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.
BASIC COMPETENCIES
CAN I…? YES NO
1.Participate in workplace communication
Obtain and convey workplace information 
Participate in workplace meetings and discussions 
Complete relevant work related documents 
2.Work in team environment
Describe team role and scope 
Identify own role and responsibility within team 
Work as a team member 
3. Practice career professionalism
Integrate personal objectives with organizational goals 
Set and meet work priorities 
Maintain professional growth and development 
4.Practice occupational health and safety procedures
Identify hazards and risks 
Evaluate hazards and risks 
Control hazards and risks 
Maintain OHS awareness 
COMMON COMPETENCIES YES NO
CAN I…?
1. Use hand tools
Plan and prepare for tasks to be undertaken 
Prepare hand tools 
Use appropriate hand tools and test equipment 
Maintain hand tools 
2. Perform mensuration and calculation
Select measuring instruments 
Carry out measurements and calculation 
Maintain measuring instruments 
3. Prepare and interpret technical drawing
Identify different kinds of technical drawings 
Interpret technical drawing 
Prepare/ make changes to electrical/ electronic 
schematics and drawings
Store technical drawings and equipment/ instruments 
4. Apply quality standards
Assess quality of received materials or components 
Assess own work 
Engage in quality improvement 
5. Terminate and connect electrical wiring and electronics circuit
Plan and prepare for termination/ connection of electrical 
wiring/electronic s circuits
Terminate/ connect electrical wiring/ electronic circuits 
Test termination/ connections of electrical wiring/ 
electronics circuits

CORE COMPETENCIES
CAN I…? YES NO
1. Perform roughing-in activities, wiring and cabling works
for single-phase distribution, power, lighting and auxiliary
systems
Install electrical metallic /non-metallic (PVC 
conduit)
Install wire ways and cable tray 
Install auxiliary terminal cabinet and distribution 
panel
Prepare for cable pulling and installation 
Perform wiring and cabling lay out 
Notify completion of work 
 2. Install electrical protective devices for distribution, power,
lighting, auxiliary, lightning protection and grounding
systems
Plan and prepare work 
Install electrical protective devices 
Install lighting fixture and auxiliary outlet. 
Notify completion of work. 
3. Install wiring devices of floor and wall mounted outlets,
lighting fixture/switches and auxiliary outlets
Select wiring devices 
Install wiring devices 
Install lighting fixture/ switches 
Notify completion of work 
44*.60= 26no
44*.40=18 yes

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

Participate in Certificate of Training Observation

workplace “Foreign Language Written Test
communication communication” Oral Interview
Transcript of Records Actual Demonstration
Report Card
Employment Certificate
Seminar Certificate of
Attendance
Work in a team Certificate of Training Observation
environment ”Solid Waste Management” Written Test
Transcript of Records Oral Interview
Report Card Actual Demonstration
Employment Certificate
Seminar Certificate of
Attendance
Practice career Certificate of Training Observation
professionalism “Career Professionalism” Written Test
Transcript of Records Oral Interview
Report Card Actual Demonstration
Employment Certificate
Practice Certificate of Training Observation
occupational health ”OHS in Electrical Written Test
and safety Installation and Oral Interview
procedures Maintenance” Actual Demonstration
Transcript of Records
Report Card
Employment Certificate
Use hand tools Certificate of Training”” Observation
Transcript of Records Actual Demonstration
Report Card
Employment Certificate

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/Requirements
Outcomes based on CBC
Participate in workplace communication
Obtain and convey Obtain and convey
workplace information workplace
information
Participate in workplace Participate in
meeting and discussion workplace meeting
and discussion
Complete relevant work related Complete relevant
documents work related
documents
Work in a team environment
Describe team role and Describe team role
scope and scope
Identify own role and Identify own role
responsibility within team and responsibility
within team
Work as a team member Work as a team
member
Practice career professionalism
Integrate personal Integrate personal
objectives with objectives with
organizational goals organizational goals
Set and meet work priorities Set and meet work
priorities
Maintain professional Maintain
growth and development professional growth
and development
Practice occupational health and safety procedures
Identify hazards and risks Identify hazards
and risks
Evaluate hazards and risks Evaluate hazards
and risks
Control hazards and risks Control hazards and
risks
Maintain OHS awareness Maintain OHS
awareness
Use hand tools
Plan and prepare for tasks Plan and prepare
to be undertaken for tasks to be
undertaken
Prepare hand tools Prepare hand tools
Use appropriate hand tools Use appropriate
and test equipment hand tools and test
equipment
Maintain hand tools Maintain hand tools
Perform mensuration and calculation
Select measuring Select measuring
instruments instruments
Carry out measurements Carry out
and calculation measurements and
calculation
Maintain measuring Maintain measuring
instruments instruments
Prepare and interpret technical drawing
Identify different kinds of Identify different
technical drawings kinds of technical
drawings
Interpret technical drawing Interpret technical
drawing
Prepare/ make changes to Prepare/ make
electrical/ electronic changes to
schematics and drawings electrical/ electronic
schematics and
drawings
Store technical drawings Store technical
and equipment/ drawings and
instruments equipment/
instruments
Apply quality standards
Assess quality of received Assess quality of
materials or components received materials or
components
Assess own work Assess own work
Engage in quality Engage in quality
improvement improvement
Terminate and connect electrical wiring and electronics circuit
Plan and prepare for Plan and prepare for
termination/ connection of termination/
electrical wiring/electronic s connection of
circuits electrical
wiring/electronic s
circuits
Terminate/ connect electrical Terminate/ connect
wiring/ electronic circuits electrical wiring/
electronic circuits
Test termination/ Test termination/
connections of electrical connections of
wiring/ electronics circuits electrical wiring/
electronics circuits
Apply quality standards
Assess quality of received Assess quality of
materials or components received materials or
components
Assess own work Assess own work
Engage in quality Engage in quality
improvement improvement
Terminate and connect electrical wiring and electronics circuit
Plan and prepare for Plan and prepare for
termination/ connection of termination/
electrical wiring/electronic s connection of
circuits electrical
wiring/electronic s
circuits
Terminate/ connect electrical Terminate/ connect
wiring/ electronic circuits electrical wiring/
electronic circuits
Test termination/ Test termination/
connections of electrical connections of
wiring/ electronics circuits electrical wiring/
electronics circuits
Perform roughing-in activities, wiring and cabling works for single-
phase distribution, power, lighting and auxiliary systems
Install electrical metallic Install electrical
/non-metallic (PVC conduit) metallic /non-
metallic (PVC
conduit)
Install wire ways and cable Install wire ways and
tray cable tray
Install auxiliary terminal Install auxiliary
cabinet and distribution terminal cabinet and
panel distribution panel
 Prepare for cable pulling and Prepare for cable
installation pulling and
installation
Perform wiring and cabling Perform wiring and
lay out cabling lay out
Notify completion of work Notify completion of
work
Install electrical protective devices for distribution, power, lighting,
auxiliary, lightning protection and grounding systems
Plan and prepare work Plan and prepare
work
Install electrical protective Install electrical
devices protective devices
Install lighting fixture and Install lighting
auxiliary outlet. fixture and auxiliary
outlet.
Notify completion of work. Notify completion of
work.
Install wiring devices of floor and wall mounted outlets, lighting
fixture/switches and auxiliary outlets
Select wiring devices Select wiring devices
Install wiring devices Install wiring devices
Install lighting fixture/ Install lighting
switches fixture/ switches
Notify completion of work Notify completion of
work

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 Title/Module of

Instruction
(Learning Outcomes)
Carry out measurements and calculation Perform mensuration and
Maintain measuring instruments calculation
Identify different kinds of technical Prepare and interpret
drawings technical drawing
Interpret technical drawing
Prepare/ make changes to electrical/
electronic schematics and drawings
Store technical drawings and equipment/
instruments
Assess quality of received materials or Apply quality standards
components
Assess own work
Engage in quality improvement
Plan and prepare for termination/ Terminate and connect
connection of electrical wiring/electronic electrical wiring and
s circuits electronics circuit
Terminate/ connect electrical wiring/
electronic circuits
Test termination/ connections of
electrical wiring/ electronics circuits
Install electrical metallic /non-metallic Perform roughing-in
(PVC conduit) activities, wiring and cabling
works for single-phase
Install wire ways and cable tray
distribution, power, lighting
Install auxiliary terminal cabinet and and auxiliary systems
distribution panel
Prepare for cable pulling and installation
Perform wiring and cabling lay out
Notify completion of work
Plan and prepare work Install electrical protective
devices for distribution,
Install electrical protective devices
power, lighting, auxiliary,
Install lighting fixture and auxiliary lightning protection and
outlet. grounding systems
Notify completion of work.
Select wiring devices Install wiring devices of
floor and wall mounted
Install wiring devices
outlets, lighting
Install lighting fixture/ switches fixture/switches and
 auxiliary outlets
Notify completion of work