Templates Workplace Assessment Page 1 of 22

Templates Workplace Assessment Page 1 of 22

TAEASS301A
Contribute to assessment

TAEASS401A
Plan assessment activities and processes

TAEASS402A
Assess competence

TAEASS403A
Participate in assessment validation

from TAE40110 Certificate IV in Training and Assessment

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Copyright

This document was developed by Blackwater Projects learning and development consultancy and is used by IPS Institute under license.

Blackwater Projects
a: PO Box 4253 Balgowlah Heights NSW 2093 Australia
w: (612) 9949 7544
e: : (612) 9949 7546

This document may be transferred electronically to TAE40110 training participants enrolled with IPS Institute. TAE40110 participants may freely use these templates to complete assessment requirements of this TAE40110 module. These templates may not be transferred by any means or sold to anyone without written permission of Blackwater Projects.

Version control

These templates are those provided in the appendices of version 1 of the participant manual for this TAE40110 module.

Contents

Quality evidence checklist......

Assessment plan (RPL assessment)......

Assessment plan (training and assessment pathway assessment)......

Assessment instrument template: observation checklist......

Assessment instrument template: written questions......

Assessment instrument template: verbal questions......

Assessment instrument template: project......

Assessment instrument template: RPL evidence plan and assessment checklist......

Competency map (matrix)......

Assessment brief checklist......

Record of assessment results......

Assessment feedback form......

Template: Record of assessment validation......

Quality evidence checklist

Use this checklist to help determine whether or not evidence you have selected as the basis for assessment is of an acceptable quality.

Quality evidence checklist

Does the evidence identified as the basis for assessment: / Yes / No
1.Address all elements and performance criteria of the unit/s addressed? /  / 
2.Address all specific or critical aspects of evidence? /  / 
3.Address all required knowledge? /  / 
4.Address all required skills? /  / 
5.Demonstrate the relevant employability skills to an acceptable standard? /  / 
6.Include at least one source of direct or indirect evidence? /  / 
7.Include enough supplementary evidence to back up direct/indirect evidence? /  / 
8.Include evidence of products and processes? /  / 
9.Demonstrate the candidate’s ability to perform the task in realistic working conditions? /  / 
10.Demonstrate the candidate’s ability to perform the task over a period of time? /  / 
11.And finally... is it enough without being too much? /  / 

Assessment plan (RPL assessment)

RTO
Date prepared
Candidate
Assessor
Competency standard/s
Process undertaken to determine evidence required (tick appropriate box)
Meeting between assessor and candidate
Other—describe:
Evidence to be submitted by candidate
1
2
3
4
5
6
7
8
How RPL evidence will be presented (tick appropriate box):
as a written portfolio
in an RPL interview—
anticipated duration: ______hours / Practical assessment
Other:
Assessment date/s
Assessment location
Venue requirements
Documentation required

continued
Assessment plan (RPL assessment), cont’d

OHS issues
People to be informed
Specialist support required? / No
Yes (describe):
Other issues?

Signed by:

______
Assessordate signed

______
Candidatedate signed

End of assessment plan (RPL assessment)

Assessment plan(training and assessment pathway assessment)

RTO
Date prepared
Program name
Competency standard/s
Candidate/s
Assessor/s
Assessment date/s & timeframes
Assessment procedure
Assessment location
Venue requirements
OHS issues
Documentation required

continued

Assessment plan (training and assessment pathway assessment), cont’d

People to be informed
Reasonable adjustments
Provision for specialist support
Other issues
Recording and reporting mechanisms
Review mechanisms

Signed by:

______
Assessordate signed

Approved by:

______
Authorising party (print name)

______
Signature of authorising partydate signed

end of Assessment plan (training and assessment pathway)

Assessment instrument template: observation checklist

Instructions and requirements

●This checklist is to be completed by the assessor

●For a satisfactory result, all steps of the procedure must be performed to the standard described below.

Details of observation
RTO
Candidate name
Assessor name
Competency standard
Assessment date
Task/procedure observed
Observation checklist
Did the candidate: / Yes / No
1
2
3
4
5
6
7
Results
Overall performance /  Satisfactory  Not Yet Satisfactory
Feedback to candidate
Assessor signature / Date:
Candidate signature / Date:

Assessment instrument template: written questions

Written test—
<Name and code of competency standard addressed or name of test>

Candidate name: ______date: ______

Instructions and requirements

Part A: True/False

Instructions: Circle the true or false beside each statement (1 point each)

1. / <statement here> / true / false
2. / <statement here> / true / false

Part B: Multiple Choice

Instructions:
Circle letters A, B, C or D below each statement to indicate the correct response (1 point each)

3. / <state question here>:
A<answer option 1>
B<answer option 2>
C<answer option 3>
D<answer option 4>

Part C: Short answer questions

Instructions: Answer the following questions—about ______page required per question.

