Form 1.

1 SELF-ASSESSMENT CHECKLIST

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.
CAN I…? YE NO
S
CORE COMPETENCIES
1. Install electrical metallic/non-metallic (PVC conduit)
1.1. Interpret correct drawings based on job
requirements
1.2. Determine correct quantities of conduit, fittings
and accessories as per job requirements
1.3. Select tools and equipment as per job
requirements
1.4. Assemble conduit and ensure that fittings are
fully inserted and tightened as per job
requirements
1.5 Bent conduit with bends not exceeding 90° as
per job requirements
1.6 Install conduit couplings and elbows as per job
requirements
1.7 Thread conduit in line with job requirements
1.8 Follow safety procedures in line with standard
operating procedures (SOPs)

2. Install wire ways and cable tray

2.1 Interpret correct drawings to determine job
requirements
2.2 Select correct quantities of materials as per job
requirements
2.3 Select tools and equipment as per job
requirements
2.4 Install wire ways and cable trays as per job
requirements.

Date Developed: Document No.

Form 1.1 Self- June 2021
Assessment Date Revised: Issued by:
Checklist on CWNHS
ELECTRICAL Page
INSTALLATION AND Developed by: 1 of 3
MAINTAINANCE NC Jayson D. Dela Torre Revision #00
II
CAN I…? YE NO
S
2.5 Follow safety procedures in line with SOPs
3 Install auxiliary terminal cabinet and distribution panel
3.1 Interpret correct drawings to determine job ̸
requirements
3.2 Select correct quantities of materials as per job ̸
requirements
3.3 Select tools and equipment as per job ̸
requirements
3.4 Install auxiliary terminal cabinet as per job ̸
requirements
3.5 Install auxiliary main distribution frame as per ̸
job requirements
4 Prepare for cable pulling and installation

4.1 Prepared necessary tools, equipment, materials ̸

and personal protective equipment (PPE) in line
with job requirements.

4.2 Identify cable pulling & installation ̸

requirements and constraints from plan and
site inspection as per job requirements.

4.3 Set up cable lay out & installation equipment in ̸

accordance with manufacturer's and job
requirements.

4.4 Make site safe and secure for cable installation. ̸

4.5 Select suitable protective clothing and use ̸

required safety devices
4.6 Assess support structure as safe for normal ̸
working conditions.
5 Perform wiring and cabling lay out
5.1 Follow safety procedures based on safety ̸
regulations Identified and selected PPE in line
with safety requirements
5.2 Identify and obtain tools, equipment, pulling ̸
compound and safety requirements for the lay

Date Developed: Document No.

Form 1.1 Self- June 2021
Assessment Date Revised: Issued by:
Checklist on CWNHS
ELECTRICAL Page
INSTALLATION AND Developed by: 2 of 3
MAINTAINANCE NC Jayson D. Dela Torre Revision #00
II
 CAN I…? YE NO
S
out and installation.
5.3 Properly install and tension pulling materials to ̸
required specifications
5.4 Permanently secured cable to support structure ̸
in accordance with standard installation
procedures
5.5 Observe bending radius and loops tolerance for ̸
cable materials at all times
5.6 Follow schedule of wire cutting lists based on ̸
estimates, quantity and sizes to avoid wastage.
5.7 Seek further instructions if unplanned events ̸
or conditions occur
5.8 Do checking of quality of work in accordance ̸
with instructions and requirements.
6 Notify completion of work
6.1 Make final checks to ensure that work ̸
conforms with instructions and job
requirements
6.2 Notify supervisor upon completion of work ̸
6.3 Clean, check and return where appropriate, ̸
tools, equipment and any surplus resources
and materials to storage in accordance
with established procedures
6.4 Clean up and make work area safe according ̸
to OHSA regulations

Trainee’s Signature:_______________________ Date: ______________

Facilitator’s Signature: ______________________ Date: ______________

Date Developed: Document No.

Form 1.1 Self- June 2021
Assessment Date Revised: Issued by:
Checklist on CWNHS
ELECTRICAL Page
INSTALLATION AND Developed by: 3 of 3
MAINTAINANCE NC Jayson D. Dela Torre Revision #00
II