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Observation Blank Form

Observation-blank-form

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Juzielou Resare
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13 views4 pages

Observation Blank Form

Observation-blank-form

Uploaded by

Juzielou Resare
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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OBSERVATION CHECKLIST

Candidate name: JOLO G. ABLO

Assessor name: JOHN E. PERANG

Assessment Center:
Electrical Installation and Maintenance NC II
Competency Standards:
Perform Roughing-in, Wiring and Cabling Works for Single-Phase
Unit of Competency:
Distribution, Power, Lighting and Auxiliary Systems
Instructions for the assessor:
1. Observe the candidate conducting
2. Describe the assessment activity and the date on which it was
undertaken.
3. Place a tick in the box to show that the candidate completed each
aspect of the activity to the standard expected in the enterprise.
4. Ask the candidate a selection of the questions from the attached list to
confirm his/her underpinning knowledge
5. Place a tick in the box to show that the candidate answered the
questions correctly.
6. Complete the feedback sections of the form.
Date of observation

Description of assessment activity

Location of assessment activity

The candidate…. If yes, tick the box


1.Conduct a thorough assessment of the electrical
needs of the building. 
2. Prepare the necessary material

3.Switch off power. 
4.Mount the panel board. 
5.Install circuit breaker. 
6.Connect wires in the appropriate terminal.

7.Connect the neutral wires to the neutral bus bar
and the ground wires to the ground bus bar. 
8.Properly label each circuit to facilitate easy
identification. 
9.Conduct a final inspection of the entire
installation. 
10. Turn the power back on and test each
circuit to verify proper functionality 
Did the candidate’s overall performance meet the standard?  Yes  No
Feedback to candidate

General comments [Strengths / Improvements needed]

Candidate signature: Date:

Assessor signature: Date:


QUESTIONS
Satisfactory
Questions to probe the candidate’s underpinning knowledge
response

Extension/Reflection Questions Yes No


1. Did you have all the necessary tools and materials before
starting?  

2. Did you encounter any technical challenges during the


installation, and how did you address them?  

3. Are there any new tools or technologies that could enhance


your installation efficiency?  

4. Are there additional training or resources that could help


you improve?  

Safety Questions
5. Have you inspected all tools and equipment for proper  
functioning and safety?
6. Did you use insulated tools when working with electrical  
components?
7. Are you wearing appropriate personal protective equipment  
(PPE) such as gloves, safety glasses, and a hard hat?
8. Did you use insulated tools when working with electrical  
components?
Contingency Questions
9. Did you prepare a contingency plan for potential issues  
before starting the installation?
10.Did you review alternative methods or solutions in case of  
unexpected problems?
11. Did you encounter any issues during the installation that  
were not anticipated in your original plan?
12. Did you have a contingency plan in place for potential  
safety hazards?
Infrequent Events  
13. Did you find any defective or damaged components upon  
inspection?
14. Did you follow a procedure for replacing or repairing  
defective components?
15. Did you encounter any gaps or inconsistencies in the  
installation documentation?
16. Did you face any unexpected structural or environmental  
challenges, such as space limitations or unusual site
conditions?
Rules and Regulations  
17. Did you follow all relevant codes and standards for the  
installation?

18. Did you maintain accurate documentation of the  


installation process and any modifications made?

19. Did you obtain the necessary permits or approvals before  


starting the installation?

20. Did you adhere to OSHA (Occupational Safety and Health  


Administration) or other relevant safety regulations during
the installation?
The candidate’s underpinning knowledge was:  Satisfactory  Not Satisfactory

Feedback to candidate

General comments [Strengths / Improvements needed]

Candidate signature: Date:

Assessor signature: Date:

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