GWO Basic Safety Training Online Partial Refresher

PARTICIPANT PERFORMACE ASSESSMENT FORM

Delegate full name as in passport

Delegate WINDA ID

Course module

Date of completion

Scenario Organisation

Violation of Assessment Measures

0-2 passed

Instructor Remarks

3 failed

Aware of personal and group safety at all times

Organises and utilises correct equipment for given scenario

Organises individuals and groups as required

Scenario Management

Establishes and maintains control of the exercise scenario at all times

Fully participates in the exercise scenario

Follows instructions when required

Demonstrates correct and safe Manual Handling in exercise scenario

Knowledge and Understanding

Applies subject knowledge correctly in given scenario

Demonstrates understanding of subject

PASS:

FAIL:

Total Marks 0-9 Pass 10-27 Fail

Instructor Name (in CAPITAL letters)

Instructor Signature

Training provider

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