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Institutional

Evaluation
Tool

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INSTITUTIONAL EVALUATION TOOL

(Qualification)
(Module Title)

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Evidence Plan
Competency
Standard Qualification
Unit of
Competency (Fill up) Chosen Core
Ways in which evidence will be collected:
Demonstration
Written
Interview
Test
[tick the column]
& Questioning

The evidence must show that the candidate…


 (Details is provided through Self-Assessment 
Guide (SAG) or in the Performance Criteria in the
TR. Rephase the word in to an action form and in
future tense.)





   
   
 
 
  
   
 
   
Note: Critical aspects of competency *

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TABLE OF SPECIFICATIONS
# of
Objectives/
items/
Content Knowledge Comprehension Application
% of
area/Topics
test
(Fill up) x(5%) 5%
Learning
Contents
from
session plan
x(5%) 5%
x(5%) x(5%) 10%
x(10%) 10%
x(5%) 5%
x(5%) 5%
x(5%) x(5%) 10%
x(5%) 5%
x(5%) 5%
x(5%) 5%
x(5%) x(5%) 10%
x(5%) x(5%) 10%
x(10%) 10%
x(5%) 5%
TOTAL 55% 30% 15% 100%

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TABLE OF SPECIFICATIONS

TEST ITEM DISTRIBUTION Total Percentage


Objectives/ No.
Content of (%)
Factual Items
Knowledge Comprehension Application
(Fill up) 5 5 5%
Learning
Contents from
session plan
5 5 5%
7 3 10 10%
5 5 10%
3 3 5%
3 3 5%
1 1 2 10%
7 7 5%
1 1 5%
1 1 5%
3 3 6 10%
1 2 3 10%
3 3 10%
1 1 5%
TOTAL 20 100%

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WRITTEN TEST

(QUALIFICATION)

(UNIT OF COMPETENCY)

(1 Hour)

(MONTH, YEAR)

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INSTRUCTIONS TO THE TRAINEES

1. You have one (1) hour to complete this test.

2. This paper consists of Section A and Section B.

3. Section A consists of Multiple-Choice Test with 10 questions. Answer


ALL Questions and write the letter that corresponds to your answer.

Section B consists of 10 Questions. Answer ALL Questions and write


TRUE is statement is correct and FALSE if statement is wrong.

4. Write your examination number code in every answer sheet that you
submit.

5. Do not write on the question paper.

6. Return the question paper to the trainer at the end of the 1-hour test.

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SECTION A: MULTIPLE CHOICE QUESTIONS

Instruction: Choose the correct or the best answer and WRITE the letter
that corresponds to your choice on the answer sheet provided.

1.
a. c.
b. d.

2.
a. c.
b. d.

3.
a. c.
b. d.

4.
a. c.
b. d.

5.
a. c.
b. d.

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SECTION B: TRUE OR FALSE
Instruction: Write TRUE if the statement is correct and write FALSE if
the statement is incorrect.

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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ANSWER KEY
Section A

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Section B

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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Performance Test

Specific Instruction for the Trainees:


(Fill up)
Qualification
(Fill up) Chosen Core
Unit of Competency
General Instruction:
Given the necessary materials, tools and equipment, the candidate must be
able to (Activity) based on standard criteria. (2 Hrs).
Specific Instructions:
1. Gather instructions and relevant tools, equipment, and materials.
2. Prepare all equipment, software, and materials needed.
3. Perform the task in accordance with the requirements.
4. Observe, inspect and check the output.

LIST OF EQUIPMENT, TOOLS AND MATERIALS:

EQUIPMENT:
QTY Description
(Fill up) (Fill up)
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MATERIALS AND SUPPLIES:
(Fill up) (Fill up)

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 to show if
evidence is
demonstrated
During the demonstration of skills, did the trainee:
Yes No
(Fill up) base on specific instruction at least 5 or more
questions.

The trainee’s demonstration was:


Satisfactory  Not Satisfactory 

Feedback to trainee:
(Fill up)

General comments [Strengths / Improvements needed]


(Fill up)

Trainer’s signature: (Fill up) Date: (Fill up)

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Questioning Tool
QUESTIONS Satisfactory
Response
The trainee should answer the following questions: Yes No
[Extension / Reflection Questions]
1. What if you were using French Press instead of
Coffee Siphon in brewing the coffee would it affect  
the taste of the coffee?
2. How would you ensure that the taste and
flavoured you performed is in accordance with  
basic and quality procedures?
[Safety Questions]
1. What safety equipment or clothing would you used
 
when preparing and serving coffee beverages?
2. How do you avoid possible contamination in
 
preparing and serving coffee beverages?
[Contingency Questions]
1. What would you do in the event of accident or
emergency during preparing and serving coffee  
beverages in your work?
2. What would you do if the end user made complain
 
about your coffee beverages in your work?
[Infrequent Events]
1. What would you do if you accidentally plugged-in
a 110VAC espresso machine equipment into the  
220VAC power line?
[Rules and Regulations]
1. What are the general procedures or steps in
 
preparing and serving coffee beverages in work?
2. What checks are required by the manufacturer to
 
ensure correct operation?
The trainee’s underpinning knowledge was:
Satisfactory  Not Satisfactory 
Feedback to trainee:
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The trainee’s overall performance was:
Satisfactory  Not Satisfactory 
Trainee signature: (Fill up) (Fill up) date
Trainer signature: (Fill up) (Fill up) date

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Acceptable answers are:
[Extension / Reflection Questions]
1. No problem they both the same taste and flavoured.
2. Prepared and served the coffee beverages in accordance with basic
and quality procedures when all what is listed in the PM checklist
were performed with the specified time.
[Safety Questions]
1. Hand gloves, hair net, apron
2. Wear hand gloves, cover hair with hair net and use of apron during
preparation of coffee.
[Contingency Questions]
1. Suspend or stop your work temporarily and attend to the accident
or emergency
2. Explain to him/her clearly your preventive maintenance work and
if he/she is not satisfied consult or refer him/her to your
supervisor
[Infrequent Events]
1. Report immediately to your trainer or supervisor
[Rules and Regulations]
1. A. Secure/Prepare the necessary PM checklist
A. Conduct visual inspection
B. Perform preventive maintenance work based on the checklist
C. Prepare and submit PM report
2. All technical data/ratings must conform with the manufacturer’s
technical specifications
Trainer signature: (Fill up) Date: (Fill up)

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Learning Resources

Qualification: (Fill up)

Unit of Competency: (Fill up)


Resources for presenting instruction
 Print Resources As per TR As per Remarks
Inventory
Reference Book 10 pcs. 25 pcs. For
reproduc
tion and
replenish
ment
(Fill up) (Fill up) (Fill up) (Fill up)
 Non-Print Resources As per TR As per Remarks
Inventory

CD’s / CD ROMs (Fill up)


10 pcs. 10 pcs.
(Fill up) (Fill up) (Fill up) (Fill up)

Resources for Skills practice of Competency #1 (Fill up)


 Supplies and Materials As per TR As per Remarks
Inventory
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 Tools As per TR As per Remarks
Inventory
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 Equipment As per TR As per Remarks
Inventory
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Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.

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Workshop Lay out
(Attached a workshop layout with 9 areas
of competency-based facilities and
attached the training facilities to be seen
on TR sec. 3)

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