Professional Documents
Culture Documents
Work-Based
Learning
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.
Current
Proof/Evidence Means of validating
competencies
3.
4.
Module
Gaps Title/Module of Duration (hours)
Instruction
Qualification: ____________________________
Date
Trainees’ Training Training Mode of Facilities/Tools Assessment
Staff Venue and
Requirements Activity/Task Training and Equipment Method
Time
I.D.
Trainee’s No._______________
NAME: ___________________________________________________
TRAINER: __________________________________________________
THANK YOU.
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Trainee’s Signature Trainer’s Signature
NC Level I NC Level I
Learning Task/Activity Date Instructors Learning Task/Activity Date Instructor
Outcome Required Accomplished Remarks Outcome Required Accomplishe s Remarks
d
Fit-up
joints and Prepare for
fittings for plumbing works
PVC pipe Install pipe and
Perform fittings
threaded Install hot and
pipe joints cold water supply
and Install/assemble
connections plumbing fixtures
Caulk
joints\
_____________________ ____________________
_____________________ ______________________
Trainee’s Signature Trainer’s Signature
Trainee’s Signature Trainer’s Signature
NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
Clear
clogged
pipes
clear
clogged
fixtures
______________________ ____________________
Trainee’s Signature Trainer’s Signature
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 use numerical ratings
Name of Institution :
Training Program :
Name of Trainer/s :
Date :
Duration (in hours) :
Number of Trainees :
Prepared by :
Rationale:
(In this section, state some information about the evaluation
conducted and the process of evaluation. It is also possible to include the
reasons why you conducted the evaluation and the purpose of preparing
this report.)
Data Summary:
(The Area indicators in the succeeding forms are the areas used in
the evaluation of training.)
Recommendations:
Training Facilities/Resources
Support Staff
AVERAGE:
Recommendations:
Institutional Evaluation
AVERAGE:
Recommendations: