessed at this time
 I hold a copy of this assignment if the original is lost or damaged
 this portfolio contains my own work except where I have made due reference to work by others
 I have not submitted any part of this portfolio in another (previous or current) assessment, except
where appropriately referenced and with prior permission of an appropriate RTO representative
 I am aware that a false declaration may lead to withdrawal of a qualification or statement of
attainment.
Candidate signature** Date signed 24/07/2021
** Candidates must provide a REAL signature. If submitting your portfolio electronically, either insert an electronic
signature in the space above, or print this page, sign it, then submit a scan of the signed page.
ASSESSOR to complete this section
Name of assessor Jennifer Korelin
Date portfolio received 24/07/2021
Date portfolio review completed 31/07/2021
* USI stands for Unique Student Identifier.
Index
Assessment Cover Sheet page 1

Assessment information & instructions for candidates page 3
Assessment plan page 6
Assessment instrument: Assessment Criteria page 9
Assessment instrument: Written Task page 11
Assessment instrument: Verbal Questions Task page 13
Assessment instrument: Direct Observation page 16
Assessment instrument: RPL portfolio checklist page 19
Assessment instrument: Third Party Report/Questionnaire page 21
Record of Assessment results page 25
Information and marking guide for assessors page 26
Competency map (matrix) page 32
Report on the trial of an assessment tool page 37
Assessment brief checklist page 39
Assessment feedback form page 40
Assessment supervision form page 42
Assessment tool validation record page 46
Assessment information and instructions for candidates
Welcome to your assessment!
Read this document carefully

It has important information about your assessment. Contact JK Training House if you have questions.
Our contact details

JK Training House
4 Siward Place, Rosemeadow, NSW, 2560
Version 1.0 © July 2021 JK Training House  2

(02) 9982 178
Important information about your assessment
Unit/s assessed CHCCCS012 – Prepare and maintain beds
This unit describes the skills and knowledge required to apply bed making and cleaning practices to a range of beds to ensure that
people can safely occupy a clean bed.
This unit applies to workers in a range of setting where beds may be occupied or unoccupied. Where beds in acute setting are
occupied, bed making will usually be performed in an assisting role or under the supervision of an appropriate health professional
according to organisational policy.
The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand
standards and industry code of practice.
Assessment tasks
Task Description
1 RPL Recognition of prior learning is considered upon application.

Application involves the assessment of the candidates relevant
prior learning (including formal and non-formal learning) to
determine the credit outcomes of the candidates application for
credit towards the UOC.
2 Knowledge Candidate will complete the attached Written Assessment task,

Assessment distinguishing the appropriate answers to two (2) multiple
choice questions, two (2) true/false questions and two (2) short
(Written Q & A) answer questions.
3 Knowledge Candidate will undertake knowledge assessment entailing the

Assessment assessor asking a series of five (5) verbal questions of the
candidate. The candidate will respond verbally to each
(Verbal Q & A) question.
4 Direct Observation The candidate will be asked to demonstrate the physical task of
(Performance bed making in accordance to the performance criteria set out
Evidence) within the UOC CHCCCS012. The candidate will perform this
task on 5 occasions within either the workplace or simulated
Simulated or in workplace environment.
workplace
5 Third Party Report The candidate will ask a work supervisor/educator to complete
the Third Party Questionnaire and return the authenticated
document to the assessor.
Requirements for a competent result

To attain a competent result you must complete the assigned assessment tasks. RPL approved only when all tasks are marked
satisfactory and certified formal documentation has been provided.

Reasonable Adjustments
We recognise the need to make reasonable adjustments within our assessments and learning environments to meet your
individual needs. If you need to speak confidentially to someone about your individual needs please contact your tutor/assessor.
Resources
You should have received the recommend text with this information.
Marking process
The unit you are undertaking is marked competent or not yet competent. Upon successful completion of this unit, you will be issued
with a Statement of Attainment.
Review Process
If your tutor assesses you as being not yet competent, you will be given oral and written feedback on areas needing improvement.
You will have four weeks to resubmit your work for reassessment. While we pride ourselves on employing tutors that focus on
meeting the needs of our learners and industry, it remains the responsibility of the student to consult with the appropriate tutor of
further clarification is required.
A result of not yet competent will be given to students who are unable to demonstrate competency after three unsuccessful
attempts.

Assessment plan
General information
RTO JK Training House
Date prepared 24/07/2021
Competency
CHCCCS012
standards
Training &
☐ Program name  Prepare and maintain beds
Assessment pathway Assessment
 Recognition of Prior Learning (RPL)
Candidate/s  Above or equal to age 16
 Male or Female
 Experience in hospital care/interested in health
 AIN (assistant in nursing)
 Any cultural background
 They may be working but they may not be working
 They will come from a range of industries
LLN skills of each candidate will also vary, some may need support
Assessor/s JK Training House Assigned Assessor: Jennifer Korelin
Qualifications held by aforementioned assessor: Certificate IV in
training & assessment.
Assessment overview
Assessment method Evidence to be When and where Instruments needed
or activity produced will this be
completed?
1 RPL portfolio As listed within RPL Portfolio File to be RPL Portfolio
Portfolio Checklist emailed to Assessor at Checklist
the time of
application for RPL
ie. Certificate of
Attainment
2 Knowledge Q & A Sheet Directed written Q & A Assessment
Assessment (Written) questions provided Instrument
(Written Task) within the RPL
Guide.
To be completed at
application of RPL
with
assessor present.
To be submitted with
RPL application
3 Knowledge Q & A Sheet (Verbal) To be completed at Q & A Assessment
Assessment Note: Verbal application of RPL Instrument
(Verbal Task) responses recorded & with
marked against assessor present.
assessment instrument
by Assessor.
To be compiled and
reviewed with

RPL application
4 Direct Observation Observation checklist Observation within Observation Checklist
(Performance completed by actual workplace Assessment
Evidence) Assessor during allocated shift, Instrument
or
Observation in
Simulated workplace
environment at JK
Training House
5 Third Party Report Completed Third Assessor determines Third party
Party Report Form work performance of report/questionnaire
candidate through
consultation with
supervisor.
(Submitted no later
than 2 weeks post
initial application for
RPL)
Resources needed for the assessment
Venue or equipment  Written instructions on making a bed
requirements  Hospital bed
 Hospital bed linen/Pillows/Blanket
 Hospital training/education room
 PPE
 Organisational Policies for PPE & Waste Management
 Personal aids or belongings in bed
 Clinical waste disposal equipment
Documentation Assessment Instruments:

needed to assess 1. RPL Portfolio Checklist
competence
2. Assessment Criteria
3. Assessment Written Task
4. Assessment Verbal Questions Task
5. Assessment Direct Observation
6. Third Party Report (Questionnaire)
7. Competency Matrix
8. UOC
9. Marking Guide
10. Record of Assessment Results
Safety, assessment administration and other logistics
Safety WH&S
Policies for PPE & waste management
Assessor to inform candidates of emergency evacuation procedure
in addition to the location of the bathrooms and first aid kit.
People to be RTO Manager (JK Training House)
informed of the JK Training House program leader (J Korelin)
assessment
Candidate
Trainer (s)
Workplace supervisor
Provision for: No support needed or offered.

