TLIF0005 – Apply a fatigue risk management system – AT2 – Heavy Vehicle – Assessor Checklist Step 1 of 6 16% ASSESSOR CHECKLIST - OBSERVATIONAL ASSESSMENT TLIF0005 - APPLY A FATIGUE RISK MANAGEMENT SYSTEM VERSION 2023.1ASSESSMENT TASK 2 - PRACTICAL OBSERVATIONAL ASSESSMENTThis assessor checklist must be used when assessing the students in the associated assessment tasks. This checklist is to be completed for each student. Please refer to the mapping document for specific details relating to alignment of this task to the unit requirements.Student Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Student Mobile Number(Required)I.T.S Student NumberObservations 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. IDENTIFYING AND MANAGING FATIGUE RISKS IN THE ROAD TRANSPORT SECTOR.Did the student demonstrate the following tasks:Identify potential causes and symptoms of fatigue throughout their driving and implement actions to minimise their effects. NOTE: causes include lack of sleep, fitness issues, stress in the working environment. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Identify fatigue symptoms in themselves and others, and implemented the necessary steps in accordance with relevant workplace procedures, to ensure that effective work capability and alertness are maintained. NOTE: Symptoms include an inability to focus, yawning, the need for a nap etc…Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Identify their own, and others, fitness to drive during the driving sessions. Demonstrated knowledge in monitoring and assessing symptoms in accordance with workplace procedures, and implemented the appropriate actions. NOTE: The driving sessions will accommodate this criteria.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED An understanding of the factors that increase the risk of fatigue related incidents and how to manage them. Trainer to ask the following questions: Can you explain what factors can increase the risk of fatigue-related incidents when driving a heavy vehicle and discuss the strategies you would employ to manage these risks effectively? Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED An understanding of counter measures and relevant workplace practices can be implemented in combating fatigue. Trainer to ask the following questions: Can you describe some countermeasures and relevant workplace practices that can be implemented to combat fatigue when operating a heavy vehicle? Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Notes & ObservationsEnter any notes and observations here. OPERATING WITHIN A ROAD TRANSPORT FATIGUE RISK MANAGEMENT SYSTEMDid the student demonstrate the following tasks?Adherence to the HVNL legal requirements relevant to effective fatigue management.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Adherence to the relevant regulations related to driving heavy vehicles, and fatigue duty of care. NOTE: This also includes adherence to licencing requirements set by the state regulator. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Demonstrate knowledge of fatigue risk management, wellbeing, and fitness for work requirements NOTE: They may need to show they can follow a fatigue management plan, maintain a healthy work-life balance, or identify and respond to signs of fatigue in themselves and others. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Complete the pre-drive inductions and checklistsAssessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Ensure that the relevant documentation is carried within the heavy vehicle while driving?Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Did the student check for any exemptions for fatigue compliance? NOTE: This requires the student to review all available documentation in the vehicle and on the driver clip boards. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Notes & ObservationsEnter any notes and observations here. PLAN AND NAVIGATE A HEAVY VEHICLE TRIPWas the student able to:Plan a heavy vehicle trip using the parameters established by the assessor, accounting for potential fatigue hazards. NOTE: Trip plans may accommodate for the time of day, traffic, for long distance driving. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Obey rest and work period according to their trip plan and the road conditions?Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Obey all legal requirements as they relate to fatigue management.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Calculate / count work and rest times accurately.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Adjust or account for any deviations made to the trip plan prior to, and during the trip.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Implement risk mitigation control measures accordingly. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Provide any feedback on compliance related issues relevant to the fatigue management systemAssessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Notes & ObservationsEnter any notes and observations here. UPDATE AND MAINTAIN RECORDSWas the student able to:Update the necessary fields to the work (drivers) diary and records?Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Demonstrate an understanding of the requirements of the work (drivers) diary/records as they relate to their duties as a heavy vehicle driver. Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Gather trip information in a timely and accurate manger and enter them into the work (drivers) diary/records in accordance with regulatory and I.T.S proceduresAssessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Did the student demonstrate compliance with updating the records after each work and rest change in accordance with the HNVL regulationsAssessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Demonstrate the correct way/procedure for accurately and legibly entering records into the work diary/records in accordance with workplace and HNVL regulations.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Did the student store or return the work diary/records in an accessible location in accordance with procedures?Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Did the student ask the supervisor, you, to sign off on the records submittedAssessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Did the student report any missing or malfunctioning records/equipment/logs to the relevant personnel.Assessment Task 2 - Outcome(Required) YES NO NOT OBSERVED Notes & ObservationsEnter any notes and observations here. STUDENT DECLARATIONSTUDENT TO COMPLETE: I declare that the information contained in this Assessment Task is accurate and is a true reflection of my thoughts, opinions, and responses.Student Signature(Required)ASSESSOR DECLARATIONI, 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. ADDITIONAL EVIDENCE TO BE ATTACHEDThe following evidence must be completed and attached to this assessor check: • 2 x completed work diaries (Drivers Diary) • 1 x signed off fatigue management planAssessment Task 2 - Results(Required)Completion of Assessment Task 2 with supplementary evidence. Satisfactory Not Satisfactory Not Assessed Assessor Signature(Required)
