SITUATIONAL ASSESSMENT SUMMARY FORM

  1. Did the student appear to enjoy this type of work activity?

Yes_____No_____

-Student communicated interest / preference

-Student’s behavior indicated preference(i.e. willingness to participate, interest in task / materials, smiles, keeps working)

  1. Did any of the following environmental conditions seem to be a problem / challenge?

Environmental Condition / Yes / No / Comments
Temperature
Lighting
Noise
Commotion/Activity
Physical Requirements
Physical Positioning (sitting, standing, etc.)
Other
  1. Was the student able to follow the sequence in that particular job?

Yes_____No_____

(Use the attached TASK ANALYSIS to sequence job duties and / or information provided by Vertek? DOT codes to determine which skills are to be assessed specific students’ vocational choice.)

  1. What kind of instructional techniques )prompts, error correction, reinforcement strategies) seemed to be effective?

______

  1. What type of environmental adaptations might be needed on a similar job?

______

  1. Implications of hearing loss relative to this vocational area:

______

Suggested strategies and modifications:

______

  1. Implications of vision loss relative to this vocational area:

______

Suggested strategies and modifications:

______

GENERAL WORK SKILLS AND BEHAVIORS TO BE ASSESSED DURING EVALUATION AND CARRIED INTO SUBSEQUENT TRAINING PERIODS UNTIL STUDENT IS DETERMINED TO BE JOB READY.

SUCH SKILLS TO BE EVALUATED INCLUDE:

Work Skills/Behaviors / Unable to Assess / With Assistance / Always / Sometimes / Never
Maintains satisfactory work attendance
Reports in and out on time clock or documents time worked
Follows a daily work schedule
Is attentive for periods of 15, 30, 45, 60 or more minutes
Able to care for equipment and materials
Able to seek assistance if having difficulty
Able to perform tasks without unnecessary interruptions
Good grooming and appearance
Has adequate physical strength and work tolerance
Willingness to accept assistance
Works independently
Appropriate responses to stress situations
Can take problems to correct person
Able to maintain consistent productivity
Is willing to give assistance to others
Can work carefully and pay attention to quality
Work Skills/Behaviors / Unable to Assess / With Assistance / Always / Sometimes / Never
Notices and corrects own errors
Accepts changes in work assignments
Transfers learned skills to new work situation
Can work with intermittent supervision
When faced with a problem is able to control self
Is willing to face challenging work
Displays self motivation