● Assessment support
● Reasonable Reasonable adjustment for assessment is to be undertaken within
adjustments allocated working hours.
Recording and  Record of Assessment Results
reporting:
● How will results be
recorded?
 RTO
● To whom will
results be reported?  Candidate
 Workplace Supervisor
 Trainer
Other logistics Candidate is entitled to be assessed on two separate occasions with
each occasion requiring 5 x bed making procedure to be undertaken
Approval for the assessment plan
Approved by J Korelin, RTO Compliance Manager, JK Training House
Date 24/07/21

Assessment instrument: Assessment Criteria
Information and instructions
General information about this activity
Candidate name JK Training House Candidate
Assessor name Jennifer Korelin
Competency standard CHCCCS012 – Prepare and maintain beds
Observation date 24/07/21
Instructions
Candidate instructions The RPL process commences with an interview to determine your
eligibility & prospects for a successful completion. Throughout the first
interview (via telephone) the assessor will ask general questions
pertaining to your work & qualifications to establish a profile of your
knowledge & skills. The goal of the interview is to ascertain whether
there will be sufficient available evidence that will support the RPL
application.

Upon a successful first interview you progress to the initial formal
assessment. The objective of this stage is to gather the evidence that
can be used to support your RPL.
The following written, verbal & observation assessment tasks, RPL
application & Third Party report, when completed & deemed satisfactory;
represent the performance skills and knowledge of the benchmarks to
achieve qualification of statement of attainment for the UOC
CHCCCS012-prepare and maintain beds.
You are to complete all that apply, following each candidate instruction
criteria in each assessment task.
The assessor will formally consider all evidence provided & compare
them to the requirements of the units of competence. As such they may
identify gaps of the UOC that you do not meet, they may advise you that
you can address this gap by undertaking a component of training.
Requirements for The candidate must follow the criteria for each individual relevant
satisfactory completion assessment task below to receive a satisfactory result. The assessment
criteria is described within the table below.
Assessor instructions Observe or review each of the criterion listed below, marking with a tick
yes or no as information is submitted or undertaken by the candidate.
The assessor can make comments as appropriate, providing information
to the candidate throughout the RPL process to assist the candidate
gather & or participate in assessments. Candidate must follow the
criteria to receive a satisfactory result.
Assessment criteria
Assessor to
complete
Did the candidate: Yes No
1 Provide documented evidence of RPL of the unit ☐ ☐
2 Physically demonstrate the task of making a bed x 5 separate occasions  ☐

(observation checklist)
3 Complete the written assessment task  ☐
4 Complete the verbal assessment task  ☐
5 Third Party Report ☐ ☐
Result for this assessment activity
Result Satisfactory Not Yet Satisfactory
Assessor comments

Assessor signature Date signed 24/07/2021

Assessment instrument: Written Task
General information about this assessment activity
Candidate name Suzanne Stanborough
Test date 24/07/201
Instructions
Candidate instructions You are to complete the attached Written Assessment task,
distinguishing the appropriate answers to two (2) multiple choice
questions, two (2) true/false questions and two (2) short answer
questions. You will have 30 minutes to complete this task. Use a blue or
black pen only to document your responses. You are not permitted any
resources to assist you in answering the questions.
Requirements for To be marked satisfactory for this written component you must answer
satisfactory completion all 6 questions correctly and provide structured sentence responses
where required.
Assessor instructions Supervise candidate for the duration of assessment.
Paragraph-style questions
Answer the questions below:
1. What do you do with damaged pillows, mattresses, linen or faulty beds?
Report damaged pillows, mattresses, linen or faulty beds to appropriate personnel,
complete a biannual incident report via online hospital intranet, document the report
code onto paper & secure that to the faulty item before moving said damaged item to
allocated storage room.
2. When reusing clean linen describe how can you do this in accordance to hospital policy & procedure:
Sort, package, transport, & store clean linens in a manner that prevents risk of
contamination by dust, debris, soiled linen or other soiled items. Any clean linen within a
patients room or area of occupancy is only to be used for said patient. If in doubt refer to
the hospital policy pertaining to same.
True/false questions
Circle true or false beside each statement below (1 point each):
1 When two people are making the bed, you should adjust the height of the true false
bed to the hip of the tallest person.
2 When striping a bed, you should routinely check bed linen for displaced true false

items, aids equipment, & place equipment in appropriate area or container
Multiple-choice questions
Place a red tick next to the correct two answers to each question below (1 point each):
1 WHS & Manual Handling activities include:
A Adjust bed height for occupancy & apply brakes according to bed type 
B Walking to a patients room
C Reporting damaged &/or faulty beds, equipment, mattresses, pillows & linen to
appropriate personnel 
D Eating lunch in the break room
2 When loading a skip/waste bag trolley you must ensure you:
A Do not hang extra bags off the skip of the skip/waste bag trolley 
B Ensure it is filled to the very top to save having to use a second skip/waste bag trolley.
C Only fill the skip/waste bag two-thirds of its capacity 
D Pull the full skip/waste bag trolley to another and decant linen in the hallway.
Result  Satisfactory ☐ Not Yet Satisfactory
Assessor comments Suzanne has answered the aforementioned questions to a satisfactory level
including very descriptive short answers where applicable. Well done
Suzanne.

Assessment instrument: Verbal Questions Task
Interview date 24/07/201
Instructions
Candidate instructions You will undertake knowledge assessment entailing the assessor asking
a series of five (5) verbal questions. You will respond verbally to each
question. You will have 30 minutes to complete this task. You are not
permitted any resources to assist you in answering the questions.
Requirements for To be marked satisfactory for this verbal component you must answer all
satisfactory completion five (5) questions. Each of the five (5) questions allows for a multitude of
correct responses. Three (3) ‘correct’ responses are required for each of
the five (5) questions and your answers must be offered provided in a
structured sentence.
Assessor instructions Utilise the Question list below to ask the candidate one (1) question at a
time in sequenced order.
For Question 1: read the question followed by the sub-heading. There
are three (3) sub-headings for question 1.
The candidate is required to provide three (3) correct responses from
the suggested answers provided in the Information & Marking Guide for
Assessors to be marked satisfactory for each question.
All five (5) questions must be marked satisfactory for you to assess the
student as satisfactory.
Document within the assessor notes any comments & or
recommendations for the candidate pertaining to their performance.
Assessment to be marked in real time.
Questions
1 Explain the process of making a bed.
Assessor notes (optional) → Suzanne mentioned:

Preparing the area for bed making: PPE, Adjusting Bed Height,
Clearing the bed surroundings, looking for displaced items/aids.
Make the bed: Dignity/privacy of patient, stripping bed & placing

dirty/soiled linen in appropriate clinical waste containers, cleaning the
bed with clinel wipes in accordance to hospital policy & procedure,

applying new clean linen to bed & ensuring patient comfort.
Leave the bed ready for occupancy: Adjusting height of bed & applying
breaks, keeping equipment/aids accessible, reporting faulty equipment.
Result for this question  Satisfactory ☐ Not yet satisfactory
What policies & procedures would you consider to apply to the process of making a bed? And
2
where can you locate these within your workplace facility?
Assessor notes (optional) → Suzanne noted: PPE, clinical waste, hand hygiene & Infection control.
3 What PPE would you implement when undertaking bed making?
Assessor notes (optional) → Suzanne stated: Gloves, gown, goggles & masks
4 List 5 pieces of equipment needed for undertaking making a bed.
Assessor notes (optional) → Suzanne mentioned: Top & bottom bed sheets, linen skip, PPE, bed &
blanket.
Explain the procedure of clinical waste disposal in accordance with hospital/organisational

5
procedure.
Assessor notes (optional) → Suzanne discussed: Sharps disposal, hand hygiene & PPE.
Assessor comments Suzanne was assessed via zoom conference and has answered each
question to a satisfactory level. Suzanne’s verbal responses where very
detailed. Well done Suzanne.


Assessment instrument: Direct Observation
Candidate Suzanne Stanborough
Assessor Jennifer Korelin
Task title Direct Observation
Competency standard/s CHCCCS012 – Prepare and maintain beds
Instructions
Candidate instructions Demonstrate the skills for Prepare & maintain beds
Requirements for The candidate must follow the criteria below to receive a satisfactory
satisfactory completion result. The Elements below define the essential outcomes.
Assessor instructions Observe each of the steps below when the candidate is demonstrating
this skill & tick the appropriate box indicating that they have competed the
step. If the candidate misses a step then the assessor is to explain the
step missed & the candidate repeats that part of the skill. The assessor
can make comments as appropriate. Candidate must follow the criteria to
receive a satisfactory result. A maximum of 3 attempts on separate
occasions to rectify steps missed.
Evidence to provide
Assessor to
complete
Did the candidate: Prepare area for bed making Yes No
Performance criteria
The candidate observed:
1 Use PPE according to hospital/organisational policy  ☐
2 Adjust bed height of the bed where possible  ☐
3 Clear the bed & surrounding areas of any medical & other equipment before  ☐
stripping the bed linen
4 Check bed linen for displaced personal items, aids & equipment, & place aids &  ☐
equipment in appropriate area or container
Assessor to
complete
Did the candidate: Make the Bed Yes No

Assessor to
complete
5 Maintain the persons dignity & privacy  ☐
6 Strip bed linen, where necessary  ☐
7 Remove clinical waste & soiled linen & place in appropriate container  ☐
8 Clean the bed according to established procedures, where necessary  ☐
9 Place clean bed linen on bed in accordance with hospital/organisation  ☐

procedures
10 Re-position existing bed linen  ☐
11 Ask the person whether they are comfortable, or if they have any specific bed  ☐
needs
12 Handle reusable clean be linen in accordance with organisation procedure  ☐
13 Clean mattress & pillows regularly & on discharge, in accordance with  ☐

organisation procedures
Assessor to
complete
Did the candidate: Leave bed ready for occupancy or continued occupancy Yes No
1 Adjust the bed height for occupancy & apply breaks according to bed  ☐
type
2 Keep bed, equipment & aids accessible & leave the bed ready for occupancy  ☐
3 Report damaged &/or faulty beds, equipment, mattress, pillows & linen to  ☐
appropriate personnel
4 Clean & return to storage area all cleaning implements  ☐
5 Dispose of any clinical waste in accordance with organisation procedures  ☐
Assessor comments Suzanne completed the performance task without any prompting on her first
attempt. Congratulations on a successful demonstration of skills Suzanne.

Assessment Instrument: RPL portfolio checklist
Candidate Suzanne Stanborough
Assessor Jennifer Korelin
Instructions
Candidate instructions 1. Compile your quality evidence of RPL in line with the evidence
to provide listed in the Portfolio Checklist below into a file. You
may not have every example listed in the Portfolio Checklist
however the more evidence you can provide the stronger your
application.
2. Title the file with your name followed by: _RPL_CHCCCS012-

Prepareandmaintainbeds
eg. JenniferKorelin_RPL_CHCCCS012-
Prepareandmaintainbeds
3. Email this file portfolio to

RPLAssessment@jktraininghouse.edu.au
4. An assessor will contact you to arrange your RPL Interview.
Requirements for The candidate must submit authenticated quality evidence that marks
satisfactory completion against each element of the Unit of Competency as listed below within
the Portfolio Checklist to receive a satisfactory result.
Assessor instructions Review the candidates portfolio and mark evident within the portfolio
checklist & the Competency Matrix for the Unit of Competency.
Contact the candidate to:
 Request further documented evidence where applicable
 Arrange RPL interview date and time
Portfolio checklist

Quality of
Assessor to complete →
evidence
Description of evidence provided
Evidence to provide S NYS
(candidate to complete)
1 Relevant qualifications & training ☐ ☐
certificates
2 Provide a Third Party ☐ ☐

Report/Questionnaire from a
Supervisor/Educator supporting your
role & how it meets the UOC
performance criteria.
3 Workplace Experience: Current Job ☐ ☐

Description with attached Statement
of Service
Descriptions by you of your relevant
experiences
4 Copies of emails that demonstrate ☐ ☐

training &/or assessment related
processes undertaken
5 DVD or video of you demonstrating ☐ ☐

the skills being assessed
6 Certified copies of documents ☐ ☐

confirming your participation in
relevant training programs,
professional development events
Result ☐ Satisfactory ☐ Not Yet Satisfactory
Assessor comments

Assessment instrument: Third Party Report/Questionnaire
Information and instructions for the candidate
What to do
Ask your third party reporter to:

1. Complete the Third Party Report & describe recent, relevant examples of workplace
activities you have undertaken.
2. Comment on your capability in completing these tasks.
3. Ensure you post the original signed document & dated by your Supervisor/Educator
on a company letterhead.
The third party should not be a relative, close friends or someone who could have a conflict
of interest. A JK Training House assessor will review the document to deem competence. JK
Training House’s Assessor will contact you as the candidate if further actions or evidence is
required to deem competence for the Unit of Competency.
NOTE: Submitting this form does not guarantee issuance of the Statement of Attainment for
this Unit.
Choosing an appropriate referee
Where possible, the third party completing the form should be an assessor currently working
in a training &/or assessment role. This will enable the third party verification to be given
more weight than just supplementary evidence. They should hold one of the following
qualifications & submit a certified copy of their certificate together with the Third Party
Report, duly completed.
 TAE40110: Certificate IV in Training & Assessment
 TAA40104: Certificate IV in Training & Assessment
 BSZ40198: Certificate IV in Workplace Training & Assessment

Alternatively the chosen referee who holds experience in training & assessment may
complete this form.
It is beneficial for the referee to be working or have had worked with you within the same
industry as you are seeking RPL for.
Information and instructions for the referee
Information
In completing this report you are asked to provided ‘third party’ verification as accurately as
possible that the candidate can apply the workplace skills and knowledge specified.
What to do
You will need to have observed the candidate on a 20 different occasions to complete the task
of prepare and maintain beds that entail the elements of the UOC CHCCCS012.

Complete each component of the attached questionnaire & provide additional comments
regarding the candidates work performance.
If you believe the candidate needs to further develop their skills, please make appropriate
comments on the form or contact JK Training house via (02) 9982 178
Once completed, forward the document to RPLAssessment@jktraininghouse.edu.au.
JK Training House will contact the Third Party (by telephone) to clarify contents of the
Report. Where necessary, the UON will not be issue to the candidate until this has occurred.

Questionnaire (referee to complete)
Preliminary information
Name of candidate Suzanne Stanborough
Name of referee
Date completed
Information about you (the referee)
Company Position
held
Relationship to candidate (e.g.

supervisor)
Length of time you’ve known the

candidate
Phone (daytime) Email
May we contact you if we need more ☐ Yes ☐ No

information?
Questions
1 Have you directly witnessed the candidate (a minimum of 20 occasion’s) prepare,

make & leave a bed ready for occupancy in accordance with hospital/organisation
procedures & in line with the performance criteria for Unit of Competency
CHCCCS012?
Yes ☐ No ☐ Unsure ☐
2 Does the candidate easily follow directive/instructions from nursing staff
Always ☐ Usually ☐ Sometimes ☐ Seldom or never ☐ N/A ☐
3 Describe a time when the candidate demonstrated effective problem solving skills
including their ability to utilise available resources & prioritise their workload
pertaining to preparing and making a bed for occupancy.
4 Do you consider the candidate competent in their knowledge surrounding bed

cleaning procedures in the context of WHS, Infection control, hand hygiene &
procedures for safe handling of soiled linen policies & procedures?
Yes ☐ No ☐ Unsure ☐

5 Does the undertake the correct disposal of clinical waste, including taking into
account opportunities to address waste minimisation, environmental
responsibility & sustainable practice issues?
Always ☐ Usually ☐ Sometimes ☐ Seldom or never ☐ N/A ☐
6 Describe a time where you directly witnessed the candidate maintain the dignity
of a patient when attending to a bed linen change, whilst the patient remained
occupying the bed.
Additional comments about the candidate’s work performance
Referee declaration
Signature Date signed

Record of assessment results
General information about the assessment
Unit of competence CHCCCS012 – Prepare and maintain beds
Assessment pathway ☐ Training and assessment  RPL
Assessment date/s 24/07/021
Result for each assessment task or activity S NYS
1 RPL Portfolio ☐ ☐
2 Knowledge Questions (Written Task)  ☐
3 Knowledge Questions (Verbal Task)  ☐
4 Direct Observation (Performance Evidence)  ☐
5 Third Party Report/Questionnaire ☐ ☐
Result for the unit of competence
Result ☐ Competent ☐ Not Yet Competent
Assessor comments
Action plan

Information and marking guide for assessors
Information and marking guide for assessors
1 Introduction to this assessment

assessed
Reason for assessment To achieve qualification of the UOC through RPL
Assessment overview RPL: Recognition of prior learning is considered upon

application.
Application involves the assessment of the candidates relevant
prior
learning (including formal and non-formal learning) to determine
the
credit outcomes of the candidates application for credit towards
the UOC.
Knowledge Assessment (Written Q & A): Candidate will

complete the
attached Written Assessment task, distinguishing the appropriate
answers to two (2) multiple choice questions, two (2) true/false
questions
and two (2) short answer questions.
Knowledge Assessment (Verbal Q & A): Candidate will

undertake
knowledge assessment entailing the assessor asking a series of
five (5)
verbal questions of the candidate. The candidate will respond
verbally to
each question.
Direct Observation (Performance Evidence): The candidate

will be
asked to demonstrate the physical task of bed making in
accordance to
the performance criteria set out within the UOC CHCCCS012.
The
candidate will perform this task on 5 occasions within either the

workplace or simulated workplace environment.
Third Party Report: The candidate will ask a work

supervisor/educator
to complete the Third Party Questionnaire and return the
authenticated
document to the assessor.
Assessor’s role Assess candidates knowledge through Written & Verbal task in
addition
to performance evidence through direct observation task. Assess
authenticity of Third Party report and review RPL Portfolio.
Assessors instructions are provided within each of the Assessment

Instruments.
Relevant assessment NSW Health - Assessment Systems policies and procedures

system policies and https://www.health.nsw.gov.au/policies/manuals/Pages/default.asp
procedures x
Reasonable adjustment  Reasonable adjustment should be negotiated between the

options candidate, assessor and RTO.
 Learners have the right to apply for & receive adjustment to

assessment activities to accommodate individual/special needs.
 Adjustments to assessment cannot compromise the integrity of

assessment, elements & performance criteria of the unit of
competency.
 Adjustments to assessment will not provide an unfair

advantage / disadvantage to learners.
 Candidate is responsible to provide documentation from a

medical or other health professional to help guide this process.
2 How to administer this assessment
Assessment brief The knowledge assessments (Written & Verbal) will be completed
at the
RPL interview upon submission of RPL application. This is to be
completed by the candidate with the assessor overseeing &
conducting

both assessments as set out in the Assessment task Assessor
instructions for each assessment.
The direct observation (Performance Evidence) assessment will be

completed within the candidates workplace with the nominated JK
training house assessor, alternatively the assessment may take
place in
a simulated workplace environment at JK Training House. The
assessor
overseeing & conducting the assessment will do so as set out in
the
Assessment task Assessor instructions for this assessment.
RPL Assessment is performed by the assessor within the JK

Training
House and marked directly against the RPL Assessment
instrument as
per the Assessor Instructions for this assessment.
Third Party Report – Assessor is required to contact the nominated

Third
Party person to clarify that they are qualified & have completed
the form,
in addition to clarifying the third party reporters role/position via
email.
The Assessor is to obtain a copy of the third party reporters
authenticated
qualifications. If any clarification is required pertaining to the
completed report the assessor is responsible in emailing the
reporter and requesting same.
Preparation required The assessor is required to assess the candidate readiness and
eligibility for RPL to ensure chance to be successful. To do so the
Assessor is required to contact the candidate via email requesting
the candidates resume, any authenticated qualifications to support
RPL and a brief description of their current position.
Specific instructions As set out in each individual assessment task under Assessor
about assessment tasks
Instructions.
3 How to judge evidence and make a decision of competence
Marking criteria – Acceptable answers for the candidate to be deemed

Written task competent/satisfactory are as follows.
Paragraph-style questions
1. Report damaged pillows, mattresses, linen or faulty beds
to appropriate personnel, complete a biannual incident
report via online hospital intranet, document the report
code onto paper & secure that to the faulty item before
moving said damaged item to allocated storage room.
2. Sort, package, transport, & store clean linens in a manner
that prevents risk of contamination by dust, debris, soiled
linen or other soiled items. Any clean linen within a
patients room or area of occupancy is only to be used for
said patient. If in doubt refer to the hospital policy
pertaining to same.
True/false questions
1. False
2. True
Multiple-choice questions
1. A & C
2. A & C
Marking criteria – Utilise the Question list below to ask the candidate one (1)
Verbal task question at a time in sequenced order.
For Question 1: read the question followed by the sub-heading.
There are three (3) sub-headings for question 1.
The candidate is required to provide three (3) correct responses
from the suggested answers provided to be marked satisfactory for
each question.
All five (5) questions must be marked satisfactory for you to
assess the student as satisfactory.
Document within the assessor notes any comments & or
recommendations for the candidate pertaining to their
performance.
Assessment to be marked in real time.
Q1. Explain the process of making a bed.

