Professional Documents
Culture Documents
(03022023 0532) l3 Efa Aed CPR Assessment Pack 2023 Fillable
(03022023 0532) l3 Efa Aed CPR Assessment Pack 2023 Fillable
Centre’s Name:
Venue Address:
Assessment Declaration
I have read and adhered to Highfield’s qualification specification and assessment requirements.
by completing the assessment criteria table, I am confirming that I have assessed in a practical
examination the learner’s competence in each assessment criteria as per qualification’s requirements.
the assessment outcome for the cohort has been accurately recorded within the assessment result table.
where learners did not achieve 100% in the first attempt of the theory assessment, I carried out further
questioning, which has been retained with the course paperwork.
I have checked the identification and kept records of all the learners in the course.
where distance learning has been used, evidence of the learner’s distance learning has been retained
with course paperwork.
M
01234 567890
Tel. No.
17/03/88
D.O.B.
(DDMMYY)
Learner’s Name
(in capitals)
EXAMPLE NAME
10.
11.
12.
1.
2.
3.
4.
5.
6.
7.
8.
9.
DRABC
CPR (Adult, Child, Infant)
Use of an AED
Recovery position & breathing
Seizure
Choking (Adult, Child, Infant)
External bleeding
Hypovolemic shock
Instructions: Please indicate if assessment criteria has been assessed in a practical examination and it has been fully
achieved by the learner and R if you have referred the learner for further training.
Assessment Result: Pass () or Refer (R)
Practical assessment
Theory assessment
Further Questioning: Please indicate with a where further questioning was used for the learner. All questions marked as R (Refer)
on the MCQ paper, must be covered by further questioning. All paperwork must be retained.
Further questioning used:
9 January 2023 © 2023 Highfield International.