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IGC-3 Report
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APPENDIX 1 IGC3 – The Health and Safety Practical Application Candidate and coure pro!ider declaration" #or co$pletion %y the candidate" I declare that the work submitted for this practical application assessment ie. the completed observation sheets and the report to management management,, is my own work. I recognise that contravent contravention ion of this statement statement constitutes constitutes malpractice and may result in my being subject to the penalties set out in the NEBO! "alpractice policy.
Name Name #$ri #$rint nt%%
"anu "anuel el &. Nill Nillo o 'r 'r.
ignature
(((((((((((((((
)ate
*+-*+/
#or co$pletion %y a coure pro!ider repreentati!e &e'(' internal practical aeor)" I declare that the work marked is identical identical to that received from the candidate. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBO! "alpractice policy.
#or co$pletion %y the coure pro!ider* internal practical aeor" I declare that I have marked marked this work and am both 0ualified and approved by NEBO! to do so. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBO! "alpractice policy.
N+" Thi declaration $ut %e co$pleted in full u%$itted and retained ,ith the candidate* cript' cript' If thi declaration i not u%$itted the candidate* candidate* reult $ay %e declared !oid'
1nit I23/4 !ealth and afety $ractical 5pplication 2uidance and Information
444IGC3 – THE HEA/TH AND SA#ET5 P-ACTICA/ APP/ICATI.N )ate of practical application 2464213
Name of assessor
3ourse provider number
78
3ourse provider name
9atweer 3onsultancy
tudent number
++*++/8+
tudent name
"anuel &. Nillo 'r.
7a8i$u$ $ar0 a!aila%le
1
Co$pletion of o%er!ation heet
.
:ange and number of ha;ards
19
. *
Identification of suitable control measures and timescales
19
-eport : Introduction and E8ecuti!e Su$$ary
*.
Introduction providing an overview of the chosen area
9
*. *
E=ecutive summary
9
3
-eport : 7ain findin( of the inpection
/.
>uality of interpretation of findings and clear references to strengths and weaknesses
/. *
Identification of possible breaches of international standards
/. /
$ersuasiveness < conciseness < technical content
;
-eport : Concluion and -eco$$endation
Aeor* $ar0 a,arded
NE+.SH $oderated $ar0 #if different%
19 9 12
1nit I23/4 !ealth and afety $ractical 5pplication 2uidance and Information
* of 6
6.
3lear and concise conclusions which are clearly related to report findings and are effective in convincing management to take action
19
6. *
:ecommendations which present realistic actions to improve health and safety in the chosen area
19
T.TA/ 7A-
Outcome: PASS
(60% or more)
122
REFER
(less than 60%)
Date assessed ____ / ____ / ____ Assessor’s signature ______________________ Date received by course provider ____ / ____ / ____ Date received by NEBOSH (if applicable) _____ / _____ / _____
Aeor* additional co$$ent on the practical application"
ASSESSED +5 &na$e in %loc0 letter) ((((((((((((((((((((((((((((((((((((((((((((((((( The $ar0 heet $ut %e retained %y the Coure Pro!ider and ent to NE+.SH only if re=ueted'
NE+.SH >SE .N/5
1nit I23/4 !ealth and afety $ractical 5pplication 2uidance and Information
/ of 6
NE+.SH 7oderator* co$$ent"
1nit I23/4 !ealth and afety $ractical 5pplication 2uidance and Information