Staff records · SR-12

Competency Assessment Record

A free printable competency record — the task observed, the criteria you are using, what the assessor saw, the outcome and the reassessment date.

First page of the Competency Assessment Record — Record that somebody was actually watched doing the task, rather than that they attended a course about it.
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One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Record that somebody was actually watched doing the task, rather than that they attended a course about it.

Who it is for

Workshops, sites, farms, care services, kitchens and anyone signing off that a person is safe to do a job on their own.

How to use it

  1. Say where your criteria come from — a procedure, a handbook, a manufacturer.
  2. Watch the real task, not a description of it.
  3. Write what you saw, including what was done well.
  4. Record what further training or supervision is needed, if any.
  5. Set a reassessment date and put it in the training matrix.

What is on the sheet

The layout is fixed at a size that fits both A4 and US Letter, so the A4 and Letter files are visually identical and print at full size on either. Rows are set at a height that an adult can actually write a date and a few words into with a pen — most printable tables are built in a word processor and never tested with one.

Questions

Does this certify anybody?

No. It records one assessor's observation on one day against criteria you supplied. Where a formal ticket or certificate is required, this does not replace it.

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