1. Westvic staffingsolutions TAA40104 version1 April 2010 reviewdate April 2011
EVIDENCE & ASSESSMENT PLAN (with UNIT OUTCOME)
Learner’s name: Unit Outcome:
Classroom/Workplace Date:
Assessor’s name: Signature:
N.B: Employability skills are embedded in this unit of competency and will be assessed holistically.Please make
sure you have a copy of the Employability Skills Summary for the qualification you are undertaking.
Tick methods used to gather evidence and submit the corresponding Assessment Tool sheets:
 Development of Evidence Portfolio and/or  Workplace Project
The Learner will develop a portfolio of evidence or complete a Workplace Project that documents their
activities in:
Use the Evidence Portfolio Checklist OR, for a Workplace Project, the Workplace Handbook.
 Questioning -  Verbal and/or  Written: The Learner will be asked questions by the RTO
assessor in order to probe the dimensions of competency and the Learner’s underpinning knowledge.
Use the Questioning Checklist.
 Third Party Verification
Verification of workplace competence by a workplace supervisor, and/or refer to Workplace Handbook.
Use the Third Party Checklist.
 Written Task that may include  Case Study Scenario and/or Assignment.
The Learner will complete tasks as referenced on the Written Activity Checklist.
 Observation –  Demonstration and/or  Role Play
The Learner will complete tasks as referenced on The Observation Checklist Type 1 or 2, or on both
checklists. yes / no
 Is the Learner ready for assessment?
 Has the assessment process been explained?
 Does the Learner understand which evidence is to be collected and how?
 Have the Learner’s rights and the appeal system been fully explained?
 Have you discussed any special needs to be considered during assessment?
I agree to undertake assessment in the knowledge that information gathered will only be used for
professional development purposes and can only be accessed by my manager and the RTO:
Learner Signature: Date:
Assessor Signature: Date:

2. Westvic staffingsolutions TAA40104 version1 April 2010 reviewdate April 2011
Questioning Checklist
This checklist is used by the assessor when asking verbal questions of the Learner or assessing
the Learner’s response to written questions. This checklist forms one piece of evidence and should
be used in conjunction with other forms of evidence in the assessment decision.
Learner’s name:
Assessor’s name:
Written questions Satisfactory response
Yes No
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Feedback to Learner:
The Learner’s responses were:
Satisfactory  Not satisfactory 
Assessor’s Signature: Date:

3. Westvic staffingsolutions TAA40104 version1 April 2010 reviewdate April 2011
Written Activity (These can include a Case Study and Scenario Analysis or Assignment)
Written activities are used by the assessor to contribute to the Learner’s overall competency in this unit. This
checklist forms one piece of evidence and should be used in conjunction with other forms of evidence in the
assessment decision.
Learner’s name:
Assessor’s name:
Correct answer
Yes No
 
Feedback To Learner:
The Learner completed all tasks correctly:
Satisfactory  Not satisfactory 
Assessor’s Signature: Date:

4. Westvic staffingsolutions TAA40104 version1 April 2010 reviewdate April 2011
Learner’s name:
Assessor’s name:
Third party report- please indentify skills and knowledge for supervisor
/manager to endorse in the workplace and in job role Yes No
 
Feedback To Learner:
The Learner completed all tasks correctly:
Satisfactory  Not satisfactory 
Supervisors Signature: Date: