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third party evidence report template7

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									<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

Third Party Report and Supporting Documentation
It is recommended that the assessor verify the third party report with the person who completes the form to confirm the candidate’s skills in different contexts over time. This information may be provided at, and form part of, the interview.

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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

Third Party Report
(Referee testimonial)

All people who verify your work are to complete the details below to ensure validity. (You may need multiple copies of this form.)

<Insert qualification code> – <Insert qualification title>
Candidate’s name Referee’s name (Name of person providing this evidence) Position/title Workplace Workplace address Telephone numbers Email address This report was completed: Interview conducted by (if applicable) Date of interview Instructions
As part of the assessment for <Insert qualification code> – <Insert qualification title>, the candidate requires evidence from a third party (employer, supervisor or equivalent). This evidence will be used to validate the candidate’s skills and experience. A letter of support form the organisation validating a range of tasks performed by the candidate over a period of time is useful in identifying competence.
via interview by assessor



independently by referee



To whom it may concern Re: _____________________________ who is a ______________________________.
(Insert candidate’s name) (Insert industry/job title).

I certify that the above-named person has: worked at ________________________ for a period of ________________________
(Insert name of workplace) (Insert length of time).

They have regularly completed the following activities to an acceptable workplace/industry standard within this organisation. Yes I understand the evidence/tasks the candidate has performed on which I am required to comment. I am willing to be contacted if further verification of my statements is required. If you would like further information or would like to discuss any of the above, I can be contacted on ____________________________________ (Insert phone number). Yours sincerely No

Signature: ________________________________ Date: ________________________
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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

Supporting Documentation
The following table provides a guide of additional evidence sources to support your claim for Recognition of Prior Learning. If you have other evidence you are encouraged to provide this to your Assessor. If you do not have all this evidence you are not excluded from applying for recognition and you should discuss options with your Assessor. If you are providing documents as evidence then it is a good idea to number each document for easy identification. Place the number of the relevant document against the evidence listed below. DEVELOPERS INSTRUCTIONS: The following tables are examples only and must be customised to meet the specific OH &S and any First Aid unit requirements. Use the generic table on the following page to list evidence specific to this qualification. 1. Additional sources of evidence for First Aid Units may include: a. Current first aid certificate or equivalent Statement of Attainment listing first aid units. b. Third party confirmation of first aid officer position held at previous workplace(s). c. Third party evidence of administering first aid assistance – could be sporting event, workplace or community event. 2. Additional evidence sources for OHS including statistics may include: a. Statement of Attainment for Course in Safety Awareness (or old Green Card) b. Third party evidence of Safety Representatives position held (current or previous) c. Third party evidence of representation on safety committee(s) d. Evidence of OHS qualifications/ courses attended and inductions. 3. Additional evidence source for operating fire fighting appliances may include: a. Current Statement of Attainment listing relevant fire fighting units. b. Third party confirmation of fire warden role held at previous workplace(s). c. Third party evidence of fire fighting activities – could be volunteer fire brigade, fire response in a workplace or community setting. 4. Additional evidence source for handling dangerous goods may include may include: a. Transport industry blue card b. Statement of Attainment for Course in Safety Awareness (or old Green Card) c. Third party evidence from workplace(s) on handling of dangerous goods Document No.

Document No.

Document No.

Document No.

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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

Candidate’s name: Date:
<Insert qualification code> required documentary evidence 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Document number

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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

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<Insert Qualification Code and Qualification Title> Third Party Report and Supporting Documentation

Assessor’s Evidence Summary Sheet
The assessor completes this table during the assessment to record the evidence collected. It is expected that this evidence summary sheet (or similar) is attached to the evidence. <Place a tick in the appropriate evidence collection method column for each unit of competency. Place a line through those units not examined as part of this RPL assessment.>

Candidate’s name Date
Evidence collected Other evidence Third Party Report Questions Competency demonstrated
 Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No  Yes  No

Unit Code

Unit Title

Core units

Elective units

_____________________________
Assessor Signature
_________________________________________

Assessor Name Date: _________________________

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Practical


								
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