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…? YES NO
1. Prepare electrical power and hydraulic tools?
√
2. Perform roughing- in activities for communication and
distribution √
System?
3. Install wiring devices for floor and ground fault current
interrupting outlets? √
4. Install electrical protection system for lightning and grounding?
√
5. Install electrical lighting systems on auxiliary outlets and lighting
fixtures? √

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

Form 1.2: Evidence of Current Competencies acquired related to
Job/Occupation

Current
Proof/Evidence Means of validating
competencies
Prepare electrical Progress Chart Written test questions
power and hydraulic related to
tools underpinning
knowledge and skills.

Direct observation of
candidate's
application of
knowledge and skills
to assigned tasks.
Perform roughing- Progress Chart Oral questions related to
in activities for underpinning knowledge
communication and and skills.
distribution System
Direct observation of
candidate’s application of
knowledge and skills to
assigned tasks.
Written test questions
related to
underpinning
knowledge and skills.

Install wiring Progress Chart Oral questions related to

devices for floor underpinning knowledge
and ground fault and skills.
current interrupting
Direct observation of
outlets
candidate’s application of
knowledge and skills to
assigned tasks.

Install electrical Progress Chart Direct observation of

protection system candidate’s application of
for lightning and knowledge and skills to
grounding assigned tasks.
Oral questions related to
underpinning knowledge
and skills.

Install electrical Progress Chart. Oral questions related to

lighting systems on underpinning knowledge
auxiliary outlets and and skills.
lighting fixtures
Direct observation of
candidate’s application of
knowledge and skills to
assigned tasks.
Written test questions
related to underpinning
knowledge and skills.

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 (Sample)

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
1. NONE
 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 (Sample)

Module
Gaps Title/Module of Duration (hours)
Instruction
NONE
 TRAINING PLAN

EIM N.C.II
Qualification: ____________________________
Facilities
/Tools Date
Trainees’ Training Mode of Assessment
Training Activity/Task Staff and Venue and
Requirements Training Method
Equipme Time
nt

1. Prepare  Demons Roque B. Electrical Practical 5days

1.1 Select electrical power and  Direct
electrical power hydraulic tools tration Requino- system, Work Observation (40
and hydraulic Training portable Area in and
 Discussi hrs)
tools 1.2 Maintain electrical power Coordinator power industry Questioning
and hydraulic tools on
Prof. Santiago and
R. Evasco, hydraulic  Demon
School tools stra-tion
Jr.-
Director
Industry
training
incharge

Roque B. 10
2. Perform Electrical Practical  Direct
2.1 Install electrical metallic  Audio Requino- days
roughing- in system, Work Observation
conduit Visual Training (80
activities for Area in and
Showing Coordinator electrical hrs)
communication industry Questioning
2.2 Install wire ways and cable materials,
and distribution Prof. Santiago and
tray  Demons
systems R. Evasco, communi  Demon
tration
Jr.- School cation stra-tion
2.3 Install telephone terminal  Discussi
Director
cabinet and distribution on system
frame Industry
  Practical training materials
2.4 Install cable bridge Laboratory incharge

2.5 Notify completion of work

3. Install wiring Roque B.

3.1 Select wiring devices  Direct
devices for floor Requino-
Training Electrical Practical Observation 10
and ground 3.2. Install wiring devices and
 Audio Coordinator system, Work days
fault current Questioning
Visual electrical Area in (80
interrupting 3.3. Notify completion of work Prof. Santiago materials
Showing industry hrs)
outlets R. Evasco, with GFCI  Demon
Jr.- School stra-tion
 Demons Director
tration
 Discussi Industry
on training
incharge
 Practical
Laboratory

4.1 Plan and prepare work

4. Install electrical Roque B. Practical  Direct
protection 4.2 Install electrical protection Requino- Work Observation 10
system for system Training Area in and
Electrical days
lightning and Coordinator industry Questioning
system, (80
grounding 4.3 Notify completion of work
Prof. Santiago electrical hrs)
  Demon
Audio R. Evasco, protection
stra-tion
Visual Jr.- School system for
Showing Director lightning
and
 Demons Industry grounding
training
 tration incharge
 Discussi
on
5.1 Plan and prepare work
5. Install electrical  Practical Roque B.
5.2 Install lighting fixtures Laboratory  Direct
lighting systems Requino- Practical Observation 10
on auxiliary Training
5.3 Notify completion of work Work and days
outlets and Coordinator Electrical
Area in Questioning (80
lighting fixtures system,
Prof. Santiago electrical industry hrs)
R. Evasco, lighting  Demon
Jr.- School systems stra-tion
Director
 Audio on
Visual Industry auxiliary
Showing training outlets
 Demons incharge and
tration lighting
 Discussi fixtures
on

 Practical
Laboratory
 TRAINEE’S PROGRESS SHEET

ROQUE B.
Name : ALJON OMANDAM Trainer :
REQUINO
Nominal
Qualification : EIM NC II : 360 HRS.
Duration
Training Training Date Date Trainee’s Supervisor’s
Units of Competency Rating
Activity Duration Started Finished Initial Initial
1. Prepare electrical 1.1 Select 5 days (40
power and hydraulic electrical hrs.)
tools power and
hydraulic
tools

1.2 Maintain
electrical
power and
hydraulic
tools

2. Perform roughing- in 2.1 Install 10 days

activities for electrical (80 hrs.)
communication and metallic
distribution systems conduit

2.2 Install wire

ways and
cable tray

2.3 Install
telephone
 terminal
cabinet and
distribution
frame

2.4 Install cable

bridge

2.5 Notify
completion of
work

3. Install wiring devices 3.1 Select 10 days

for floor and ground wiring (80 hrs.)
fault current devices
interrupting outlets
3.2. Install
wiring
devices

3.3. Notify
completion
of work

4. Install electrical 4.1 Plan and 10 days

protection system for prepare (80 hrs)
lightning and work
grounding
4.2 Install
electrical
protection
system

4.4 Notify
completion of
work
 5. Install electrical lighting 5.1 Plan and 10 days
systems on auxiliary prepare work (80 hrs.)
outlets and lighting fixtures 5.2 Install
electrical
protection
system

5.3 Notify
completion of
work

45 days
Total (360
hrs.)
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for
the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings
 Average Ratings

PREPARATION Average
1. Workshop layout conforms with the
components of a CBT workshop
2. Number of CBLM is sufficient
3. Objectives of every training session is well
explained
4. Expected activities/outputs are clarified
General Average