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Evidence Guide: UEPOPS301 - Conduct single energy source isolation procedures for permit to work

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

UEPOPS301 - Conduct single energy source isolation procedures for permit to work

What evidence can you provide to prove your understanding of each of the following citeria?

Plan and prepare for single energy source isolation

  1. Work requirements, including permits to work, are identified, in accordance with workplace procedures and are confirmed with appropriate personnel or by site inspection
Work requirements, including permits to work, are identified, in accordance with workplace procedures and are confirmed with appropriate personnel or by site inspection

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Safety issues including Work, Health and Safety (WHS)/Occupational Health and Safety (OHS) regulations and industry standards are identified, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Materials, tools, equipment and resources are obtained and inspected, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Isolation work is sequenced and prioritised, in accordance with workplace procedures and permit requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Permit to work is coordinated with other personnel involved in, or affected by isolations, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Personnel participating in work are briefed, with roles and responsibilities confirmed, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform single energy sourceisolation

  1. Single energy source to be isolated, is correctly identified, in accordance with workplace procedures
Single energy source to be isolated, is correctly identified, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Isolation is performed, in accordance with workplace procedures and permit to work requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Isolation, dissipation and restraint of energy sources is verified, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Isolation is confirmed, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform single energy source de-isolation and restoration

  1. Single energy source de-isolation and restorations are performed, in accordance with workplace procedures and permit requirements
Single energy source de-isolation and restorations are performed, in accordance with workplace procedures and permit requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Single energy source de-isolations are confirmed, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work completion details are finalised, in accordance with workplace procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Required Skills and Knowledge
Range Statement

Range is restricted to essential operating conditions and any other variables essential to the work environment.

Non-essential conditions may be found in the Companion Volume Implementation Guide.