TEMPLATE USAGE GUIDELINES

CLASSROOM ASSESSMENT (CA) PHYSICS FORM

INTRODUCTION
Classroom Assessment (CA) is a part of the component in the School-based Assessment (SBA). The implementatio
has started since 2011 based on the Surat Siaran Lembaga Peperiksaan Bil. 3 Tahun 2011. CA was formerly known
School Assessment (SA) which was implemented formally and summatively using various approaches and methods
identify pupils' overall learning development.

A GENERAL INFORMATION
This CA Reporting Template consists of 5 sheets:
1. GUIDELINES
2. PUPIL'S PERFORMANCE RECORD
3. PUPIL'S REPORT (INDIVIDUAL)
4. PERFORMANCE LEVEL STATEMENTS DATA
5. REPORT GRAPHS

B TEMPLATE USAGE
Teachers have to complete the general information in the PUPIL'S PERFORMANCE RECORD.
The required details are:
1. Name and School Address
2.Teacher's Name and Class
3.Pupil's Name List, Identity Card Number and Gender
4. Administrator's Name
5.Administrator's Designation (Headmaster/ Principal)

C PERFORMANCE LEVEL
Pupil's Performance Level for every component in this template is recorded to report the pupil's learning
development for a certain period of the year (Mid-year / Final Year). Teachers only need to record the
Performance Level in the PUPIL'S PERFORMANCE RECORD and the pupil's individual report will be
automatically generated in the PUPIL'S REPORT (INDIVIDUAL) for printing. Analysis of the Performance Lev
(PL) is automatically generated in the REPORT GRAPHS sheet.

D PERFORMANCE LEVEL EVALUATION

1 The assessment is an ongoing process and the pupil's performance level is monitored continuously. This
performance level can be recorded in a record book, or other written forms; however for the parents' report, th
can be recorded in the template provided and reported twice a year which is during middle and end of the yea
2 This reporting template is made up of seven columns based on knowledge, skill and value constructs.
3 Teachers have to choose the option on the right on top of the Pupil's Performance Record sheet to make rep
in this template.
4 The report for knowledge, skill and value constructs will be executed in the middle and end of the year.
5 The Performance Level is executed based on every rubric referring to the knowledge, skill and value constr
found in the Performance Level Statements Data.
6 Teachers have to complete the teaching and learning of each theme before evaluating the Performance Level
(PL) for each theme.
7 Teachers have to refer to the Performance Standard (PS) found in the Standard Curriculum and Assessment
Document (SCAD) to evaluate the PL for each theme as the definition of PS can help teachers to determine th
pupil's performance.
 PHYSICS FORM 4

t (SBA). The implementation

11. CA was formerly known as
s approaches and methods to

E RECORD.

rt the pupil's learning

need to record the
vidual report will be
sis of the Performance Level

red continuously. This

er for the parents' report, this
middle and end of the year.
d value constructs.
Record sheet to make reports

and end of the year.

dge, skill and value constructs

ting the Performance Level

urriculum and Assessment

elp teachers to determine the
 SCHOOL : SMK DATOK LOKMAN

ADRESS : JALAN KAMPUNG PANDAN

: KUALA LUMPUR

REPORT DATE : 29/6/2021

Please specify the level of assessment
SUBJECT SUBJECT TEACHER: PN. SHAHIDA BINTI AZMIZAM Mid Year Assessment
PHYSICS CLASS: 4 ALPHA End of Year Assessment

