Supervise

Work-Based
Learning
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.
CORE COMPETENCIES
CAN I…? YE NO
S
1.

2.

3.

4.

5.

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(Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
 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/Requirement
Outcomes based on CBC s
1.

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
2.

3.

4.
 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 (Sample)

Module
Gaps Title/Module of Duration (hours)
Instruction
 TRAINING PLAN

Qualification: Pest Management Vegetable NC II

Trainees’ Facilities/ Assessm

Training Mode of Date and
Training Staff Tools and Venue ent
Activity/Task Training Time
Requirements Equipment Method

1. Conduct  Assess the area Dual  Trainer  Ballpen  Pest  Writte January
field  Identify the pest and Training Manage n Test 8-12,
 Institut  Paper
assessment their natural Program ment 2024
ion’s  Demo
enemies, and other  Catching worksho (8:00 AM-
Industr nstrat
beneficial organisms Net p 5:00 PM)
y ion
 Collect data related (GSNSA
Coordi  Gloves
to natural enemy T)  Oral
nator
populations and pest  Rubber Intervi
 MG
infestations  Institut Boots ew
Farm
 Maintain records ion
 Hat
and provide Superv
feedback isor
2. Apply bio-  Identify target pests Dual  Trainer  Samples  Pest  Writte January
control and their natural Training of Manage n Test 15-22,
 Institut
measures enemies, and other Program vegetables ment 2024
ion’s  Demo
beneficial organisms worksho (8:00 AM-
Industr  Samples nstrat
 Select the bio- p 5:00 PM)
y of pests ion
control activities and (GSNSA
Coordi
prepare for their  Samples T)  Oral
nator
implementation of Intervi
 MG
 Implement control  Institu beneficial ew
Farm)
activities tion organisms
 Check performance Super
 Botanical
of control activities visor
Pesticides
 Catching
Nets
 Gloves
 Rubber
Boots
 Hat
 Masks
3. Apply  Identify target pests Dual  Trainer  Knapsack  Pest  Writte January
cultural and their natural Training sprayer Manage n Test 23-
 Institu
manageme enemies, and other Program  Power ment February
tion’s  Demo
nt beneficial organisms sprayer worksho 1, 2024
Indust nstrat
strategies  Select the cultural  Mower p
ry ion (8:00 AM-
Coordi 
management Tractor/ (GSNSA 5:00 PM)
strategies and carabao T)  Oral
nator
prepare for their  Overhead Intervi
 MG
implementation  Institu projector/L ew
Farm)
 Implement control tion CD
activities Super projector
 Check performance visor  Computer
of control activities  Shovel
 Light hoe
 Bolo
 Harrow
 Animal-
drawn plow
 Disc plow
 Cutting
tools
 Digging
tools
 Knife
 Pruning
shears
 Trowel
 Sprinklers
 Rake
 Broomstick
 Container
 Hat
 Storage
Sample
repellant
and trap
crops
 Protectiv
e eyewear
 Rubber
boots
 Gloves
 Mask
 Hearing
protection
4. Apply  Identify target pests Dual  Trainer  Measuring  Pest  Writte February
physical and their natural Training cup Manage n Test 2-9 2024
 Institu
control enemies, and other Program  Shovel ment
tion’s  Demo (8:00 AM-
measures beneficial organisms  Light hoe worksho
Indust nstrat 5:00 PM)
 Select the physical  Bolo p
ry ion
control measures  Harrow (GSNSA
Coordi
and prepare for their  Animal- T)  Oral
nator
implementation drawn plow  Intervi
MG
 Implement control  Institu  Disc plow ew
Farm)
activities tion  Cutting
 Check performance Super tools
of control activities visor  Digging
tools
 Knife
 Pruning
shears
 Trowel
 Sprinklers
 Rake
 Broomstick
 Container
 Hat
 Storage
tools/cabin
et
 Scissors
 Samples of
vegetables
 Samples of
pests
 Protective
eyewear
 Rubber
boots
 Gloves
 Mask
 Hearing
protection
 Mulching
materials
 Rice hull
 Pail
 Rope
 Agri bags,
plastic
 Marking
pens
 Pens
 Pencils
 Notebooks
 Bond
paper
 Paper clips
 First aide
supplies/
medicine
 Storage
area

5. Apply  Identify the target Dual  Trainer  Storage  Pest  Writte February
chemical pests and their Training area Managem n Test 12-20
 Institu
control natural enemies Program  Knapsac ent 2024
tion’s  Demo
measures  Select the k sprayer workshop
Indust nstrat (8:00 AM-
appropriate chemical  Samples (GSNSAT) 5:00 PM)
ry ion
 Prepare for the Coordi
of
application of the vegetables  Oral
nator
chemical  Samples  MG Intervi
 Apply chemical Instituti of pests Farm) ew
 Clean up following on  Protectiv
application Supervis e eyewear
 Record chemical or  Rubber
control activities boots
 Transport, handle  Gloves
and store chemicals  Mask
 Hearing
protection
 Fungicid
es
 Insectici
des
 Cleanin
g agents
(e.g.
detergent,
soap)
 Cloth
 6. Monitor  Check performance Dual  Trainer  Pest  Writte February
results of of control activities Training Managem n Test 21-22
 Institu
pest  Address Program ent 2024
tion’s  Demo
manageme performance of workshop
Indust nstrat (8:00 AM-
nt control activities (GSNSAT)
ry ion 5:00 PM)
activities
Coordi
and provide  Oral
nator
feedback  MG Intervi
 Instit Farm) ew
ution
Supe
rvisor

Febie Kim G. Ruda Anthony A. Banol ______________________

Institution’s Industry Industry Supervisor Trainee
Coordinator
 Technical Education and Skills Development Authority Instructions:
GENERAL SANTOS NATIONAL SCHOOL OF ARTS AND This Trainees’ Record Book (TRB) is intended to serve as
TRADE_ record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence
that can be submitted for portfolio assessment and for
TRAINEE’S RECORD BOOK whatever purpose it will serve you. It is therefore important
that all its contents are viably entered by both the trainees
and instructor.
The Trainees’ Record Book contains all the required
I.D. competencies in your chosen qualification. All you have to do
is to fill in the column “Task Required” and “Date
Accomplished” with all the activities in accordance with the
training program and to be taken up in the school and with
Trainee’s No. 0024 the guidance of the instructor. The instructor will likewise
indicate his/her remarks on the “Instructors Remarks”
column regarding the outcome of the task accomplished by
the trainees. Be sure that the trainee will personally
NAME: ___________________________________________________ accomplish the task and confirmed by the instructor.
It is of great importance that the content should be
QUALIFICATION: PEST MANAGEMENT NC II_______ written legibly on ink. Avoid any corrections or erasures and
maintain the cleanliness of this record.
This will be collected by your trainer and submit the
TRAINING DURATION : 312 HOURS same to the Vocational Instruction Supervisor (VIS) and shall
form part of the permanent trainee’s document on file.
TRAINER: MERCY B. PARALLAG
THANK YOU.
NOTES:

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Basic Competency
Unit of Competency: 1 PARTICIPATE IN WORKPLACE Unit of Competency: 2 WORK IN A TEAM ENVIRONMENT
COMMUNICATION

NC Level II
NC Level II
Learning Task/Activity Date Instructors
Learning Task/Activity Date Instructors Outcome Required Accomplished Remarks
Outcome Required Accomplished Remarks
 Describe  Role plays
 Obtain  Conduct and identify the
and interview in team role situation
convey the work and that shows
workplace place to responsibilit role and
informatio obtain and y in a team responsibili
n convey work ties in a
place  Describe work
 Complete team
information as a team
relevant member
work-  Make a
related minute of
document the
s meetings
 Participate ____________________ ______________________
in
workplace Trainee’s Signature Trainer’s
meeting Signature
and
discussion

__________________ ___________________
Trainee’s Signature Trainer’s Signature
Unit of Competency: 3 PARTICIPATE CAREER
PROFESSIONALISM Unit of Competency: 4 PRACTICE OCCUPATIONAL HEALTH
AND SAFETY

NC Level II
NC Level II
Learning Task/Activity Date Instructors
Learning Task/Activity Date Instructor
Outcome Required Accomplished Remarks
Outcome Required Accomplishe s Remarks
 Integrate  Group d
personal Discussion
 Evaluate  View
objectives about
hazards and video
with maintaining
risks presentat
organizatio professional
ions
nal goals. growth and  Control
regarding
 Set and development, hazards and
occupatio
meet work setting and risks
nal safety
priorities. meeting work
 Maintain and
 Maintain priorities and
occupational health
profession personal
health and
al growth objectives
safety
and towards
awareness
developme organizationa
nt l goals
_____________________ ____________________
Trainee’s Signature Trainer’s Signature
_____________________ ______________________
Trainee’s Signature Trainer’s Signature
Common Competency
Unit of Competency: 1 APPLY SAFETY MEASURES IN FARM Unit of Competency: 2 USE FARM TOOLS AND EQUIPMENT
OPERATIONS

NC Level II
NC Level II
Learning Task/Activity Date Instructors
Learning Task/Activity Date Instructors Outcome Required Accomplished Remarks
Outcome Required Accomplished Remarks
 Select and  Reading
 Determine  View video use farm informatio
areas of presentatio tools n sheet
concern for n about
 Select and regarding
safety applying
operate farm the range
measures appropriate
equipment of selecting
 Apply safety and using
 Perform
appropriat measures
preventive farm tools
e safety while
maintenance and
measures working in equipment
while farm and
working in  answer
Group
farm selfcheck
discussion
 Safe regarding and
keep/dispo safe compare
se tools, keep/dispo answer
materials se of tools with key
and outfit and answers
materials

____________________ ______________________
Trainee’s Signature Trainer’s
Signature
__________________ ___________________
Trainee’s Signature Trainer’s Signature
Unit of Competency: 3 PERFORM ESTIMATION AND
CALCULATION Core Competency
Unit of Competency: 1 CONDUCT FIELD ASSESSMENT

NC Level II
NC Level II
Learning Task/Activity Date Instructors
Learning Outcome Task/Activity Date Instructor
Outcome Required Accomplished Remarks
Required Accomp s Remarks
 Perform  Demonstrate / lished
estimatio perform basic
 Assess the area  Tour
n workplace
calculation  Identify the pest garden,
and their natural collect data
 Perform and estimation
enemies, and observed in
basic
other beneficial the area by
workplac
organisms listing it in
e
 Collect data the paper.
calculati
on related to  View video
natural enemy presentatio
populations and n about
_____________________ ______________________ pest infestations range of
 Maintain records pest and
Trainee’s Signature Trainer’s Signature and provide their
feedback natural
enemies

_____________________ ____________________
Trainee’s Signature Trainer’s Signature
Unit of Competency: 2 APPLY BIO-CONTROL MEASURES
Unit of Competency: 3 APPLY CULTURAL MANAGEMENT
STRATEGIES
NC Level II
Learning Task/Activity Date Instructors NC Level II
Outcome Required Accomplished Remarks
Learning Task/Activity Date Instructor
 Identify  Perform Outcome Required Accompl s Remarks
target pests proper ished
and their making/
 Identify target  Perform
natural preparing
pests and their proper
enemies, of
natural preparing of
and other botanical
enemies, and concoctions
beneficial pesticide
other beneficial
organisms  View video
 Perform organisms
 Select the presentation
proper  Select the
bio-control of different
making of cultural
activities cultural
NIA management
and prepare managemen
(Natural strategies and
for their t strategies
Insect prepare for their
implementat Attractant) implementation
ion
 Implement
 Implement
control activities
control
activities  Check
performance of
 Check
control activities
performance
of control
activities _____________________ ____________________
_____________________ ______________________ Trainee’s Signature Trainer’s Signature
Trainee’s Signature Trainer’s Signature
Unit of Competency: 4 APPLY PHYSICAL-CONTROL Unit of Competency: 5 APPLY CHEMICAL CONTROL
MEASURES MEASURES

NC Level II NC Level II
Learning Task/Activity Date Instructors Learning Task/ Date Instructors
Outcome Required Accomplished Remarks Outcome Activity Accomplished Remarks
Required
 Identify  Perform
target pests proper  Identify the  View
and their transplant target pests video
natural ing of and their presenta
enemies, seedlings natural tion
and other enemies regardin
 Perform
beneficial  Select the g
proper
organisms appropriate applying
installatio
 Select the chemical chemical
n of
physical  Prepare for the control
mulch
control application of measure
measures the chemical s
and prepare  Apply chemical  Perform
for their  Clean up proper
implementat following storage
ion application of
 Implement  Record chemical
control chemical s
activities control
 Check activities
performance  Transport,
of control handle and
activities store chemicals

