Student Assessment Agreement
Make sure you read through the assessments in this booklet before you fill out and sign the agreement below.
If there is anything that you are unsure of, consult your assessor prior to signing this agreement.
Have you read the assessment requirements for this unit? • Yes • No
Do you understand the requirements of the assessments for this unit? • Yes • No
Do you agree to the way in which you are being assessed? • Yes • No
Do you have any specific needs that should be considered? • Yes • No
If so, explain these in the space below.
Do you understand your rights to re-assessment? • Yes • No
Do you understand your right to appeal the decisions made in an assessment? • Yes • No
Student name
Student number
Student signature
Date CPC30211: Certificate III in Carpentry
Qualification Code and Title
Unit Code and Title CPCCOHS2001A: Apply OHS requirements, policies and procedures in the construction industry
Assessor name
Assessor signature
Date
Assessment Task Cover Sheet
Student Declaration
To be filled out and submitted with assessment responses
• I declare that this task is all my own work and I have not cheated or plagiarised the work or colluded with any other student(s).
• I understand that if I If I am found to have plagiarised, cheated or colluded, action will be taken against me according to the process explained to me.
• I have correctly referenced all resources and reference texts throughout these assessment tasks.
Student name
Student ID number
Student signature
Date
Assessor declaration
• I hereby certify that this student has been assessed by me and that the assessment has been carried out according to the required assessment procedures.
Assessor name
Assessor signature
Date
Assessment outcome S NS DNS Resubmission Y N
Feedback
Student result response
• My performance in this assessment task has been discussed and explained to me.
• I would like to appeal this assessment decision.
Student signature
Date
A copy of this page must be supplied to the office and kept in the student’s file with the evidence
Document Title: Student Final Assessment THEORY
Document Subtitle: CPCCOHS2001A Apply OHS requirements, policies and procedures in the construction industry
Disclaimer:
This work is under copyright and permission is not given to make copies for hire or resale to third parties to use the document for their own or commercial use.
Universal Training Solutions does not give warranty or accept any legal liability in relation to the content of this work.
Licenced to:
RTO Name: Trinity Institute (Australia)
RTO NO: 41310
CRICOS NO: 03556F
RTO Address: Level 7, 16-18 Wentworth Street Parramatta NSW 2150
Copyright:
Universal Training Solutions
Developed by:
Universal Training Solutions and validated by Trinity Institute (Australia)
Acknowledgement:
Thanks to Universal Training Solutions and Trinity Institute (Australia) staff for their consultation and development work.
Version:
Trinity Institute (Australia) V1
STUDENT DETAILS
Please complete this declaration with the student
Unit of competency: Unit Code CPCCOHS2001A Unit Title Apply OHS requirements, policies and procedures in the construction industry
Trainer/Assessor Name:
Student Name:
Student ID:
Time Allocation Refer to Training Plan
Due date:
Refer to you student program guide (training plan). Please insert the due date as confirmed by your assessor below:
Due Date: ……………/……………. /…………….
Declarations
Task Declaration: Signature Date
Task 1 Knowledge Questionnaire I confirm that I have read and understood the instructions, my responsibilities and requirements for this assessment
Task 2 project I confirm that I have read and understood the instructions, my responsibilities and requirements for this assessment
Task 3 Simulated Practical and/or workplace observation I confirm that I have read and understood the instructions, my responsibilities and requirements for this assessment
Assessor declaration
The assessor is to complete this declaration with the student.
I have acknowledged the underpinning knowledge and skills may be assessed on or off the job. ☐Yes ☐No
I confirm that I am a qualified workplace assessor and will be conducting the assessment for this unit and student ☐Yes ☐No
Have all aspects of the student agreement been explained and understood?
☐Yes ☐No
Does the student understand they have three attempts to complete each task satisfactorily? If after the third attempt the student is deemed ‘Not Yet Competent’, they will be required to do further training before reattempting this unit. ☐Yes ☐No
I have explained the requirements for reasonable adjustment as a result of workplace constraints ☐Yes ☐No
I confirm that I have explained and confirmed all of the above items with the student.
