Sample completed RPL Application Form.doc - Qualtec

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					                                   RPL Application Form



Instructions to applicants for completing this application

Please complete this for fully. If you require any assistance please
contact Sean Kelleher at info@qualtec.ie or 086 2660596.
Name:                    Joe Bloggs
Address:                 7 The squar2
PPSN.:                   112234345P
Certification that RPL   FETAC Level 6 Instructing in Manual Handling
is requesed for:


                                          Educational Details
 General Education                          Leaving Certificate
 Technical Qualifications                   Certificate in Health & Safety
 Qualifications in Training / Education     FETAC Level 6 Train the Trainer


                 Please supply details of any Training/Personal Development related to training/
                 manual handling undertaken by the in the last 5 years


              Title of Training/Development                    College. Training
                                                                                      Dates from/to
                                                                   Provider
 Certificate in Health & Safety                                      UCD

 FETAC Level 6 Train the Trainer                                   Qualtec

 Manual Handling Instructor Course                                 Qualtec




                                 Membership Of Professional Bodies
                                                    Type of Membership and if by qualification or
             Name of Professional Body
                                                                    election?

 IOSH                                                             Graduate (Qualification)

 Irish Safety Trainers Network                                    Company (Qualification)
Education and Training experience (please expand the table as required)
Evaluation Forms/ Testimonials attached for the training below.

Client        Contact details      Topic                Dates                Evidence

Control       Paul Quinn           Manual Handling      24th March 2009      Evaluation Forms
Systems                                                                      enclosed

Quinns                             Manual Handling      31st June 2010       Attendance Sheets
Hotel                                                                        enclosed

O’Mearas      Peter Reilly         Occupational First   1st, 2nd, 3rd June   Testimonial
Bakery                             Aid                  2010                 enclosed




Current employment (If applicable)

Name of employer:



Address:



Your Job Title: Safety Officer

Period of employment :            from           To

Key Roles and Responsibilities:

Manage Health & Safety, Train staff

Previous employment (If applicable)

Name of employer:
Address:



Your Job Title:

Period of employment :            from             To

Key Roles and Responsibilities:



Please enclose references




Section Two –Checklist of Learning Outcomes

To complete this section you need to:

1. Read the list of learning outcomes carefully.

2. Consider each and think about what you know already know and/or can do for each of these- tick
those that you think you have achieved through ‘prior learning’.

3. Consider how you have achieved this knowledge, skills or competence and suggest evidence to
prove that you can do this:

This evidence can include:

Certificates for courses that you have attended (please include course content)

Samples of lesson plans that you have completed.

Attendance sheets for courses that you have delivered.

Feedback sheets/ Evaluation forms from courses that you have delivered/ testimonials from
companies that you have delivered training for.

Manual Handling Risk Assessments that you have completed.
Unit 1 Legislation

The learner should be able to:              Y/N     How                               Evidence

1.1 Explain the main components of          Y       Attended Manual Handling          Certificate
relevant health and safety legislation              Instructors Course delivered by   enclosed
and guidance documents to include
                                                    Qualtec or
the current manual handling of loads
regulations, principles of prevention
                                                    Completed Certificate in Health
as outlined in the current Safety                                                     Certificate
Health and Welfare at Work Act and                  & Safety in UCD
                                                                                      enclosed
relevant guidance from government
and professional bodies
1.2 Evaluate the health and                 Y       Attended Manual Handling          Certificate
organisational benefits of an                       Instructors Course delivered by   enclosed
integrated approach to the
                                                    Qualtec or
management of manual handling
to include development of a manual
                                                    Completed Certificate in Health
handling policy, staff consultation, risk                                             Certificate
assessment, implementation of                       & Safety in UCD
                                                                                      enclosed
appropriate controls and relevant
training

Unit 2 Anatomy and back care

The learner should be able to:                  Y/N How                       Evidence

2.1 Define the main components of the           Y    Attended Manual          Certificate enclosed
spinal column to include                             Handling Instructors
discs, ligaments, bones joints, nerves
                                                     Course delivered by
and muscles
                                                     Qualtec or               Certificate enclosed
                                                     Completed Certificate
                                                     in Anatomy &
                                                     Physiology in UCD



2.2 Explain the main risk factors for           Y    Attended Manual          Certificate enclosed
back injuries related to                             Handling Instructors
manual handling to include how these
                                                     Course delivered by
injuries commonly
occur                                                Qualtec or               Certificate enclosed
                                                     Completed Certificate
                                                     in Anatomy &
                                                     Physiology in UCD
2.3 Describe current concepts of back            Attended Manual        Certificate enclosed
care to include good back                        Handling Instructors
posture at home and work, awareness
                                                 Course delivered by
of the importance of
being fit and flexible, working within           Qualtec or             Certificate enclosed
their capabilities and taking personal
responsibility for good back care                Completed Sports
                                                 Fitness Course in
                                                 Inchicore




