Professional Documents
Culture Documents
Student Name:
Student Number:
Date of Submission:
APPENDIX 1
IGC3 The Health and Safety Practical Application
Candidate and course provider declarations:
For completion by the candidate:
I declare that the work submitted for this practical application assessment ie. the completed observation sheets
and the report to management, is my own work. I recognise that contravention of this statement constitutes
malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.
Name (Print)
_________________________________
Signature
_________________________________
Date
_________________________________
Name (Print)
_________________________________
Signature
_________________________________
Date
_________________________________
Name (Print)
_________________________________
Signature
_________________________________
Date
_________________________________
NB: This declaration must be completed in full, submitted and retained with the
candidates script. If this declaration is not submitted the candidates result may be
declared void.
APPENDIX 3
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Name of assessor
Course provider
number
Course provider
name
Student number
Student name
Maximum
marks
available
Criteria
1
1.1
15
1.2
15
2.1
2.2
Executive summary
3.1
3.2
3.3
4.1
15
4.2
15
TOTAL MARKS
15
5
10
100
Assessors
marks awarded
NEBOSH
moderated
marks
(if different)
Outcome: PASS
(60% or more)
REFER
APPENDIX 4
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Candidates observation
sheet
of _____
Observations
Hazards / Good practice
Control measures
Immediate, medium and longer-term actions
Timescale
(immediate,
1 week, etc)
APPENDIX 5
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Student number_________________________________
Location_______________________________________
Date of review
APPENDIX 5
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Student number_________________________________
Location_______________________________________
Executive Summary
Date of review
APPENDIX 5
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Student number_________________________________
Location_______________________________________
Date of review
APPENDIX 5
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Student number_________________________________
Location_______________________________________
Conclusions
Date of review
APPENDIX 5
INTERNATIONAL GENERAL
CERTIFICATE
(2010 specification)
Student number_________________________________
Location_______________________________________
Date of review
Recommendations:
Recommendation
Priority
Review date