Stage 2

Supervised Practice Audit

Final Report

This form is to accompany:

  • Supervision Log for the second half of the period of supervised practice, signed by practitioner and supervisor.
  • Updated Supervised Practice Plan, signed by practitioner and supervisor, and
  • Final Supervisor’s Report – OTBA.

All documents should be returned to the OTC and the OTC will forward the OTBA final report to the OTBA.

Emailed in pdf format to:

Or

The Occupational Therapy Council (Australia & New Zealand) Ltd

PO Box 959

South Perth WA 6951

Name of practitioner: ………………………………………………………………………………………..

Address for Certificate of Practical Completion:

………………………………………………………….

…………………………………………………………

………………………………………………………… Postcode: ……………………………….

Telephone No: (work)………………………………… ( mobile)…………………………………

Email……………………………………………………………………………………...

Name of employer/workplace:

…………………………………………………………………………………………………

Period of practice audit: From (month/year ……………………….)

To (month/year …………………………..)

Total number of hours per week engaged in placement: ……………………………………………

Name of primary supervisor: ………………………………………………………………………………..

Position of supervisor in the workplace: ……………………………………………………………………….

Address of supervisor’s workplace

………………………………………………………….

…………………………………………………………

………………………………………………………… Postcode: ……………………………….

Telephone No: (work)………………………………… ( mobile)…………………………………

Email……………………………………………………………………………………...

Name of secondary supervisor (if applicable):

……………………………………………………………………………………………..

Address of supervisor’s workplace

………………………………………………………….

…………………………………………………………

………………………………………………………… Postcode: ……………………………….

Telephone No: (work)………………………………… ( mobile)…………………………………

Email……………………………………………………………………………………...

Position of supervisor in the workplace: ……………………………………………………………………….

Position held by the practitioner: ………………………………………………………………………………

Checklist of documents to accompany this report:

Updated supervised practice plan

Supervision Log signed by both supervisor and supervisee

OTBA final report signed by the supervisor

Signed by practitioner …………………………………………… Date ……………………………………..

Supervisor’s declaration:

I have directly observed and evaluated ……………………………………………………………………

during the OTC Stage 2 period of supervised practice and based on my experience as supervisor, endorse this practitioner competent for independent practice in the Australian environment.

Signed by supervisor ……………………………………………… Date ………………………………………

Dear Supervisor

As part of our quality improvement, we would appreciate your feedback on the process for the assessment of overseas-trained occupational therapists wishing to practise in Australia, and ask that you provide comment to the few questions below:

1.Are the OTC processes clear and easy to follow?Yes/No

Please explain your answer:

2.Did you seek assistance from the OTC?Yes/No

If “yes” please tell us how you sought this assistance (ie via the website,

the office or professional adviser) and your feedback relating to it.

Please explain your answer:

3.Were you involved in developing the practitioner’s supervised practice plan?Yes/No

Please explain your answer:

4.Were you clear about your role and responsibility to evaluate the practitioner’s competence to practise as an OT in Australia? Yes/No

Please explain your answer:

If you have any additional feedback, please include it below.

Stage 2 Supervised Practice Audit – Final ReportReviewed January 2017