__________________ ___________________ ____________________ ______________________

Trainee’s Signature Trainer’s Signature Trainee’s Signature Trainer’s Signature
Unit of Competency: 6 MONITOR RESULTS OF PEST
MANAGEMENT ACTIVITIES AND PROVIDE FEEDBACK Core Competency
Unit of Competency: 1 CONDUCT FIELD ASSESSMENT
NC Level II
Learning Task/Activity Date Instructors NC Level II
Outcome Required Accomplished Remarks Learning Task/Activity Date Instructor
 Check  Group Outcome Required Accomplishe s Remarks
performa discussion d
nce of about how to  Assess the area  Tour
control check and  Identify the pest garden,
activities monitor and their collect
 Address results of natural data
performa pest enemies, and observed
nce of management other beneficial in the
control and how to organisms area by
activities provide  Collect data listing it
feedbaack related to in the
natural enemy paper.
populations and
_____________________ ______________________ pest  View
infestations video
Trainee’s Signature Trainer’s Signature presentat
 Maintain records
and provide ion about
feedback range of
pest and
their
natural
enemies

_____________________ ____________________
Trainee’s Signature Trainer’s Signature
 Unit of Competency: 5 PERFORM PLUMBING REPAIR AND
MAINTENANCE WORKS

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
 Clear
clogged
pipes
clear
clogged
fixtures
______________________ ____________________
Trainee’s Signature Trainer’s Signature
 TRAINEE’S PROGRESS SHEET

Name : AGUIL, ELLA Trainer : Mercy B. Parallag

Pest Management Nominal
Qualification : : 312 hours
(Vegetable) NC II Duration
Trainee’s Super
Training Date Date
Units of Competency Training Activity Rating Initial visor’s
Duration Started Finished
Initial
1. CONDUCT FIELD Assess the area 40 JANUAR JANUAR COMPETENT
ASSESSMENT HOURS Y 8, Y 12,
1.1 Identify the
2024 2024
pest and
their natural
enemies, and
other
beneficial
organisms

1.2 Collect data

related to
natural
enemy
populations
and pest
infestations
 1.3 Maintain
records and
provide
feedback

2. APPLY BIO- 2.1 Identify 52 JANUAR JANUAR COMPETENT

CONTROL target pests HOURS Y 15, Y 22,
MEASURES and their 2024 2024
natural
enemies, and
other
beneficial
organisms

2.2 Select the

bio-control
activities and
prepare for
their
implementati
on

2.3 Implemen
t control
activities

2.4 Check
performance
of control
 activities

3. APPLY 3.1 Identify

CULTURAL target pests
MANAGEMENT and their
STRATEGIES natural
enemies, and
other
beneficial
organisms
3.2 Select the
cultural
management
strategies JANUAR FEBRUA
64
and prepare Y 23, RY 1, COMPETENT
HOURS
for their 2024 2024
implementati
on
3.3 Implement
control
activities
3.4 Check
performance
of control
activities
APPLY PHYSICAL- Identify target
CONTROL pests and their
MEASURES natural enemies,
and other
beneficial
organisms
Select the physical FEBRUA FEBRUA
control measures 52
RY 2, RY 9, COMPETENT
and prepare for HOURS
2024 2024
their
implementation
Implement control
activities
Check performance
of control activities
APPLY CHEMICAL- Identify the target 56 FEBRUA FEBRUA COMPETENT
CONTROL pests and their HOURS RY 12, RY 20,
MEASURES natural enemies 2024 2024
Select the
appropriate
chemical
Prepare for the
application of the
chemical
Apply chemical
Clean up following
application
 Record chemical
control activities
Transport, handle
and store
chemicals
MONITOR AND Check performance
RECORD PEST of control activities
MANAGEMENT FEBRIU FEBRIUA
ACTIVITIES AND 16
Address ARY 21, RY 22, COMPETENT
PROVIDE FEEDBACK HOURS
performance of 2024 2024
control activities

Total
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical
rating or simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a
numerical rating for the performance of your trainees. Please take note however that in TESDA, we do not us
 TRAINING SESSION EVALUATION FORM

RATING SCALES:
5 – Outstanding
4 – Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
TRAINERS/INSTRUCTORS 1 2 3 4 5
Name of Trainer: MERCY B. PARALLAG
1. Orients trainees about CBT, the use of CBLM and the evaluation system.
2. Discusses clearly the unit of competencies and outcomes to be attained at
the start of every module.
3. Exhibits mastery of the subject/course he/she is teaching
4. Motivates and elicits active participation from the students or trainees
5. Keeps records of evidence/s of competency attainment of each
student/trainee
6. Instill value of safety and orderliness in the classrooms and workshops
7. Instills the value of teamwork and positive work value of teamwork and
positive work values
8. Instills good grooming and hygiene
9. Instills value of time
10. Quality of voice while teaching
11. Clarity of language/ dialect used in teaching
12. Provides extra attention to trainees and students with specific learning
needs
13. Attends classes regularly and promptly
14. Shows energy and enthusiasm while teaching
15. Maximizes use of training supplies and materials
16. Dress appropriately
17. Shows empathy
18. Demonstrates self-control

PREPARATION 1 2 3 4 5
1. Workshop layout conforms with the components of a CBT workshop
2. Number of CBLM is sufficient
3. Objectives of every training session is well explained
4. Expected activities/outputs are clarified

DESIGN AND DELIVERY

 1. Course contents are sufficient to attain objectives
2. CBLM are logically organized and presented
3. Information Sheet are comprehensive in providing the required
knowledge
4. Examples, illustrations and demonstrations help you learn
5. Practice exercises like Task/Job Sheets are sufficient to learn required
skills.
6. Valuable knowledge are learned through the contents of the course
7. Training Methodologies are effective
8. Assessment Methods and evaluation system are suitable for the
trainees and the competency
9. Recording of achievements and competencies acquired is prompt and
comprehensive
10. Feedback about the performance of learners are given immediately.

TRAINING FACILITIES/RESOURCES
1. Training Resources are adequate
2. Training Venue is conducive and appropriate
3. Equipment, Supplies, and Materials are sufficient
4. Equipment, Supplies and Materials are suitable and appropriate
5. Promptness in providing Supplies and Materials

SUPPORT STAFF
 1. Support Staff are accommodating
Comments / Suggestions:

______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

SELF EVALUATION
During the session, did I? Yes No
1. Establish an atmosphere of trust?
2. Encourage participation of the trainees?
3. Assist the trainees when they needed assistance?
4. Consider the feedback of trainees?
5. Remain aware of non-verbal communication?
6. Praise effort?
7. Summarize key points?
8. Vary activities and tasks to aid attainment of competency?
9. Provide opportunities for practice?
10.Achieve the learning objectives?
SUPERVISED INDUSTRY TRAINING OR ON THE JOB TRAINING EVALUATION FORM

LEGEND:
5 – Outstanding
4 – Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
NA – not applicable
Item Question Ratings
No.

INSTITUTIONAL EVALUATION 1 2 3 4 5 NA

Has General Santos National School of Arts and Trade conducted an

orientation about the SIT/OJT program, the requirements and
1.
preparations needed and its expectation?
Has General Santos National School of Arts and Trade the provided
the necessary assistance such as referrals or recommendations in
2.
finding the company for OJT?
3. Has General Santos National School of Arts and Trade showed
 coordination with the industry partner in the design and supervision
of your SIT/OJT?
4. Has you’re in-school training adequate to undertake Industry partner
assignment and its challenges?
5. Has General Santos National School of Arts and Trade monitored
your progress in the Industry?
6. Has the supervision been effective in achieving your OJT objective
and providing feedbacks when necessary?
7. Did General Santos National School of Arts and Trade conduct
assessment of your SIT/OJT program upon completion?
8. Where you provide with the results of the Industry and General
Santos National School of Arts and Trade assessment of your OJT?
Comments/Suggestions:
Item Question Ratings
No.

INDUSTRY PARTNER 1 2 3 4 5 NA

Was the Industry partner appropriate for your type of training

required and/or desired?
1.
Has the industry partner designed the training to meet your
objectives and expectations?
2.
3. Has the industry partner showed coordination with General Santos
National School of Arts and Trade in the design and supervision of
the SIT/OJT?
4. Has the Industry Partner and its staff welcomed you and treated you
with respect and understanding?
5. Has the industry partner facilitated the training, including the
provision of the necessary resources such as facilities and equipment
needed to achieve your OJT objectives?
6. Has the Industry Partner assigned a supervisor to oversee you work
or training?
7. Was the supervisor effective in supervising you through regular
meetings, consultations and advise?
8. Has the training provided you with the necessary technical and
 administrative exposure or real-world problems and practices?
9. Has the training program allowed you to develop self-confidence, self-
motivation and positive attitude towards work?
10. Has the experience improved your personal skills and human
relations?
11. Are you satisfied with your training in the Industry?
Comments/Suggestions:

Signature: ________________________
Printed Name: MA. JUBILEE QUEEN DUGADUGA Qualification: PEST MANAGEMENT (VEGETABLE) NCII
Host Industry Partner: GSNSAT Supervisor: NEMA G. PEREZ
Period of Training: April 25-27,2015 Instructor: MARIA TERESA D. IGLESIA