Assessor Signature
Date ____/____/____
Student declaration
Agreement by the student: Please sign below to demonstrate that you understand what is required of you in relation to this assessment.
Do you have any special needs or considerations to be made for this assessment? If yes, what are they? ☐Yes ☐No
Do you understand your rights to appeal the decisions made in an assessment? ☐Yes ☐No
I understand I have three attempts to complete each task satisfactorily. If after the third attempt I am deemed ‘Not Yet Competent’, I will be required to do further training before reattempting this unit ☐Yes ☐No
Reasonable adjustment: If you require any adjustments to accommodate a need in order to complete this assessment, please talk to your assessor. Arrangements will be put in place to ensure a fair and flexible approach is undertaken for this assessment. Please note that the range or nature of the adjustment will ensure that the outcomes of the unit are not compromised. ☐Yes ☐No
I agree to comply with all rules, regulations, policies and procedures provided as part of the simulated environment. ☐Yes ☐No
I give permission for the RTO to use my assignment at the workplace for assessment moderation / validation purposes. ☐Yes ☐No
I confirm that I have read and understood my responsibilities and requirements for assessment.
Student Signature
Date ____/____/____
SUBMISSION EVIDENCE ASSESSMENT TASK 1 KNOWLEDGE QUESTIONNAIRE
Q Questions
S NS
1 Establish the difference between a ‘hazard’ and a ‘risk’. ☐
☐
Hazard
Risk
2 Provide 5 examples of the following types of risks ☐
☐
Physical
Chemical
3 What should you do if you identify a hazard? ☐
☐
4 Complete the table below, outlining employer and employee responsibilities with respect to work health and safety. ☐
☐
Employers’ obligations
Employees’ obligations
5 Match the following WHS terms with the correct definition.
£ WHS Regulations £ WHS Act £ Codes of Practice and
Standards
☐
☐
Set out general safety requirements and enforcement
Set out safety requirements for specific industries and tasks – what must be done
Are guidelines that give examples of how to carry out the task safely
6 Write my Essay Online Writing Service with Professional Essay Writers – Explain the importance of WHS induction training. ☐
☐
7 Complete the following table with a tick to indicate if you think the statement is True or False. ☐
☐
WHS Document Description True False
Policy Describes the desired standard
States Management’s commitment to fulfilling the policy
Tells staff how to do a job
Must include pictures and diagrams
Procedure Sets out step-by-step instructions for how to do something
Sets out what to do at every stage to avoid accidents
Once developed, all staff should be trained in use
Must include pictures and diagrams
8 Provide a brief description of each control measure from the Hierarchy of Controls. ☐
☐
Control measure Description
Elimination
Substitution
Isolation
Engineering
Administration
Personal Protective Equipment (PPE)
9 You are on site and there has been a chemical spill (concrete sealer has contaminated the waste pipes) what would you do? ☐
☐
10 What measures can be taken to isolate the work area when dealing with asbestos in the ceiling and walls of an old dwelling? How do we minimise the risk and contain the site? Who should be engaged to ensure the safe removal and disposal of contaminated material? ☐
☐
11 List 2 items of PPE suitable to protect the following body areas. ☐
☐
Body area Suitable PPE
Head
Eyes/Face
Hearing
Airways/lungs
Hands
Body
12 Hoardings are commonly installed around building sites to protect the public and to secure the site when left unattended. What are hoardings? ☐
☐
13 What common categories of signs do the following signs fall under?
Categories include:
Danger
Emergency
Mandatory
Warning ☐
☐
14 Read the SDS for WD-40 at http://www.wd40.com.au/wp-content/uploads/2018/04/WD-40_Aerosol_AUNZ-GHS_SDS_7-23-15.pdf. Complete the following questions.
☐
☐
What is WD-40 used for?
What is the emergency contact number?
Outline 5 precautions for safe handling
What PPE should be worn when handling WD-40?
What first aid measures should be taken if WD-40 is ingested?
What type of extinguishing media is a suitable fire fighting measure?
15 State the 3 main areas of bodily injuries that occur due to poor or incorrect manual handling techniques. ☐
☐
16 List 8 model codes of practice related to the construction industry. ☐
☐
17 Why are tool guards considered important? What risks do they minimise? List 3. ☐
☐
18 Identify 3 tools which are prohibited for use in areas where asbestos has been identified. ☐
☐
19 Sketch the safety signs for the following: ☐
☐
Asbestos
Flammable Liquid Class 3
20 List 3 types of communication devices commonly used on the construction site. ☐
☐
21 For what type of fire will you use this type of extinguisher? ☐
☐
22 What type of fire extinguisher should be used to extinguish the following types of fires? ☐
☐
Fuel type Type of extinguisher
Petrol
Cooking oil
LPG
Electrical
Grass
Wood
Plastic
23 Is a water based fire extinguisher suitable for electrical or fat/oil fires? Why or why not? ☐
☐
24 Tick the following statements that you think are correct. In an emergency, you should: ☐
☐
☐
Panic, run, yell and scream
☐
Comply with all reasonable instructions from the safety wardens
☐
Go and get your belongings and go home
☐
Even though you are not trained, get in and tackle the emergency
☐
Go to your designated emergency assembly point and make sure you are accounted for by the safety wardens
☐
Push your workmates out of the way and just get the hell out of there
☐
Assist in any incident investigation
25 John has cut his left index finger on a large peg protruding out of the ground. The cut is bleeding heavily. List what steps you would undertake to conduct first aid to Johns finger. ☐
☐
26 Why should a SWMS be reviewed prior to each new activity? ☐
☐
27 Teamwork in construction is crucial, but what makes an effective team? Give 8 examples. ☐
☐
RECORD OF ASSESSMENT TASK 1 KNOWLEDGE QUESTIONS
To be completed by the assessor
Learner details Assessor details
Name Name
Unit Code CPCCOHS2001A Unit Title Apply OHS requirements, policies and procedures in the construction industry
Record of assessment results (please tick appropriate box).
ASSESSORS NOTE: Before making a final judgement on this assessment task, you must determine if the student is able to satisfactorily apply and perform the following criteria. Review the performance criteria by clicking on the link https://training.gov.au/Training/Details/CPCCOHS2001A. Marking should be in line with the model answers required as the performance criteria (PCs) is underpinned by this assessment task. All questions must be deemed satisfactory to achieve a satisfactory outcome for this task. If a NS is provided for any section or questions relating to this task, then the task outcome should be treated as NS and the reassessment process should be applied. If a NS (not satisfactory) outcome is applied then you must inform the student in detail as to “why” this outcome was provided. Record your reasons in the section labelled “Not satisfactory (NS) outcomes”. See below for recording appropriate information
Assessment activity – The learner has completed all the assessments requirements for this unit of competency and has been deemed Outcome Date of outcome
Task 1– Knowledge Questionnaire ☐Satisfactory ☐ Not satisfactory
Attempts –
Attempt 1 …../……/……. Attempt 2 …../……/……. Attempt 3 …../.…../…..
Not satisfactory (NS) Outcomes
Question number Record in detail the reason for the NS outcome applied
Appeals – refer to the complaints and appeals policy and procedure
If you receive a Not Satisfactory assessment result you have the right to appeal. You have three assessment attempts. After the third attempt arrangements for payment will be made for reassessment purposes. Refer to your student hand book for more details on the complaints and appeals process.
Assessor Feedback to learner:
The assessor must write full feedback to the learner that is constructive and not generic
Reasonable Adjustment
(if applicable) explain why reasonable adjustment has been applied and the tasks it was applied to
Assessor Intervention
(if applicable) – did you need to assist the student in this assessment. If so please explain:
Assessor Name Assessor Signature Date
Student declaration – I hereby certify that this assessment is my own work, based on my personal study and/or research. I have acknowledged all material and resources used in the presentation of this assessment whether they are books, articles, reports, internet searched or any other document or personal communication. I also certify that the assessment has not previously been submitted for assessment in any other subject or any other time in the same subject and that I have not copied in part or whole or otherwise plagiarised the work of other learning and/or other persons. I confirm that I understand that I must complete this assessment on my own. I confirm that I will not cheat or plagiarise, or copy from another student during the completion of this assessment.
Student name Student signature Date