Prepare area for bed making:
 Use personal protective equipment according to
organisational policy
 Adjust the height of the bed where possible
 Clear the bed & surrounding areas of any medical & other
equipment before stripping the bed
 Check bed linen for displaced personal items, aids
equipment, & place aids & equipment in appropriate area
or container.
Make the bed:

 Maintain the persons dignity & privacy
 Strip bed linen, where necessary
 Remove clinical waste & soiled linen & place in
appropriate container
 Clean bed according to hospital policy & procedure
 Place clean bed linen on bed in accordance with hospital
policy & procedure
 Re-position existing bed linen
 Ask the person whether they are comfortable, or if they
have any specific bed needs
 Handle reusable clean bed linen in accordance with
hospital policy & procedure
 Clean mattress & pillows regularly & on discharge, in
accordance with hospital policy & procedure
Leave bed ready for occupancy or continued occupancy

 Adjust bed height for occupancy & apply breaks
according to bed type
 Keep bed, equipment & aids accessible & leave the bed
ready for occupancy
 Report damaged &/or faulty beds, equipment, mattresses,
pillows & linen to appropriate personnel
 Clean & return to storage area all cleaning implements
 Dispose of any clinical waste in accordance with hospital
policy & procedure
Q2. What policies & procedures would you consider to apply

to the process of making a bed? And where can you locate
these within your workplace facility?
 Hand Hygiene
 Infection Control
 Clinical Waste Management
 Personal Protective Equipment
Q3. What PPE would you implement when undertaking bed

making?
 Gloves
 Goggles
 Gown
 Mask – appropriate to infection type of patient (ie P95)

Q4 List 5 pieces of equipment needed for undertaking making
a bed.
 Linen sheets (top sheet & bottom sheet)
 Pillow Case & Pillow
 Blanket
 Bed
 Linen Skip
 PPE
Q5 Explain the procedure of clinical waste disposal in

accordance
with hospital/organisational procedure.
 It is a responsibility of all employees to operate in line

with the minimum standards set out in the Clinical and
Related Waste Management Policy Directive of the
hospital/organisation they work for.
 Effective segregation of various waste streams – ie for

waste classified as hazardous (Hazardous chemicals &
dangerous goods) to ensure that waste components are
handled safely, including storage & disposal.
 Minimise handling of waste bags/skips & avoid decanting

from one bin to another – when they must be handled, all
bags are to be held away from the body by the closed top
of the bag, & placed directly into a bin appropriate to the
waste.
 PPE (gloves, apron & protective eyewear must be worn

when closing the bags & lacing them into the correct
storage area/bin.
 Waste bags/skips must not be filled more than two-thirds

of their capacity& contents are to be secured within the
bag/skip when closing.
 All clinical waste bags/skips should be stored in a secure

area that permits restricted access.
 Sharps must never be placed in waste bags/skips
 Hand Hygiene must be performed post contact with

clinical waste.
Marking criteria – As per Assessment Instrument Direct Observation: Observe each

Direct Observation of the
steps listed within the observations checklist when the candidate is
demonstrating this skill & tick the appropriate box indicating that
they

have competed the step. If the candidate misses a step then the
assessor is to explain the step missed & the candidate repeats that
part
of the skill. The assessor can make comments as appropriate.
Candidate
must follow the criteria to receive a satisfactory result. A
maximum of 3
attempts on separate occasions are allowed for the candidate to
rectify
steps missed.
Marking criteria - RPL Minimum requirements include –

(2) Third Party Report
(3) Workplace experience
(5) DVD or Video OR complete Direct Observation Task as part
of this Assessment.
4 Part 4: How to record and report assessment results
How to record results Results will be recorded within each assessment tasks as per
Assessors Instructions for each assessment.
Results of same will be recorded within the JK Training House
Files & results will be emailed to candidate within 1 week of
outcome decision.
Who to send results to RTO, Assessor, Candidate Supervisor, Candidate, HR.
How, when and where to The Candidate will be provided with application results within 1
inform candidates of the week of
result
the completed RPL process.

Competency map (matrix)
Unit/s covered CHCCCS012 – Prepare and maintain beds
Version Version number V1.1 Date 24/07/2021
Assessment tasks or evidence

Assessment (Written)
Assessment (Verbal)
Third Party Report

RPL Portfolio
Evidence)Direct Observation
/Questionnaire
(Performance
1. RPL Portfolio
Knowledge
Knowledge
2. Knowledge Assessment (Written)

3. Knowledge Assessment (Verbal)
4. Direct Observation (Performance Evidence)
5. Third Party Report/Questionnaire
1 2 3 4 5
Elements and performance criteria
1 Prepare area for bed making
1.1 Use personal protective equipment according to
organisational policy    
1.2 Adjust the height of the bed where possible     

1.3 Clear the bed & surrounding areas of any medical &   

Assessment (Verbal)
Third Party Report

RPL Portfolio
/Questionnaire
(Performance
1. RPL Portfolio
Knowledge
Knowledge
1 2 3 4 5
other equipment before stripping the bed 
1.4 Check bed linen for displaced personal items, aids

equipment, & place aids & equipment in appropriate area     
or container.
2 Make a Bed
2.1 Maintain the persons dignity & privacy    
2.2 Strip bed linen, where necessary    
2.3 Remove clinical waste & soiled linen & place in    
appropriate container.
2.4 Clean bed according to hospital policy & procedure    
2.5 Place clean bed linen on bed in accordance with hospital    
policy & procedure
2.6 Re-position existing bed linen    
2.7 Ask the person whether they are comfortable, or if they    
have any specific bed needs
2.8 Handle reusable clean bed linen in accordance with     
hospital policy & procedure
2.9 Clean mattress & pillows regularly & on discharge, in    
accordance with hospital policy & procedure
3 Leave bed ready for occupancy or continued occupancy
3.1 Adjust bed height for occupancy & apply brakes
according to bed type     
3.2 Keep bed, equipment & aids accessible & leave the bed
ready for occupancy    
3.3 Report damaged &/or faulty beds, equipment,     

mattresses, pillows & linen to appropriate personnel
3.4 Clean & return to storage area all cleaning implements    
3.5 Dispose of any clinical waste in accordance with hospital
policy & procedure    
Foundation Skills
Learning Clarify meaning/advise, identify & access   
information sources, transfer skills &

