TLIF0025 Follow work health and safety procedures – Assessor Checklist Step 1 of 5 20% ASSESSOR CHECKLIST - PRACTICAL OBSERVATIONAL ASSESSMENT TLIF0025 - FOLLOW WORK HEALTH AND SAFETY PROCEDURES VERSION 2025.1ASSESSMENT TASK 1 - PRACTICAL ASSESSMENTStudent Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Mobile Phone Number(Required)Assessor Instructions (Remember):Observations based on the student’s practical assessment will be recorded on the assessor checklist by placing a tick or mark (✔️) in the appropriate box (example: ✔️ YES or ✔️ NO.) The notes and observations section located at the bottom of each part must be used when the candidate is deemed NYC on a particular item to explain why. This section can also be used for general notes, comments or feedback. This checklist has been designed and developed to assist you with your decision-making on this assessment task. You are to observe the student perform the tasks as described on the student instructions. You must then record your observations on the checklist below. ASSESSMENT TASK 2 - PRACTICAL OBSERVATION | VEHICLE INSPECTIONThis checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student. Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements. NOTE: The student will have completed the vehicle inspection via the Safety Culture App!Demonstrate the ability to select the appropriate PPE for the task?Observation Outcome(Required) YES NO Request the appropriate PPE for the task from their trainer/assessor?Observation Outcome(Required) YES NO Check for the availability of all vehicle documentation? Observation Outcome(Required) YES NO Check all items listed in the Vehicle Interior Condition section?Observation Outcome(Required) YES NO Check all items listed in the Engine Compartment Conditions section?Observation Outcome(Required) YES NO Check all items listed in the Vehicle Exterior Condition section?Observation Outcome(Required) YES NO Check all vehicle panels and paint condition as per diagrams?Observation Outcome(Required) YES NO Identify any hazards and record them correctly using the inspection sheet.Observation Outcome(Required) YES NO Report any hazard to their supervisor (trainer)Observation Outcome(Required) YES NO Notes & Observations ASSESSMENT TASK 3 - STUDENT CHECKLIST | VEHICLE INTERIOR CLEAN & SANITISATIONThis document is to be used as the Vehicle Cleaning/Sanitisation Checklist and should be completed prior to commencing practical training. Have you selected the correct chemical cleaners for the task?Checklist Outcome(Required) YES NO N/A Have you washed your hands for 20 seconds prior to getting the keys?Checklist Outcome(Required) YES NO N/A Upon picking up the keys, did you use alcohol-based wipes to wipe your hands and keys?Checklist Outcome(Required) YES NO N/A Have you taken a fresh wipe and wiped all door handles and areas on the door that you or passenger may touch?Checklist Outcome(Required) YES NO N/A Have you opened all doors of the car to allow fresh air in?Checklist Outcome(Required) YES NO N/A Have you completed the Vehicle Inspection Checklist from assessment task 1?Checklist Outcome(Required) YES NO N/A Have ensured that all car doors have been closed?Checklist Outcome(Required) YES NO N/A Have you wiped all common touch points and surfaces within the interior of the car?Checklist Outcome(Required) YES NO N/A Have you adjusted your mirrors?Checklist Outcome(Required) YES NO N/A Have you disposed of all cleaning wipes in a responsible way?Checklist Outcome(Required) YES NO N/A Have you reported any car defects or cleaning supply shortages to ITS trainers?Checklist Outcome(Required) YES NO N/A Student to Complete - Additional CommentsAdditional Comments ASSESSMENT TASK 3 - ASSESSOR CHECKLIST - PRACTICAL OBSERVATION ASSESSMENTThis checklist is to be used when assessing the students in the associated task. This checklist is to be completed for each student. Please refer to separate mapping document for specific details relating to alignment of this task to the unit requirements. In conducting the Vehicle Cleaning procedure, did the student:Selected the correct chemical cleaners for the task?Observation Outcome(Required) YES NO Wash their hands for 20 seconds prior to getting the keys?Observation Outcome(Required) YES NO Use alcohol-based wipes to wipe their hands and keys?Observation Outcome(Required) YES NO Take a fresh wipe and wiped all door handles and areas on the door?Observation Outcome(Required) YES NO Open all doors of the car to allow fresh air in?Observation Outcome(Required) YES NO Complete the Vehicle Inspection Checklist from assessment task 1?Observation Outcome(Required) YES NO Ensure that all car doors have been closed?Observation Outcome(Required) YES NO Wipe all common touch points and surfaces within the interior of the car?Observation Outcome(Required) YES NO Adjust their mirrors?Observation Outcome(Required) YES NO Dispose of all cleaning wipes in a responsible way?Observation Outcome(Required) YES NO Report any car defects or cleaning supply shortages to ITS trainers?Observation Outcome(Required) YES NO Notes & Observations STUDENT DECLARATIONSTUDENT DECLARATIONSTUDENT TO COMPLETE: I declare that the information contained in these Assessment Tasks are accurate and a true reflection of my thoughts, opinions, and responses.Student Signature(Required)ASSESSOR DECLARATIONAssessor Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Assessor Qualifications(Required) Certificate IV in Car or Heavy Vehicle Driving Instruction Certificate IV in Training and Assessment Industry Expert (Under Supervision) Supervisor(Required)Cameron GuttersonOnder Ben-RomdhaneVera MladenovicAs you do not hold a Certificate IV in Training & Assessment, please select your assigned supervisor. I, the person conducting the assessment, declare that the above-mentioned learner participated in an appropriate assessment in accordance with the assessment plan, and outcomes and objectives of this assessment task. The information recorded above is a true reflection of this learner’s abilities. The learner has been provided with verbal or written feedback and informed of the assessment result and the reasons for the decision. I have conducted a fair, valid, reliable and flexible assessment with this student. Assessment Tasks 2 - Results(Required) Satisfactory Not Satisfactory Not Assessed Assessment Tasks 3 - Results(Required) Satisfactory Not Satisfactory Not Assessed Assessor Signature(Required)
