List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice	Yes	No	Comments/feedback
Select equipment and handling requirements in accordance organisational procedures.
Set up work areas to ensure safe, effective and efficient handling of equipment.
Inspect equipment for cleanliness or damage of all components.
Identify potential hazards to work and manage risks in accordance organisational procedures.
Report and document identified hazards and risks.
Wear personal protective equipment and fit in accordance organisational procedures and manufacturer specifications.
Fit and test bottles and regulators in accordance with manufacturers requirements.
Use recommended precautions when handling medical gas equipment.
Ensure only trained and authorised personnel are involved in handling medical gas equipment.
Handle medical gas cylinders and related equipment with care and position in accordance with legislative requirements and manufacturer instructions.
Select trolley size and type and restrain cylinders for transport.
Select regulators for use with cylinder.
Close valves prior to transport.
Close cylinder valves and release regulator pressure after use.
Monitor gas pipeline and manifold systems.
Replace empty bottles and banks as soon as exhausted.
Open cylinder valves on manifold banks in accordance with and organisational procedures and manufacturer guidelines.
Store all cylinders and equipment in storage locations in accordance with organisational procedures, legislative requirements and manufacturer recommendations.
Store cylinders away from combustible materials.
Use cylinder stock on a rotational system and keep full and empty cylinders separate.
Ensure cylinders are protected from cold and heat.
Close and secure storage area in accordance with organisational procedures.
Ensure signage is clearly displayed outside medical gas storage area.

Assessment Cover Sheet

HLTHSS012 - Handle medical gases safely

Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTHSS012 - Handle medical gases safely

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: