NEBOSH International General Certificate

in Occupational Health and Safety

UNIT GC3: HEALTH AND SAFETY PRACTICAL APPLICATION

Student Name:

Student Number:

Date of Submission:
APPENDIX 1
GC3 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 _________________________________

For completion by a course provider representative (e.g. internal practical assessor):

I declare that the work marked is identical to that received from the candidate. 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 _________________________________

For completion by the course providers internal practical assessor:

I declare that I have marked this work and am both qualified and approved by NEBOSH to do so. 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 _________________________________

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 2
Assessors marking sheet

GC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Date of practical application Name of assessor

Course provider Course provider

number name

Student number Student name

NEBOSH
Maximum
Assessors moderated
marks
Criteria available
marks awarded marks
(if different)

1 Completion of observation sheets

1.
Range and outline of hazards and consequences 15
1
1. Identification of suitable control measures and
15
2 timescales

2 Report - Introduction and Executive Summary

2. Introduction providing an overview of the chosen

5
1 area
2.
Executive summary 5
2

3 Report - Main findings of the inspection

3.
Quality of interpretation of findings 15
1

3. Identification of possible breaches of international

5
2 standards

3.
Persuasiveness / conciseness / technical content 10
3

4 Report - Conclusions and Recommendations

Outcome:
4. Clear andPASS
concise conclusions which are clearly
(60% or more) REFER
15 (less than 60%)
1 related to report findings and are effective in
convincing management to take action
Date
4. assessed ____ / ____
Recommendations / ____
which present realistic actions to 15
2 improve health and safety in the chosen area
Assessors signature ______________________

Date received by course provider ____ / ____ / ____ 100

TOTAL MARKS
Date received by NEBOSH
(if applicable) _____ / _____ / _____
Assessors additional comments on the practical application:

ASSESSED BY (name in block letters) _________________________________________________

The mark sheet must be retained by the Course Provider and sent to NEBOSH only if requested.

NEBOSH USE ONLY

NEBOSH Moderators comments:

APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
01.Health and Hygiene
Food waste container over
flow at Restroom / labour
mess hall where hygiene
condition is not maintained.
There is a risk of biological
hazard due to evolution of
microorganisms and other
parasites.
2. Health and Hygiene
Observed stagnant at the
storage area with presence of
mosquito and fungus. The
area become slippery too.
There is a risk of ill health due
to communicable diseases like
dengue, malaria, etc.
Remove the food wastes and clean the Immediate
area.
Short Term Measure
Provision more waste container and 4 days
maintain hygiene condition.
Long Term Measure
To prevent ill health, a dedicated person to 2 weeks
be appointed to clean the Rest room /
Labour Mess hall on regular basis with
daily cleanliness record.
Environmental friendly disinfectant to be 1 Day
sprayed on the stagnant water to kill the
mosquito breeds and fungus.
Short Term Measure
Ground should be levelled in-order to 2 Weeks
drain water to the drainage to prevent
stagnant water.
Long Term Measure
Regular cleaning to be done to restrict
development of fungus, mosquito Regularly
breeding and becoming slippery surface.
Formulate and implement a regular health
and hygiene inspections system
procedure.
APPENDIX 3
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Student name
Place inspected
Observations
Hazards and consequences
3. Health and Hygiene
It has been found that the
portable toilet is overflowing
at the site near control room.
This cause ill health to
workers due to biological
hazard like parasites, etc.
4. Working at Height
It has been found that a lots of
work materials and waste
materials stacked on the
scaffold platform near the
stack No.1.
Hazard of material fall from
height and trip & fall exists
which can lead to serious head
injury or broken bones of
workers.
Candidates observation sheet
Sheet number of
Student number
Date of inspection / /
Control measures Timescale
Immediate and longer term actions
Empty the toilet by sewage contractor Immediate
before further use.
Short Term Measure
Provide additional more temporary toilets 2 Week
in proportion with site workers.
Long Term Measure
Assign dedicated person to manage the 1 Week
cleanliness of toilets everyday with
housekeeping log.
All materials on the platform to be Immediate
removed
Short Term Measure
Provide lifting bucket, ropes and pulley to 1 Week
workers to lift up and down the necessary
material and wastes when needed.
Long Term Measure
Routine inspection of scaffold platform by Daily
scaffold inspector to be done.
A regular awareness communication of Weekly
work at height hazards and prevention
measures to be delivered to all workers.
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
5. Work at Height
It has been observed that the
scaffold near the pump house
area is missing toe guard at
one side and green tag
available. There is a risk of
material fall from height and
get head or body injury to the
worker pass by or work
nearby.
6. Hot Work
It was observed one worker
doing welding at the sinter
plant building 2nd floor and the
sparks of welding falling
down upon the electrical
cables below which is at risk
of insulation damage due to
sparks.
APPENDIX 3
Install the missing toe guards and do a full Immediate
inspection of the scaffold.
Short Term Measure
Install safety net below to catch fallen 1 Day
materials.
Validation of scaffold contractor worker 1 Week
competency to be done.
Long Term Measure
A routine inspection of scaffolds to be
done on daily basis by scaffold inspector. Regularly
The inspection report to be delivered to
safety department on weekly basis.
Use fire blanket to cover the cable before Immediate
further continue the work
Short Term Control
Assign fire watcher for all Hot Work Jobs. 2 Days
Long Term Measure
Worker to be trained on Hot Work 2 Weeks
Procedure and requirements.
Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 3 Candidates observation sheet
GC3 THE HEALTH AND Sheet number of
SAFETY PRACTICAL APPLICATION

Student name Student number

Place inspected Date of inspection / /

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions

APPENDIX 4
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Introduction including overview of area inspected and activities taking place

Executive Summary

Main findings of the inspection

Conclusions

Recommendations include as a table in the following format:

Recommendation Likely resource implications Priority Target date

UNIT GC3 THE HEALTH AND Candidate report template

SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Introduction including overview of area inspected and activities taking place

UNIT GC3 THE HEALTH AND Candidate report template

SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Executive Summary
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Main Findings
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Conclusion
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Recommendations
Recommendation Likely resource implications Priority Target date
UNIT GC3 THE HEALTH AND Candidate report template
SAFETY PRACTICAL APPLICATION

Student number_________________________________

Location_______________________________________ Date of review / /

Recommendation Likely resource implications Priority Target date