Assessment (Verbal)
Third Party Report

RPL Portfolio
/Questionnaire
(Performance
1. RPL Portfolio
Knowledge
Knowledge
1 2 3 4 5
knowledge, plan & organise skills to
prepare and maintain beds.
Reading Analyse documentation check comply with
written procedures, identify written
procedures, interpret & monitor legislation,
obtain information from reports, written
instructions.    
In order to read documents relating to safety

& policies required for the task of preparing
and maintaining a bed.
Writing Articulate, complete reports, document,

maintain records, report, written reporting,
  
signage of documents submitted.
Oral Communicates verbally with assessor their

communication performance: articulate, respond, clarify,
report, contribute, deliver, discuss, explain,   
provide feedback, follow verbal
instructions/procedures, liaise, negotiate,
participate in team discussions.
Numeracy In order to count the number of
sheets/equipment required for making a bed,    
the number of beds made & the number of
attempts made for the task of bed making.
Navigate the Communicate with colleagues (Team leader,
world of work fellow nurses, cleaners) to enable you to  
“Get the work done’. Meeting your role &
responsibility of the task of bed making.
Interact with  Team leader managing the bed  
others flow
 Cleaners whom clean the beds  
 Co-workers who assist you make
the bed  
 Patients who require a linen change
 
Get the work Complete the task of demonstrating how to  
done make a bed on 5 separate occasions.

Assessment (Verbal)
Third Party Report

RPL Portfolio
/Questionnaire
(Performance
1. RPL Portfolio
Knowledge
Knowledge
1 2 3 4 5
Demonstrate/discuss safety requirements.  
Performance evidence
● Prepared & undertook the process of bed making for
occupancy in line with performance criteria on 5 separate  
occasions.
Knowledge evidence
● Organisation policies & procedures including: WH&S,
cleaning of a bed, Safe handling of soiled linen, waste   
disposal, hand hygiene, infection control, PPE.
Assessment conditions
Skills must have been demonstrated in the workplace or in a simulated environment that reflects
workplace conditions. The following conditions must be met for this unit:
 use of suitable facilities, equipment & resources including:
 bed
 bed linen
 sheets
 blankets
 quilts
 pillow cases
 doonas
 under-blanket
 mattress protectors
 clinical waste disposal equipment
 personal protective equipment
 personal aids or belongings in bed
How the assessment conditions are (or will be) met:

1. Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF
mandatory competency requirements for assessors.
2. Assessment must be undertaken by a workplace assessor who has expertise in this unit of
competency and who is:
 A Registered Aboriginal or Torres Strait Islander Health Practitioner or:
 A Registered Health Practitioner accompanied by an Aboriginal or Torres Strait Islander person
who is a recognised member of the community with experience in primary health care.
3. Health service or centre
Assessment texts & tasks reflect those typically found in the workplace.

Advice & support is available if requested.
Culturally appropriate processes and techniques suited to the language, literacy & numeracy capacity of
individuals & the work being performed must be used.
Reasonable adjustments can be made to ensure equity in assessment for people with disabilities.

Report on the trial of an assessment
tool
General information
Date of report 31/07/2021
Prepared by Jennifer Korelin
Unit/s covered in the

assessment tool that was CHCCCS012 – Prepare and maintain beds
trialled
Version of the assessment tool

Version 1.1
that was trialled

Assessment pathway ☐ Training and assessment  RPL
The trialling process
Trial date/s 31/07/201
Trial Zoom
location/s
Participants Suzanne Stanborough

in the trial
Assessment activities conducted as part of the trial
Verbal Assessment
Assessment tool documentation used in the trial
Assessment Verbal Assessment Instrument

instruments
Other
documentatio
n
How and when feedback was collected and reviewed
Via Zoom Conference
Findings and recommendations
Strengths of this tool

The Assessment Instrument was clear and concise. The collective of questions thoroughly
examined the Unity of Competencies performance elements.
Weaknesses identified
Nil identified.
Recommended improvements
Nil recommendations made.
Supporting documentation
Please see above Assessment instrument: Verbal Questions Task
Information in this report verified by

Hannu, Vicki,
Name Signature Date 31/07/2021
Hima, Peter, Kate.
end of report on the trial of an assessment tool

Assessment brief checklist
Assessor to complete
When completed, this checklist forms a record of discussions between the assessor and candidate in
preparation for assessment. We encourage such discussions when feasible—they supplement written
assessment instructions but must not replace them.
General information
Competency standard assessed CHCCCS012 – Prepare and maintain beds
Date of assessment brief 24/06/2021

Other
Mode (tick one) In person  Videoconference  Phone ☐ 
(Email)
Tick () if the following was discussed/clarified with the candidate:
How CBA works How competency-based assessments work 
What happens if result is C and what happens if result is NYC 
Assessment Reason for the assessment 
process,
Competency standard/s being assessed 
activities and
requirements Assessment process and activities—what to do, when and where, including

modifications made to suit candidate context, where applicable
How well candidates must perform to attain a competent result 
Other—resources needed, what to bring or wear, how to prepare, etc. 
Candidate rights Appeals process 
and
Confidentiality and names of those will be advised of assessment results 
responsibilities
Responsibility to submit authentic evidence 
Candidate’s right to choose whether or not to undertake assessment 
Inclusive Support available 
assessment
Specific needs—e.g. specialised support or reasonable adjustment 
practice
Agreed by
Did the candidate agree that they are now fully informed of the
Yes  No ☐
assessment, including all aspects listed above?
Candidate Signature Date signed 24/06/2021

Signature is optional & preferred
Assessor Signature Date signed 24/06/2021
end of template

Assessment feedback form
Candidate to complete
General information about the assessment

Assessment pathway Training and assessment pathway x RPL
Assessment date/s 24/06/2021

Assessment location/s Zoom Video Conference
Strongly disagree
Strongly agree
Instructions for the candidate
Disagree
Agree
Please rate your assessment experience by ticking () the
appropriate column beside each statement below.
Questions about the assessment process:

1. The assessor clarified the assessment process before the assessment began. 
2. The assessment environment was comfortable and suitable. 
3. The assessor supported me, both during my preparation and throughout the 
assessment.
4. Assessment requirements were appropriate for the competencies assessed. 
5. The assessor made a fair assessment decision. 
6. I received specific and useful feedback about my performance. 
7. The assessor and I discussed what will happen after the assessment. 
Looking back on this assessment:
8. The assessment process was fair. 
9. The assessment materials and documentation were clear and helpful. 
10. The assessor was polite, professional and supportive. 
11. The assessment experience matched my expectations. 
12. (if applicable) assistance provided by other RTO staff was timely and helpful. 
continued

