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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

One page, top to bottom:

Printed under the title: A record that somebody was actually watched doing the task, by whom, and what was concluded.

Watching, not attending. Training is not competence. This sheet records an observation of the real task — who watched, what they saw, and what happens next. It sets no standard: the criteria come from your own procedures or the equipment manufacturer.

Write-on lines: Person assessed · Task or equipment · Assessor · Date · Where the criteria come from · Assessment number · Previous assessment

Observed

Table, 5 rows: Step or criterion — write your own · Observed · Comment

Outcome

Ruled lines: What was seen, in the assessor's words

Write-on lines: Outcome · Further training or supervision needed · Reassess by

Signature strip: Assessed · Assessor · Date

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.

Related sheets

Training Matrix

See at a glance who has been trained in what and which squares are blank, across a whole team on a single page.

SR-11 1 page

Toolbox Talk Record

Record a short on-site briefing and, more usefully, what the people listening raised in response to it.

SI-06 1 page

Plant and Forklift Pre-Use Inspection

Keep a week of daily walk-around checks on a single sheet that lives with the machine, so the record is made where the machine is rather than in an office.

WT-11 2 pages

Also in the resources library

The same subject, with a version you can fill in on screen.

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