Action Plan

Completed by       Workplace/Organisation      

Team       Date Completed      

Workplace      
Problem

Planned
Expected Date Assessor’s
Action Item Implementation Actual Result
Outcome Implemented Signature
Date

Critical Thinking:                              

     

Creative                              

Thinking:

     

Victorian Institute of Education Pty ltd

Level 3, 741 George St, HAYMARKET| Unit 1, 159 Queen St, Campbelltown| Suite 2, Ground Floor, 97 Pirie St, ADELAIDE, South Australia | Phone: 1300 852 205 |
RTO Code: 45273 | CRICOS Provider Code: 03778C

Version : 1.2 Last Updated: 31 July 2021 Next Update: 30 July 2022 Page 1 of 2
 ASSESSOR DECLARATION
TO THE ASSESSOR

By signing in the spaces provided below, you are confirming that you have observed the learner, whose
name appears above, implement each action item according to their responses in the Action Plan.

Assessor      
Name:

RTO Name:      

Position:      

Signature:      

Victorian Institute of Education Pty ltd

Level 3, 741 George St, HAYMARKET| Unit 1, 159 Queen St, Campbelltown| Suite 2, Ground Floor, 97 Pirie St, ADELAIDE, South Australia | Phone: 1300 852 205 |
RTO Code: 45273 | CRICOS Provider Code: 03778C

Version : 1.2 Last Updated: 31 July 2021 Next Update: 30 July 2022 Page 2 of 2