SCIENCE INVESTIGATION SCIENTIFIC SKILL AND

KNOWLEDGE DOMAIN
DOMAIN NOBLE VALUES DOMAIN OVERALL
NO. PUPIL'S NAME MYKID/ I.C. NUMBER GENDER
ELEMENTARY NEWTONIAN WAVES, LIGHT SECOND SECOND PERFORMANCE LEVEL
HEAT FIRST TERM FIRST TERM
PHYSICS MECHANICS AND OPTICS TERM TERM
1 AHMAD ADLI BIN ALI 040307-16-2521 M 5 4 5 4 4 4 2 2 4
2 AHMAD ISWAZIR BIN KAMARUDDIN ALI 040206-16-2355 M 5 5 3 4 4 4 2 2 4
3 ARINA ARISSA BINTI MUSA 041209-02-2384 F 6 4 5 4 4 4 2 5 5
4 AZALI BIN MOHD GHAZI 040709-07-2361 M 6 4 5 4 4 4 2 2 5
5 AZWAN BIN MUSAHAR 041207-16-2357 M 2 3 5 4 4 4 4 2 5
6 CHAN KOK MENG 041209-16-6359 M 6 6 6 4 4 4 2 2 6
7 CHONG WEY LOON 041208-01-8957 M 6 4 4 4 4 4 2 2 5
8 DANIAL IRISH BIN DANIAL RUDIN 041203-01-8933 M 5 5 1 4 4 4 2 2 4
9 FARIDAH BINTI RAMLAN 041208-16-2564 M 6 4 5 4 4 4 5 2 5
10 HAFIZ BIN BAHAROM 041209-16-9898 F 6 4 5 4 4 4 2 2 5
11 HALIM BIN HARUN 041216-16-7867 M 6 3 5 4 4 4 2 2 5
12 HARLENI BINTI ARIF 041219-16-9638 F 6 6 6 4 4 4 2 2 6
13 HARLINA BINTI SARIP 041229-16-2398 F 6 4 4 4 4 4 5 5 5
14 HAYATI BINTI MUSA 041203-16-8754 F 5 5 3 4 4 4 2 2 4
15 IRWAN HASHIM BIN MOHD SUHAILY 041206-16-2335 M 6 4 5 4 4 4 2 3 5
16 ISMAIL ALIFF BIN AZIZ 041209-16-6267 M 6 4 5 4 4 4 5 2 5
17 JAMIL BIN JAMALUDIN 041211-16-6993 M 6 3 5 4 4 4 2 2 5
18 KAMARIAH BINTI YASSIN 041236-16-1248 F 6 6 6 4 4 4 4 6 6
19 KARIM DANISH BIN ABU BAKAR 041223-16-1353 M 6 4 4 4 4 4 2 2 5
20 KHARIL YUSRI BIN TAHUR 041225-16-9897 M 5 5 3 4 4 4 2 2 4
21 LAILATUL QARI BINTI KARIM 041216-16-3696 F 6 4 5 4 4 4 2 2 5
22 LIZA BINTI OTHMAN 041227-16-3424 F 6 4 5 4 4 4 2 2 5
23 MOHD ESWARAN BIN EZWAN 041228-16-6363 M 6 3 5 4 4 4 2 2 5
24 MOHD SHAZA BIN ABD. JALIL 041213-16-9763 M 6 6 6 4 4 4 2 2 6
25 MUHD. NIZAM BIN KARIM JUNIOR 041223-08-4543 M 6 4 4 4 4 4 2 2 5
26 NADIA BINTI HASHIM 041213-16-2346 F 5 5 3 4 4 4 2 2 4
27 NAGENDRAN A/L MAGENDREN 041224-16-2457 M 6 4 5 4 4 4 2 2 5
28 NAWI BIN RAZMAN 041213-03-2349 M 6 4 5 4 4 4 2 2 5
29 NINA QISTINA BINTI BAHAR 041223-03-2398 F 6 3 5 4 4 4 2 2 5
30 NUR QURSIAH BINTI HARIS 041213-12-5024 F 6 6 6 4 4 4 2 2 6
31 KASMARINA BINTI KASSIM 041021-14-5042 F 6 6 6 4 4 4 2 2 6
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

…………………………………………………
PN. LATIFAH BINTI YUSOF
PRINCIPAL
SMK DATOK LOKMAN
AD9: TP keseluruhan
Hanya dilaporkan untuk Pentaksiran Akhir Tahun sahaja.
 SMK DATOK LOKMAN
JALAN KAMPUNG PANDAN LOGO
KUALA LUMPUR SEKOLAH
29 June, 2021 NOTA : JANGAN PADAM

PHYSICS ###
###
Name AHMAD ADLI BIN ALI ###
MYKID/ I.C. Number 040307-16-2521 ###
Gender M ###
Class 4 ALPHA ###
Teacher's Name PN. SHAHIDA BINTI AZMIZAM ###
Date of Report 29 June, 2021 ###
###

###
Overall Performance Level 4 END OF YEAR ASSESSMENT
###
Descriptor for Overall Performance Level
Good
###
###
PEFORMANCE
SUBJECT DOMAIN DESCRIPTOR
LEVEL
###

ELEMENTARY PHYSICS 5 Evaluate knowledge about Measurement in context of problem solving and decision making to carry out a task.

###
KNOWLEDGE DOMAIN

Analyse knowledge about Force and Motion I/ Gravitation in context of problem solving on events or natural
NEWTONIAN MECHANICS 4
phenomena.
###

HEAT 5 Evaluate knowledge about Heat in context of problem solving and decision making to carry out a task.

###

WAVES, LIGHT AND

4 Analyse knowledge about Waves/ Light and Optics in context of problem solving on events or natural phenomena.
OPTICS
###

Plan and execute the correct strategy and procedure in the scientific investigation.
Handle and use the correct material and apparatus to get an accurate result.
SCIENTIFIC INVESTIGATION DOMAIN

Collect and record relevant data in a suitable format.

FIRST TERM 4 Organise data in numerical form or visual with no error.
Interpret data and make accurate conclusion based on the aim of the scientific investigation.
PHYSICS Write a complete scientific investigation report.

###

Plan and execute the correct strategy and procedure in the scientific investigation.
Handle and use the correct material and apparatus to get an accurate result.
Collect and record relevant data in a suitable format.
SECOND TERM 4 Organise data in numerical form or visual with no error.
Interpret data and make accurate conclusion based on the aim of the scientific investigation.
Write a complete scientific investigation report.

###
SCIENTIFIC SKILL AND NOBLE VALUES

Pupil is less able to:

State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
FIRST TERM 2
Use science language to communicate.
Document the source of information used.
DOMAIN

###
Pupil is less able to:
State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
SECOND TERM 2
Use science language to communicate
Document the source of information used.
###
###
###

ADDITIONAL TEACHER'S ###

COMMENT :
###
###
###
 ###
###
###
###
………………………………………………………………………… ………………………………………………………………………… ###
PN. SHAHIDA BINTI AZMIZAM PN. LATIFAH BINTI YUSOF ###
SUBJECT TEACHER PRINCIPAL ###
SMK DATOK LOKMAN SMK DATOK LOKMAN ###
###
PERFORMANCE STANDARDS DESCRIPTOR FOR PHYSICS KSSM FORM 4

PERFORMANCE
THEME 1 : ELEMENTARY PHYSICS
LEVEL
1 Recall the knowledge and scientific skills about Measurement.
2 Understand and explain Measurement.
3 Apply knowledge about Measurement and able to carry out simple tasks.
4 Analyse knowledge about Measurement in context of problem solving on events or natural phenomena.
5 Evaluate knowledge about Measurement in context of problem solving and decision making to carry out a task.
Design a task using knowledge and science skills about Measurement in a creative and innovative way in the context of problem
6 solving and decision making or carry out a task in a new situation with regards to the social values/ economy/ culture of the
community.

PERFORMANCE
THEME 2 : NEWTONIAN MECHANICS
LEVEL
1 Recall the knowledge and scientific skills about Force and Motion I/ Gravitation.
2 Understand and explain Force and Motion I/ Gravitation.
3 Apply knowledge about Force and Motion I/ Gravitation and able to carry out simple tasks.
4 Analyse knowledge about Force and Motion I/ Gravitation in context of problem solving on events or natural phenomena.

5 Evaluate knowledge about Force and Motion I/ Gravitation in context of problem solving and decision making to carry out a task.

Design a task using knowledge and science skills about Force and Motion I/ Gravitation in a creative and innovative way in the
6 context of problem solving and decision making or carry out a task in a new situation with regards to the social values/ economy/
culture of the community.

PERFORMANCE
THEME 3 : HEAT
LEVEL
1 Recall the knowledge and scientific skills about Heat.
2 Understand and explain Heat.
3 Apply knowledge about Heat and able to carry out simple tasks.
4 Analyse knowledge about Heat in context of problem solving on events or natural phenomena.
5 Evaluate knowledge about Heat in context of problem solving and decision making to carry out a task.
Design a task using knowledge and science skills about Heat in a creative and innovative way in the context of problem solving and
6
decision making or carry out a task in a new situation with regards to the social values/ economy/ culture of the community.

PERFORMANCE
THEME 4 : WAVES, LIGHT AND OPTICS
LEVEL
1 Recall the knowledge and scientific skills about Waves/ Light and Optics.
2 Understand and explain Waves/ Light and Optics.
3 Apply knowledge about Waves/ Light and Optics and able to carry out simple tasks.
4 Analyse knowledge about Waves/ Light and Optics in context of problem solving on events or natural phenomena.
5 Evaluate knowledge about Waves/ Light and Optics in context of problem solving and decision making to carry out a task.
Design a task using knowledge and science skills about Waves/ Light and Optics in a creative and innovative way in the context of
6 problem solving and decision making or carry out a task in a new situation with regards to the social values/ economy/ culture of the
community.

PERFORMANCE
SCIENTIFIC INVESTIGATION DOMAIN: FIRST TERM
LEVEL
Plan the strategy and procedure that is not accurate in the scientific investigation.
Use materials and apparatus that is not suitable in the scientific investigation.
1 No data collected and recorded.
No explaination or the explaination is not clear.

Plan the correct strategy and procedure in the scientific investigation with guidance.
Use the suitable material and apparatus.
2 Collect and record incomplete data or not relevant.
Made interpretation and conclusion not based on the collected data.
PERFORMANCE STANDARDS DESCRIPTOR FOR PHYSICS KSSM FORM 4

Plan and execute the correct strategy and procedure in the scientific investigation with guidance.
Use the correct material and apparatus.
Collect and record relevant data.
3 Organise data in numerical form or visual with some errors.
Interpret data and make conclusion based on the collected data.
Write an incomplete scientific investigation report.

Plan and execute the correct strategy and procedure in the scientific investigation.
Handle and use the correct material and apparatus to get an accurate result.
Collect and record relevant data in a suitable format.
4 Organise data in numerical form or visual with no error.
Interpret data and make accurate conclusion based on the aim of the scientific investigation.
Write a complete scientific investigation report.

Carry out the scientific investigation and write a complete report.

Collect, organise and present the data in the form of numerical or visual accurately and done well.
5 Interpret the data and make conclusion accurately with scientific reasoning.
Identify the trend, pola and making connection with the data.

Justify the outcome of the scientific investigation relating to theory, principle and law of science in the reporting.
6
Evaluate and suggest way to improve to the scientific investigation methods and further inquiry investigation if needed.
Discuss on the validity of the data and suggest way to improve the method of collecting data.

PERFORMANCE
SCIENTIFIC INVESTIGATION DOMAIN: SECOND TERM
LEVEL
Plan the strategy and procedure that is not accurate in the scientific investigation.
Use materials and apparatus that is not suitable in the scientific investigation.
1 No data collected and recorded.
No explaination or the explaination is not clear.

Plan the correct strategy and procedure in the scientific investigation with guidance.
Use the suitable material and apparatus.
2 Collect and record incomplete data or not relevant.
Made interpretation and conclusion not based on the collected data.

Plan and execute the correct strategy and procedure in the scientific investigation with guidance.
Use the correct material and apparatus.
Collect and record relevant data.
3 Organise data in numerical form or visual with some errors.
Interpret data and make conclusion based on the collected data.
Write an incomplete scientific investigation report.

Plan and execute the correct strategy and procedure in the scientific investigation.
Handle and use the correct material and apparatus to get an accurate result.
Collect and record relevant data in a suitable format.
4 Organise data in numerical form or visual with no error.
Interpret data and make accurate conclusion based on the aim of the scientific investigation.
Write a complete scientific investigation report.

Carry out the scientific investigation and write a complete report.

Collect, organise and present the data in the form of numerical or visual accurately and done well.
5 Interpret the data and make conclusion accurately with scientific reasoning.
Identify the trend, pola and making connection with the data.

Justify the outcome of the scientific investigation relating to theory, principle and law of science in the reporting.
Evaluate and suggest way to improve to the scientific investigation methods and further inquiry investigation if needed.
6 Discuss on the validity of the data and suggest way to improve the method of collecting data.
PERFORMANCE STANDARDS DESCRIPTOR FOR PHYSICS KSSM FORM 4

PERFORMANCE
SCIENTIFIC SKILL AND NOBLE VALUES DOMAIN : FIRST TERM
LEVEL
Pupil is not able to:
State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
1
Use science language to communicate.
Document the source of information used.

Pupil is less able to:

State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
2
Use science language to communicate.
Document the source of information used.

Pupil is able to:

State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
3
Use limited science language to communicate.
Document a few sources of information used.

Pupil is able to:

Determine how science is used to solve problems or certain issues.
Determine the implication of using science to solve problem or certain issues.
4
Always use sufficient science language to communicate.
Document most of the sources of information used.

Pupil is able to:

Conclude how science is used to solve problems or certain issues.
Conclude the implication of using science to solve problem or certain issues.
5
Always use good science language to communicate.
Document all the sources of information used.