Unit 3 Ergonomic principles and risk assessment

The learner should be able to:              Y/N How                     Evidence

3.1 Describe the concepts of                Y    Attended Manual        Certificate enclosed
ergonomics to include a                          Handling Instructors
description of key ergonomic principles
                                                 Course delivered by
for workplace design
and unfavourable ergonomic condition             Qualtec or             Certificate enclosed
as detailed in the
schedule to the current manual                   Completed Higher
handling of loads regulation                     Diploma in Health &
                                                 Safety in UCD

3.2 Explain the manual handling risk        Y    Attended Manual        Certificate enclosed
assessment process                               Handling Instructors
through the use of manual handling
                                                 Course delivered by
case studies
                                                 Qualtec

3.3 Describe a range of controls to          Y   Attended Manual        Certificate enclosed
avoid and reduce the risk of                     Handling Instructors
injuries to include a critical analysis of a
                                                 Course delivered by
range of manual
handling equipment                               Qualtec
Unit 4 Manual handling principles and techniques

The learner should be able to:          Y/N       How                       Evidence

4.1 Apply the main principles of        Y         Attended Manual           Certificate enclosed
inanimate manual handling to a                    Handling Instructors
range of manual handling tasks with
                                                  Course delivered by
particular emphasis on
the need to carry out a personal or               Qualtec
dynamic risk assessment
to determine if the load can be
handled safely
4.2 Carry out a range of appropriate    Y         Attended Manual           Certificate enclosed
manual handling                                   Handling Instructors
techniques to include lifting,
                                                  Course delivered by
carrying, pushing, pulling,
supporting or putting down of a load              Qualtec
by one or more persons
4.3 Analyse the learners                Y         Attended Manual           Certificate enclosed
performance of manual handling                    Handling Instructors
techniques
                                                  Course delivered by
                                                  Qualtec

Unit 5 Planning and design of manual handling training programmes

The learner should be able to:          Y/N       How                       Evidence

5.1 Develop inanimate manual            Y         Attended Manual           Certificate enclosed
handling training programmes to                   Handling Instructors
include lesson plans with clear
                                                  Course delivered by
objectives, appropriate
material and aids to support learning             Qualtec or
and strategies to
motivate changes in manual                        FETAC Level 6 Training
handling practice                                 the Trainer Certificate
                                                  completed

5.2 Identify the necessary              Y         FETAC Level 6 Training    Certificate enclosed
organisational resources needed to                the Trainer Certificate
plan and support the delivery of
                                                  completed
effective manual handling
training programmes

Unit 6 Delivery of manual handling training
The learner should be able to:              Y/N         How                 Evidence

6.1 Deliver effective manual handling         Y         Experience          Testimonials or
training programmes using a range of tools              (Trainer for 2      evaluation forms or
and techniques including managing group
                                                        years in Manual
dynamics
motivate changes in manual handling               Handling & OFA)
practice
6.2 Demonstrate understanding of adult        Y   FETAC Level 6       Certificate enclosed
learning principles and                           Train the Trainer
the need for effective communication skills
                                                  Certificate
                                                  completed

6.3 Give effective instruction in practical   Y   Attended Manual Certificate enclosed
manual handling                                   Handling
Techniques
                                                  Instructors Course
                                                  delivered by
                                                  Qualtec
RPL Assessment

Qualtec will assess your application and will reply by email indicating whether you have been
accepted for the RPL process and the steps that you need to take to successfully complete
the RPL process and present yourself for final assessment.

The following workshops will be available to assist learners successfully achieve learning
outcomes i.e. complete the examination , assignments and skills demonstration:

      Legislation
      Anatomy and backcare
      Ergonomics & Risk Assessment
      Manual Handling Principles and techniques
      Lesson planning and teaching methods
      Presentation & communication Skills and adult learning principles

Please note that these learning outcomes will be assessed through an examination and
through skills demonstration assessment.

Examination:

This assessment must be passed in order to achieve the award.
The learner will complete an examination based on learning outcomes in Units 1, 2 and 3.
The examination will consist of 20 short-answer questions. The learner must achieve at least
16 correct answers to pass the assessment.

Weighting Factor: 1 mark per question Overall Marks: 20

Skills demonstration assessment (List of skills)

1. Carry out a range of manual handling techniques and apply these to a range of manual
handling tasks (30 marks)

2. Analyse a learner’s performance of manual handling techniques (10 marks)

3. Give effective instruction in practical inanimate manual handling techniques (10 marks)

4. Deliver effective presentations (10 marks)

Assignments


These assignments must be passed in order to achieve the award.
A Manual Handling Risk Assessment must be carried out on a manual handling task.
The second assignment is to produce a lesson plan for a manual handling course.


Overall Marks: 20

				
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posted:11/16/2011
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