Assessment feedback form—candidate to complete, cont’d
What aspects of this assessment worked for you?
The assessment was clearly written & instructions were given were relevant & easily
understood. Verbal questions were conveyed concisely & understood.
What suggestions for improvement do you have?
Nil suggestions.
What else would you like to tell us?
The assessor gave clear instructions & all was followed to give me the feedback that I needed
to succeed.
Thank you for taking the time to complete and return this form
end of template

Assessment supervision form
To be completed by the qualified assessor

who supervises you—the TAE participant—assessing competence
Information and instructions for the qualified assessor who

completes this form
Thank you for helping the participant with this assessment task.
Your role
Supervise the participant assessing competence

of an entire unit of competency (including its assessment requirements).
As you supervise the assessment, record the participant’s performance by completing all sections of the
feedback form that begins on the next page. This includes:
● completing the observation checklist on the next page—tick () ‘yes’, ‘no’, or ‘NA’ to each criterion
listed (where the ‘NA’ column is blacked out, the criterion applies to all assessments)
● adding written comments to describe, in more detail, about the participant’s performance as an
assessor—use the space provided after the checklist.
At the conclusion of the assessment, sign and date where indicated, then return the completed form to the
participant.
Requirements for satisfactory completion

For a satisfactory result, you tick (☑)22 of the 23 items listed on the checklist as ‘yes’ or ‘NA’. The FAQs
and marking criteria list additional requirements.
Important note for the supervising assessor

Your role is to:
● supervise how the participant assessed competence and to
! ● record their performance by completing the checklist that starts on the next
page.
Unless you are also the participant’s TAE assessor, you are not required to judge
the participant’s performance. The participant’s TAE assessor will review the
feedback form that you complete and use it as evidence to guide their decision of
the participant’s competence.

Assessment supervision form
To be completed by the qualified assessor
who supervises the participant assessing competence
Name of participant Hannu
Information about you (the qualified assessor)
Name Jennifer Korelin
 TAE40110 or TAE40116 Certificate IV in Training &

Relevant qualification/s Assessment
you hold
☐ Other (list):
What is your ☐ I currently work as an assessor for Rto Code

relationship with Rto
Code? ☐ I do not work for Rto Code, but Rto Code has approved
Tick () appropriate box me as a suitable ‘qualified assessor’ for this task
Phone (mobile preferred) 0401345445

Your contact
details
Email Jct.enterprise1@gmail.com
Information about the assessment supervised
Unit assessed CHCCCS012 – Prepare and maintain beds
Pathway  ☐ Training and assessment  RPL
Nature of the
 I directly observed the candidate—in person or via videoconference
supervision
Indirect—I consulted with the participant throughout the assessment
Tick () all ☐ period
boxes that
apply
☐ Other (describe):
from
Assessment date/s 24/06/2021 to 24/06/2021

☐ Workplace
Where did the
assessment take ☐ At Rto Code premises
place?
Not applicable—the candidate completed a portfolio of evidence
Tick () all boxes ☐ and submitted it to the RTO for marking
that apply
 Other (describe): Zoom Videoconference
continued

Assessment supervision form, cont’d
Key: N/A = not applicable. Greyed-out cells ( ) mean N/A is not an option.
PREPARING for ASSESSMENT—did the participant: Yes No N/A
1 Confirm with you—or others, as needed—requirements for the assessment.
This may include seeking your guidance about: 1) requirements of the unit/s to be assessed; 2) how to ☐ ☐
approach assessment—e.g. opportunities to integrate assessment into the candidate’s work routines, or
to use simulated assessment activities; and/or 3) requirements of them as the assessor.
2 Discuss the assessment process and requirements with the candidate in a
☐ ☐
way that was clear and appropriate for the candidate and the environment.
3 Use active listening techniques and adjust communication style to build
rapport with the candidate and obtain information to support the assessment ☐ ☐
—e.g. information about the candidate’s skills, knowledge, experience, availability, needs or disabilities.
4 Discuss and make decisions on reasonable adjustment/s or specialist
☐ ☐ ☐
support needs with the candidate, if required
5 Identify and document changes to assessment activities or instruments
☐ ☐ ☐
required to accommodate candidate context or identified support needs
6 (for RPL assessment/s) Help the candidate identify evidence to support
☐ ☐ ☐
recognition of prior learning (RPL)
7 Organise documents and other resources needed for the assessment ☐ ☐
8 Access the agreed specialist assessment support, or help the candidate
☐ ☐ ☐
access specialist support, if required
GATHERING and JUDGING EVIDENCE—did the participant: Yes No N/A
9 Use the agreed assessment methods and tools to gather quality evidence ☐ ☐
10 Apply the principles of assessment and rules of evidence when gathering
☐ ☐
and judging evidence
11 Ensure the candidate’s physical and emotional safety at all times ☐ ☐
12 Ensure the safety of workplace personnel, equipment and other assets ☐ ☐
13 Make a decision of competence (C or NYC) based on available evidence and
☐ ☐
using the rules of evidence
14 Make a decision of competence in line with agreed assessment procedures ☐ ☐
15 Give the candidate clear and constructive feedback (verbally or in writing) ☐ ☐
RECORDING, REPORTING & REVIEWING assessment—did the participant: Yes No N/A
16 Record assessment outcomes and feedback promptly and accurately ☐ ☐
17 (if the result was NYC) Document a follow-up plan to help the candidate
☐ ☐ ☐
attain a competent result on their next attempt
18 Promptly submit results and other required assessment documentation
☐ ☐
according to assessment procedures and confidentiality conventions
19 Inform other relevant parties of the assessment decision, according to
☐ ☐
confidentiality conventions
20 Review the assessment process with the candidate, with you and/or others ☐ ☐
OVERALL—did the participant: Yes No N/A
21 Support the candidate throughout all stages of the assessment ☐ ☐
22 Use professional and respectful two-way verbal and written interpersonal
☐ ☐
communication with the candidate and others involved in the assessment.
23 Contribute to activities requiring joint responsibility and accountability in a
cooperative and collaborative way—e.g. liaising with you and others as ☐ ☐
needed to ensure assessment is conducted in a valid, safe and timely way.
continued

Assessment supervision form, cont’d
Comments
Instructions for the supervising assessor: Use the space below to:
1. describe what you observe of the participant’s performance as an assessor
2. note the participant’s strengths as an assessor, and opportunities to improve
3. (if you ticked ‘no’ to any criteria) explain why.
Signature of Date
supervising assessor signed
Thank you. Return this form to the participant

after you have completed and signed it.
end of template

Assessment tool validation record
Use this template to document a clear and thorough record of any assessment tool
validations you participate in
Assessment tool validation record

Part 1: General Information
Validation details
Validation date 24/06/2021
Validation approach ☐ Face-to-face meeting
 Videoconference
☐ Other (describe):
Location (if applicable) Zoom online
Purpose and focus of the Validation
Purpose Validate an assessment tool
Relevant unit/s CHCCCS012 – Prepare & Maintain Beds
Resources needed Laptop, internet, zoom log in details, copy of the assessment
tools
Participants
Name Organisation / Position

Suzanne NSW Health / Midwife

Part 2: Code of conduct
Participants in this validation acknowledge and agree that:
1. Be honest, respectful and open-minded

With the validation leader and with each other.
2. Equal ‘airtime’
Allow everyone to have their say without interruption.
3. Share diverse opinions—aim for consensus
4. Validation leader will decide the response to mixed feedback
In the event that validation participants have mixed feedback and do not reach consensus for a
particular validation criterion, the validation leader will note all feedback and make the final decision.
5. Copyright
Please respect copyright of the materials and templates used in the validation. All validation materials
are provided commercially, in confidence. Do not distribute them to others.
6. Confidentiality
You will be named as a participant in this validation, and this validation record will be openly available to
anyone with a valid reason to review it. Please advise the validation leader if you prefer to be identified
as ‘anonymous’ on this record.
Did all participants agree to these terms:

● verbally at the start of the validation meeting  Yes ☐ No (details below)
● or by email beforehand?

Part 3: Validation Checklist
Does/is the assessment tool: Yes No Comments

VALIDITY
1 Address all aspects of the competency
standard/s assessed:
● Elements and performance criteria  ☐
● Foundation Skills to the level  ☐

described in the unit
● Performance evidence  ☐
● Knowledge evidence  ☐
● Assessment conditions  ☐
Competency map attached 
2 Clearly identify units assessed by code  ☐

and title
3 Include activities that reflect realistic  ☐
workplace requirements
4 Reflect realistic work conditions that
include the dimensions of competence:
● Task skills  ☐
● Task management skills  ☐
● Contingency management skills  ☐
● Job / role environment skills  ☐
5 Promote collection of evidence that is:

● Valid  ☐
● Sufficient  ☐
● Current  ☐
● Authentic  ☐
6 Pitched at the correct AQF level  ☐
7 Free of unnecessary assessment tasks  ☐
FLEXIBILITY AND FAIRNESS

8 Offer a reasonable range of flexible  ☐
options for how candidates complete and
submit assessment tasks
9 Include information about available  ☐
support and guidance if needed
RELIABILITY
10 Formatted and structured in a logical and  ☐
easy-to-follow way
11 Include information, instructions and

Does/is the assessment tool: Yes No Comments
marking guide for assessors that
includes:
● clear instructions for administering  ☐
the assessment—Plain English and
concise
● complete instructions for  ☐
administering the assessment
● decision-making rules and  ☐
benchmarks to promote consistent
outcomes
12 Include documented information for

candidates that includes:
● clear instructions  ☐
● complete instructions  ☐
● clear outline of evidence  ☐
requirements for a competent
outcome
ADMINISTRATION
13 Clearly identify version control  ☐
14 Include mechanisms to record:

● Name of assessor/s  ☐
● Name of candidate  ☐
● Assessment date/s  ☐
● Candidate’s written consent to be  ☐
assessed (or equivalent)
● Assessment results  ☐
● Action plan in case of a NYC result  ☐
● Other information needed to reflect  ☐
the organisation’s policies and
procedures related to assessment
administration
● Includes capacity for the assessor  ☐
to note comments and feedback
about the candidate’s performance.

Part 4: Validation outcomes
Summary of feedback and recommendations

Overall the tool is both user friendly & maps directly across the competency standard CHCCS012
prepare and maintain beds; fulfilling the rules & principles of assessment. It was well structured with the
tool & its instructions well defined for easy navigation. It provides a clear & unambiguous understanding
of what is required by the RTO, Assessor & Candidate.
Recommended Actions
Action required By whom? By when?
1 Validation
Send this validation record to the tool’s developer In 1 week
team leader
2 Assessment
Make recommended improvements tool In 2 weeks
developer
3 JK Training
House
Check, finalise and approve assessment tool In 3 weeks
(Compliance
Manager)
Information in this report verified by
Name Vicki Jackus
Position Midwife NSW Health
Daytime phone 0430202742

Contact
information
Email Vicki.jakus@gmail.com

CHCCS012 Assessment Tool

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

CHCCS012 Assessment Tool

Uploaded by

Copyright:

Available Formats

Assessment cover sheet

RTO Name JK Training House

Unit/s assessed CHCCCS012 – Prepare and maintain beds

CANDIDATE to complete this section

Name Suzanne Stanborough

Address 24 Bettong Place, St Helens Park

Phone Daytime 0406138106 Evening 0406138106

Date submitted 24/07/21

Candidate declaration—By signing below, I certify that:

Candidate signature** Date signed 24/07/2021

ASSESSOR to complete this section

Name of assessor Jennifer Korelin

Date portfolio received 24/07/2021

Date portfolio review completed 31/07/2021

* USI stands for Unique Student Identifier.

Assessment Cover Sheet page 1

Assessment information and instructions for candidates

Welcome to your assessment!

Read this document carefully

Our contact details

Version 1.0 © July 2021 JK Training House  2

Important information about your assessment

Unit/s assessed CHCCCS012 – Prepare and maintain beds

1 RPL Recognition of prior learning is considered upon application.

2 Knowledge Candidate will complete the attached Written Assessment task,

3 Knowledge Candidate will undertake knowledge assessment entailing the

Requirements for a competent result

Version 1.0 © July 2021 JK Training House  3

Version 1.0 © July 2021 JK Training House  4

Version 1.0 © July 2021 JK Training House  5

Documentation Assessment Instruments:

Provision for: No support needed or offered.

Version 1.0 © July 2021 JK Training House  7

Information and instructions

General information about this activity

Candidate name JK Training House Candidate

Assessor name Jennifer Korelin

Competency standard CHCCCS012 – Prepare and maintain beds

Observation date 24/07/21

Version 1.0 © July 2021 JK Training House  8

1 Provide documented evidence of RPL of the unit ☐ ☐

2 Physically demonstrate the task of making a bed x 5 separate occasions  ☐

3 Complete the written assessment task  ☐

4 Complete the verbal assessment task  ☐

5 Third Party Report ☐ ☐

Result for this assessment activity

Result Satisfactory Not Yet Satisfactory

Version 1.0 © July 2021 JK Training House  9

Version 1.0 © July 2021 JK Training House  10

Information and instructions

General information about this assessment activity

Competency standard CHCCCS012 – Prepare and maintain beds

Candidate name Suzanne Stanborough

Test date 24/07/201

Assessor instructions Supervise candidate for the duration of assessment.

Version 1.0 © July 2021 JK Training House  11

1 WHS & Manual Handling activities include:

B Walking to a patients room

D Eating lunch in the break room

2 When loading a skip/waste bag trolley you must ensure you:

C Only fill the skip/waste bag two-thirds of its capacity 

Result for this assessment activity

Result  Satisfactory ☐ Not Yet Satisfactory

Assessor signature Date signed 24/07/2021