4. / <Question here>

TOTAL SCORE: ______out of ______= ______%

OVERALL RESULT: Satisfactory (score of _____% or higher)
 Not Yet Satisfactory (score of _____% or lower)

Assessment instrument template: verbal questions

Verbal questioning instrument—
<Name and code of competency standard addressed or name of questioning instrument

Candidate name: ______date: ______

Assessor name: ______

Instructions for assessors

●Please ask the candidate the questions below

●Document quality of answers provided by using the space and checklists provided below

●For a satisfactory result, <state requirements for satisfactory completion here>

Question 1:
Key information required for ‘satisfactory’ result (tick when provided) / Assessor notes / S / NYS





Question 2: Another question
Key information required for ‘satisfactory’ result (tick when provided) / Assessor notes / S / NYS
Key information required for ‘satisfactory’ answer / 

OVERALL RESULT: Satisfactory (all questions answered to a satisfactory standard)
 Not Yet Satisfactory (not all questions answered to a satisfactory standard)

Assessor signature: ______Date signed: ______

Assessment instrument template: project

Project—
<Name and code of competency standard addressed or name of project>

Instructions for candidates

Requirements for satisfactory result for this project

All evidence must be of a satisfactory standard to achieve a satisfactory result overall.

Assessment tasks

Overview

Submit the following /
Assessor to complete these columns  / Quality of evidence
Item to submit / Required quality / S / NYS
1 /  / 
2 /  / 
3 /  / 
4 /  / 
5 /  / 

Feedback for candidate

Overall result Satisfactory (all evidence was provided and was of required quality)
 Not yet Satisfactory

Assessor signature: ______Date signed: ______

Assessment instrument template: RPL evidence plan and assessment checklist

RTO
Date of RPL
Candidate
Assessor
Competency standard/s
Process undertaken to determine evidence required (tick appropriate box)
 Meeting between assessor and candidate  RPL guide used  Other
Evidence required
Assessor to tick () correct column when reviewing evidence  / S / NYS
1
2
3
4
5
6
7
8
Reviewing the evidence (assessor to complete): Did the evidence provided
fully address the requirements of the competency standard assessed? / yes / no
demonstrate the candidate’s ability to perform the task/s in a workplace, over a period of time / yes / no
Overall Result(assessor to complete and candidate to sign when completed)
 Competent  Not yet competent
Assessor signature:date:
Candidate signature: date:

Competency map (matrix)

Unit: <Note name and code of competency standard here>

Tasks:
1.
2.
3.
4. / Task 1 / Task 2 / Task 3 / Task 4
Elements and performance criteria
1.
1.1
1.2
1.3
1.4
1.5
1.6
2.
2.1
2.2
2.3
2.4
2.5
2.6
(optional) Map to other parts of unit (e.g.critical aspects for assessment or required knowledge)
●
●
●

Assessment brief checklist

Candidate name
Assessor name
Competency standard assessed
Date of assessment brief

Tick if the following was discussed/clarified with the candidate:

Reason and purpose of the assessment / 
Competency standards being assessed / 
Confirm candidate understanding of how competency-based assessments work / 
Assessment procedure—what candidate must do and how long it should take / 
Requirements for ‘competent’ result / 
What will happen if result if ‘C’ (competent) and what will happen if result is NYC (not yet competent) / 
Time / date / location of assessment and/or assessment deadline / 
Other information about the assessment as needed:
e.g. what to bring, what to wear, how to prepare / 
Reasonable adjustments and/or specific support needs—note here if applicable: / 
Appeals process / 
Confidentiality and names of those will have access to assessment records / 
Responsibility to submit authentic evidence (where appropriate) / 
Assessment choice / 

Signed by:

______
candidate signatureassessor signature

______
date signeddate signed

Record of assessment results

RTO
Candidate name
Assessor name
Competency standard
Assessment pathway /  Training & assessment  RPL
Assessment date/s
Assessment location/s
Assessment attempt /  First attempt  Second  Third
Results for each element / C / NYC
Element 1: /  / 
Element 2: /  / 
Element 3: /  / 
Overall Result
 Competent  Not yet competent  Resubmit (more evidence needed)
Assessor comments/details of action plan (if applicable)
Assessment decision and action plan accepted by candidate?
 Yes  No—the candidate will appeal the assessment decision.
Assessor signature:date:
Candidate signature:date:

Assessment feedback form

RTO
Candidate name
Assessor name
Competency standard
Assessment pathway /  Training & assessment  RPL
Assessment date/s
Assessment location/s
Instructions for the candidate
Please rate your assessment experience by ticking () the appropriate column beside each question below. / Excellent / Very good / Fair / Poor
1.Did the assessor clarify the assessment process with you before the assessment began?
2.Were assessment documents clear and helpful?
3.Did your assessment experience match expectations?
4.Did the assessor support you both during your preparation and throughout the assessment?
5.Do you think the assessment was appropriate for the competencies assessed?
6.Do you feel that the assessor made a fair assessment decision?
7.Did you receive specific, useful feedback about your performance?
8.Did you and the assessor discuss what will happen after the assessment?
9.Was the assessment environment comfortable and suitable?
Overall, how would you rate:
10.The assessment process
11.The assessment materials and documentation
12.The assessor
13. (if applicable) assistance provided by other RTO staff.

Provide space on the second page for the candidate to note strengths of assessment, recommendations for improvement and other comments

Template: Record of assessment validation

Cover sheet
Purpose of validation
Relevant competency standard/s (if applicable)
Resources needed
Validation date/s, time/s and length
Validation location
Validation approach /  / Face-to-face meeting
 / Telephone or on-line chat
 / Other:
Validation moderator
Other participants
Preparation required

continued

Appendix 13—Template: Record of assessment validation, cont’d

Validation Criteria Checklist
Criteria / S / NYS / Comments
1
2
3
4
5
6
7
8
Summary of feedback/results
Recommendations for improvement
Action required / By whom? / By when?
1
2
3
Signatures of validators

end of Record of assessment validation

end of document