Pupil is able to:

Conclude how science is used to solve problems or certain issues.
Discuss and analyse the implication of using science to solve problem or certain issues.
6
Always use the correct science language to communicate clearly and accurately.
Document all the sources of information.
Become a role model to other pupil.

PERFORMANCE
SCIENTIFIC SKILL AND NOBLE VALUES DOMAIN : SECOND TERM
LEVEL
Pupil is not able to:
State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
1
Use science language to communicate
Document the source of information used

Pupil is less able to:

State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
2
Use science language to communicate
Document the source of information used.

Pupil is able to:

State how science is used to solve problems.
State the implication of using science to solve problem or certain issues.
3
Use limited science language to communicate
Document a few sources of information used.
PERFORMANCE STANDARDS DESCRIPTOR FOR PHYSICS KSSM FORM 4

Pupil is able to:

Determine how science is used to solve problems or certain issues.
Determine the implication of using science to solve problem or certain issues.
4
Always use sufficient science language to communicate.
Document most of the sources of information used.

Pupil is able to:

Conclude how science is used to solve problems or certain issues.
Conclude the implication of using science to solve problem or certain issues.
5
Always use good science language to communicate.
Document all the sources of information used.

Pupil is able to:

Conclude how science is used to solve problems or certain issues.
Discuss and analyse the implication of using science to solve problem or certain issues.
6
Always use the correct science language to communicate clearly and accurately.
Document all the sources of information.
Become a role model to other pupil.

PERFORMANCE
OVERALL DESCRIPTOR
LEVEL
1 Poor
2 Moderate
3 Satisfactory
4 Good
5 Excellent
6 Very Excellent
 PHYSICS
SCHOOL: SMK DATOK LOKMAN SUBJECT TEACHER PN. SHAHIDA BINTI AZMIZAM
CLASS 4 ALPHA

ELEMENTARY PHYSICS NEWTONIAN MECHANICS

PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6 PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
NO. OF PUPILS 0 1 0 0 6 24 NO. OF PUPILS 0 0 5 15 5 6

30 20
25 24
15
15
20
15 10
10 6
6 5 5
5
5
0 1 0 0 0 0
0 0
TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
TOTAL 31 PUPILS TOTAL 31 PUPILS

HEAT WAVES, LIGHT AND OPTICS

PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6 PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
NO. OF PUPILS 1 0 4 4 16 6 NO. OF PUPILS 0 0 0 31 0 0

20 35 31
16 30
15 25
20
10
15
6
5 4 4 10
1 5
0 0 0 0 0 0
0 0
TP 1 TP 2 TP 3 TP 4 TP 5 TP 6 TP 1 TP 2 TP 3 TP 4 TP 5 TP 6

TOTAL 31 PUPILS TOTAL 31 PUPILS

SCIENTIFIC INVESTIGATION DOMAIN: FIRST TERM SCIENTIFIC INVESTIGATION DOMAIN: SECOND TERM
PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6 PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
NO. OF PUPILS 0 0 0 31 0 0 NO. OF PUPILS 0 0 0 31 0 0

35 31 35 31
30 30
25 25
20 20
15 15
10 10
5 5
0 0 0 0 0 0 0 0 0 0
0 0
1 2 3 4 5 6 TP 1 TP 2 TP 3 TP 4 TP 5 TP 6

TOTAL 31 PUPILS TOTAL 31 PUPILS

SCIENTIFIC SKILL AND NOBLE VALUES DOMAIN : FIRST TERM SCIENTIFIC SKILL AND NOBLE VALUES DOMAIN : SECOND TERM
PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6 PERFORMACE LEVEL TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
NO. OF PUPILS 0 26 0 2 3 0 NO. OF PUPILS 0 27 1 0 2 1

30 30 27
26
25 25
20 20
15 15
10 10
5 2 3 5 2
0 0 0 0 1 0 1
0 0
1 2 3 4 5 6 1 2 3 4 5 6

TOTAL 31 PUPILS TOTAL 31 PUPILS

OVERALL PERFORMACE LEVEL

GRA TP 1 TP 2 TP 3 TP 4 TP 5 TP 6
NO. OF PUPILS 0 0 0 6 19 6

20 19

15

10
6 6
5
0 0 0
0
TP 1 TP 2 TP 3 TP 4 TP 5 TP 6

TOTAL 31 PUPILS
20
0
0
TP 1 TP 2 TP 3 TP 4 TP 5 TP 6