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
Follow standard operating procedures (SOPs)
Use appropriate personal protective equipment (PPE) in accordance with SOPs
Identify basic WHS principles of hazard identification, risk assessment and control
Use understanding of WHS legislation as it applies in the workplace
Carry out regular safety audits in the area of responsibility in accordance with appropriate WHS standards
Document audit information in accordance with SOPs
Raise WHS issues and suggestions for improvements with WHS representatives and committees as appropriate
Identify hazards and make recommendations for their control on the basis of safety audits or as required
Make contributions to safety improvements using SOPs
Identify WHS training needs and take action to respond to need
Ensure requirements of the WHS program are satisfied within the area of responsibility, including required accident investigation and emergency procedures
Complete required documentation in accordance with SOPs

Assessment Cover Sheet

MEM13019 - Undertake work health and safety activities in the workplace

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

MEM13019 - Undertake work health and safety activities in the workplace

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: