Supervise

Work-Based
Learning
FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
BASIC COMPETENCIES and LEARNING OUTCOMES
CAN I? YES NO
1. Participate in workplace communication
L.O.1 Obtain and convey workplace information
L.O.2.Participate in workplace meetings and discussions
L.O.3. Complete relevant work related documents
2. Work In Team Environment

L.O.1. Describe team role and scope

L.O.2. Identify own role and responsibility within team

L.O.3. Work as a team member

3. Practice Career Professionalism
L.O.1. Integrate personal objectives with organizational goals
L.O.2. Set and meet work priorities
L.O.3. Maintain professional growth and development
4. Practice Occupational Health And Safety Procedures
L.O.1. Identify hazards and risks

L.O.2. Evaluate hazards and risks

L.O.3. Control hazards and risks
L.O.4. Maintain OHS awareness

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.

\
 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
COMMON COMPETENCIES and LEARNING OUTCOMES
CAN I? YES NO
1. Apply Safety Measures In Farm Operations
L.O.1 Determine areas of concern for safety measures
L.O.2 Apply appropriate safety measures
L.O.3.Safe keep/dispose tools, materials and outfit
2. Use Farm Tools And Equipment
L.O.1 Select and use farm tools
L.O.2 Select and operate farm equipment
L.O.3.Perform preventive maintenance
3. Perform Estimation And Basic Calculation
L.O.1 Perform estimation
L.O.2.Perform basic workplace calculation
4. Process Farm Wastes

L.O.1. Collect farm wastes

L.O.2. Identify and segregate wastes
L.O.3 Treat and process farm wastes

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.
 SELF-ASSESSMENT CHECK
INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
CORE COMPETENCIES and LEARNING OUTCOMES
CAN I? YES NO
1. Raise Poultry
L.O.1 Select and procure stock
L.O.2 Maintain optional environment for poultry
L.O.3 Observe and assess chick health
L.O.4 Select brood /layer stock
L.O.5 Perform pre and post laying activities
L.O.6 Perform preventive and therapeutic measures
2. Raise Small Ruminants
L.O.1 Select and manage breeder goats and sheep
L.O.2 Manage does/ewes and their progenies
L.O.3 Provide feed and implement feeding practices
L.O.4 Implement herd health program
L.O.5 Maintain and analyze records
3. Raise Swine
L.O.1 Select and train boars
L.O.2 Breed sows and gilts
L.O.3 Perform farrowing activities

L.O.4 Care and raise piglets to market age

L.O.5 Maintain herd health program

L.O.6 Record Data

4. Raise Large Ruminants (Beef, Dairy and Buffaloes)

L.O.1 Select and manage breeder cattle and buffaloes

L.O.2 Provide feeds and implement feeding practices
L.O.3 Manage the general herd
L.O.4 Provide life support facilities
L.O.5 Implement herd health program
L.O.6 Maintain and analyze records
Evidences/Proof of Current Competencies (Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
BASIC COMPETENCIES
1. Participate In Workplace Communication
L.O.1 Obtain Certificate of Training Demonstration
and convey Certificate of Achievement Observation
workplace Interviews/ questioning
information Employment Certificate
Transcript of Record
Report Card
L.O.2.Participate Certificate of Training Demonstration
in workplace Certificate of Achievement Observation
meetings and Interviews/ questioning
discussions Employment Certificate
Transcript of Record
Report Card
L.O.3. Complete Certificate of Training Demonstration
relevant work Certificate of Achievement Observation
related Interviews/ questioning
documents Employment Certificate
Transcript of Record
Report Card
2. Work In Team Environment

L.O.1. Describe Certificate of Training Demonstration

team role and Certificate of Achievement Observation
scope Interviews/ questioning
Employment Certificate
Transcript of Record
Report Card

L.O.2. Identify Certificate of Training Demonstration

own role and Certificate of Achievement Observation
responsibility Interviews/ questioning
within team Employment Certificate
Transcript of Record
Report Card
L.O.3. Work as a Certificate of Training Demonstration
team member Certificate of Achievement Observation
Interviews/ questioning
Employment Certificate
Transcript of Record
Report Card
3. Practice Career Professionalism
L.O.1. Integrate Certificate of Training Demonstration
personal
Certificate of Observation
objectives with
Achievement Interviews/ questioning
organizational
goals Employment Certificate
Transcript of Record
Report Card
L.O.2. Set and Certificate of Training Demonstration
meet work Certificate of Observation
priorities Achievement Interviews/ questioning

Employment Certificate
Transcript of Record
Report Card
L.O.3. Maintain Certificate of Training Demonstration
professional growth
Certificate of Observation
and development
Achievement Interviews/ questioning

Employment Certificate
Transcript of Record
Report Card
4. Practice Occupational Health And Safety Procedures
L.O.1. Identify Certificate of Training Observation
hazards and risks
Certificate of Achievement Interview

Employment Certificate
Transcript of Record
Report Card

L.O.2. Evaluate Certificate of Training

Observation
hazards and risks Certificate of Achievement
Interviews/ questioning
Employment Certificate
Transcript of Record
Report Card

L.O.3. Control Certificate of Training Observation

Interview
hazards and risks Certificate of Achievement
 Employment Certificate
Transcript of Record
Report Card

L.O.4. Maintain Certificate of Training

Certificate of Achievement Observation
OHS awareness
Interviews/ questioning
Employment Certificate
Transcript of Record
Report Card

Evidences/Proof of Current Competencies (Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
COMMON COMPETENCIES
1. Apply Safety Measures In Farm Operations
L.O.1 Determine Certificate of Training Oral/Written Interviews
areas of concern
Certificate of Achievement Direct Observation
for safety Practical Demonstration
measures Employment Certificate
Transcript of Record
Report Card
L.O.2 Apply Certificate of Training Oral/Written Interviews
appropriate
Certificate of Achievement Direct Observation
safety measures Practical Demonstration
Employment Certificate
Transcript of Record
Report Card

L.O.3.Safe Certificate of Training Oral/Written Interviews

keep/dispose tools, Direct Observation
Certificate of Achievement
materials and outfit Practical Demonstration
Employment Certificate
Transcript of Record
 Report Card
2. Use Farm Tools And Equipment
L.O.1 Select and Certificate of Training Demonstration
use farm tools
Certificate of Achievement Observation
Interviews/ questioning
Employment Certificate
Transcript of Record
Report Card
L.O.2 Select and Certificate of Training Oral/Written Interviews
operate farm
Certificate of Achievement Direct Observation
equipment Practical Demonstration
Employment Certificate
Transcript of Record
Report Card
L.O.3.Perform Certificate of Training Oral/Written Interviews
preventive
Certificate of Direct Observation
maintenance
Achievement Practical Demonstration

Employment Certificate
Transcript of Record
Report Card
3. Perform Estimation And Basic Calculation
L.O.1 Perform Certificate of Training Oral/Written examination
estimation
Certificate of Practical exercise
Achievement
Employment Certificate
Transcript of Record
Report Card
L.O.2.Perform Certificate of Training Oral/Written examination
basic workplace
Certificate of Practical exercise
calculation
Achievement
Employment Certificate
Transcript of Record
Report Card
4. Process Farm Wastes
L.O.1. Collect Certificate of Training Oral/Written Interviews
farm wastes Certificate of Achievement Direct Observation
Practical Demonstration
Employment Certificate
Transcript of Record
Report Card
L.O.2. Identify Certificate of Training Oral/Written Interviews
 and segregate Certificate of Achievement Direct Observation
wastes Practical Demonstration
Employment Certificate
Transcript of Record
Report Card
L.O.3 Treat and Certificate of Training Oral/Written Interviews
process farm wastes
Certificate of Achievement Direct Observation
Practical Demonstration
Employment Certificate
Transcript of Record
Report Card

L.O.4.Maintain OHS Certificate of Training Oral/Written Interviews

Certificate of Achievement Direct Observation
awareness
Practical Demonstration
Employment Certificate
Transcript of Record
Report Card

Identifying Training Gaps

Form 1.3 Summary of Current Competencies Versus Required

Competencies (Sample)

BASIC COMPETENCIES
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
CAN I?
1. Participate in workplace communication
L.O.1 Obtain and Obtain and convey
convey workplace workplace
information information
L.O.2.Participate in Participate in
workplace meetings and workplace
discussions meetings and
discussions
L.O.3. Complete relevant Complete relevant
work related documents work related
documents
2. Work in environment
 L.O.1. Describe team role Describe team role
and scope and scope
L.O.2. Identify own role Identify own role and
and responsibility within responsibility within
team team
L.O.3. Work as a team Work as a team
member member
3. Practice Career Professionalism
L.O.1. Integrate personal Integrate personal
objectives with objectives with
organizational goals organizational goals
L.O.2. Set and meet work Set and meet work
priorities priorities
L.O.3. Maintain professional Maintain professional
growth and development growth and
development
4. Practice Occupational Health And Safety Procedures
L.O.1. Identify hazards and Identify hazards and
risks risks
L.O.2. Evaluate hazards Evaluate hazards
and risks and risks
L.O.3. Control hazards and Control hazards and
risks risks
L.O.4. Maintain OHS Maintain OHS
awareness awareness

Identifying Training Gaps

Form 1.3 Summary of Current Competencies Versus Required

Competencies (Sample)

COMMON COMPETENCIES
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
CAN I?
1. Apply Safety Measures In Farm Operations
L.O.1 Determine areas Determine areas of
of concern for safety concern for safety
measures measures
 L.O.2 Apply appropriate Apply appropriate
safety measures safety measures
L.O.3.Safe keep/dispose Safe keep/dispose
tools, materials and outfit tools, materials and
outfit
2. Use Farm Tools And Equipment
L.O.1 Select and use Select and use farm
farm tools tools
L.O.2 Select and operate Select and operate
farm equipment farm equipment
L.O.3.Perform Perform preventive
preventive maintenance maintenance
3. Perform Estimation And Basic Calculation
L.O.1 Perform estimation Perform estimation
L.O.2.Perform basic Perform basic
workplace calculation workplace calculation
4. Process Farm Wastes
L.O.1. Collect farm Collect farm wastes
wastes
L.O.2. Identify and Identify and
segregate wastes segregate wastes
L.O.3 Treat and process Treat and process
farm wastes farm wastes
L.O.3. Control hazards and Control hazards and
risks risks
L.O.4. Maintain OHS Maintain OHS
awareness awareness
 Identifying Training Gaps

Form 1.3 Summary of Current Competencies Versus Required

Competencies (Sample)

CORE COMPETENCIES
Required Units of Current Training
Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
CAN I?
1. Raise Poultry
L.O.1 Select and procure Select and procure
stock stock
L.O.2 Maintain optional Maintain optional
environment for poultry environment for poultry
L.O.3 Observe and Observe and assess
assess chick health chick health
L.O.4 Select brood /layer Select brood /layer
stock stock
L.O.5 Perform pre and Perform pre and post
post laying activities laying activities
L.O.6 Perform preventive Perform
and therapeutic preventive and
measures therapeutic
measures
2. Raise Small Ruminants
L.O.1 Select and manage Select and
breeder goats and sheep manage breeder
goats and sheep
L.O.2 Manage does/ewes Manage
and their progenies does/ewes and
their progenies
L.O.3 Provide feed and Provide feed and
implement feeding implement
practices feeding practices
L.O.4 Implement herd Implement herd
health program health program
L.O.5 Maintain and Maintain and
analyze records analyze records
3. Raise Swine
L.O.1 Select and train Select and train
boars
 boars
L.O.2 Breed sows and gilts Breed sows and gilts
L.O.3 Perform farrowing Perform farrowing
activities activities

L.O.4 Care and raise Care and raise

piglets to market age piglets to market age

L.O.5 Maintain herd Maintain herd health

health program program

L.O.6 Record Data Record Data

4. Raise Large Ruminants (Beef, Dairy and Buffaloes)

L.O.1 Select and manage Select and manage
breeder cattle and breeder cattle and
buffaloes buffaloes
L.O.2 Provide feeds and Provide feeds and
implement feeding implement feeding
practices practices
L.O.3 Manage the general Manage the general
herd herd
L.O.4 Provide life support Provide life support
facilities
L.O.5 Implement herd Implement herd
health program health program
L.O.6 Maintain and Maintain and
analyze records analyze records
 Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.

Form No. 1.4: Training Needs (Sample)

Training Needs Module Title/Module Duration

of Instruction
(Learning Outcomes)
L.O.1 Select and procure
stock
L.O.2 Maintain optional
environment for poultry
L.O.3 Observe and assess
chick health Raising Poultry 80 Hours
L.O.4 Select brood /layer stock

L.O.5 Perform pre and post

laying activities
L.O.6 Perform preventive and
therapeutic measures
 TRAINING PLAN

Qualification: ANIMAL PRODUCTION NC II

Facilities/ Date
Trainees Training Training Mode of Assessment
Staff Tools and Venue and
Requirements Activity/Task Training Method
Equipment Time
1. Raise L.O.1 Select and Ballpen Institutional Oral Novemb
Poultry procure stock Assessment interview er 3-7,
Computer
Area 2017
L.O.2 Maintain
optional Practical Observation
environment for Work Area 8:30 am
poultry 5:00
L.O.3 Observe and pm
assess chick health
L.O.4 Select brood
/layer stock
L.O.5 Perform pre
and post laying
activities
L.O.6 Perform
preventive and
therapeutic
measures
2. Raise Small L.O.1 Select and Institutional Oral Novemb
Ruminants manage breeder Assessment interview er 3-7,
goats and sheep Area 2017
L.O.2 Manage Institutional Observation
does/ewes and Assessment 8:30 am
their progenies Area 5:00
L.O.3 Provide feed Practical pm
and implement Work Area
feeding practices
L.O.4 Implement
herd health
program
L.O.5 Maintain and
analyze records

3. Raise Swine L.O.1 Select and Institutional Oral Novemb

train boars Assessment interview er 3-7,
Area 2017
L.O.2 Breed sows
and gilts Observation
L.O.3 Perform 8:30 am
farrowing activities 5:00
pm
L.O.4 Care and
raise piglets to
market age
L.O.5 Maintain
herd health
 program
L.O.6 Record Data
4. Raise Large L.O.1 Select and Institutional Oral Novemb
Ruminants manage breeder Assessment interview er 3-7,
(Beef, Dairy cattle and buffaloes Area 2017
and L.O.2 Provide feeds
Buffaloes) Observation
and implement 8:30 am
feeding practices 5:00
L.O.3 Manage the pm
general herd
L.O.4 Provide life
support facilities
L.O.5 Implement
herd health
program
L.O.6 Maintain and
analyze records
 TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY
Camarines Norte College of Arts and Business
Bagong Silang 1, Labo Camarines Norte

TRAINEES RECORD BOOK

I.D.

Trainees No.1122

NAME: JENNY ROSE ELLAGA ABIAR

QUALIFICATION: ANIMAL PRODUCTION NC II

TRAINING DURATION: 340 HOURS

TRAINER: JOY ATIENZA VISITACION

Instructions:
This Trainees Record Book (TRB) is intended to serve as record of all
accomplishment/task/activities while undergoing training in the industry. It
will eventually become evidence that can be submitted for portfolio
assessment and for whatever purpose it will serve you. It is therefore
important that all its contents are viably entered by both the trainees and
instructor.
The Trainees Record Book contains all the required competencies in
your chosen qualification. All you have to do is to fill in the column Task
required and Date Accomplished with all the activities in accordance with
the training program and to be taken up in the school and with the guidance
of the instructor. The instructor will likewise indicate his/her remarks on
the Instructors Remarks column regarding the outcome of the task
accomplished by the trainees. Be sure that the trainee will personally
accomplish the task and confirmed by the instructor.
It is of great importance that the content should be written legibly on
ink. Avoid any corrections or erasures and maintain the cleanliness of this
record.
This will be collected by your trainer and submit the same to the
Vocational Instruction Supervisor (VIS) and shall form part of the permanent
trainees document on file.

THANK YOU.
NOTES:

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Unit of Competency: 1 PREPARE PIPES FOR INSTALLATION

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
Lay out
measurements
Cut pipe
within the
required
length and
according to
job
requirements
Thread pipes
in accordance
with standard
thread
engagement

__________________ ___________________
Trainees Signature Trainers Signature

Unit of Competency: 2 PERFORM MINOR CONSTRUCTION WORKS

NC Level I
Learning Task/Activity Date Instr
Outcome Required Accomplished ucto
rs
Rem
arks
Perform
piping lay
outs
Cut pipes
through
walls and
floors

____________________ ______________________
Trainees Signature Trainers Signature
Unit of Competency: 3 MAKE PIPING JOINTS AND CONECTIONS

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
Fit-up joints
and fittings
for PVC pipe
Perform
threaded pipe
joints and
connections
Caulk
joints\
_____________________ ______________________
Trainees Signature Trainers Signature

Unit of Competency: 4 PERFORM SINGLE UNIT PLUMBING

INSTALLATION AND ASSEMBLES

NC Level I
Learning Task/Activity Date Instructor
Outcome Required Accomplishe s Remarks
d
Prepare for
plumbing works
Install pipe and
fittings
Install hot and
cold water supply
Install/assemble
plumbing fixtures

_____________________ ____________________
Trainees Signature Trainers Signature
Unit of Competency: 4 PERFORM SINGLE UNIT PLUMBING
INSTALLATION AND ASSEMBLES

NC Level I
Learning Task/Activity Date Instructor
Outcome Required Accomplishe s Remarks
d
Prepare for
plumbing works
Install pipe and
fittings
Install hot and
cold water supply
Install/assemble
plumbing fixtures

_____________________ ____________________
Trainees Signature Trainers Signature

Unit of Competency: 5 PERFORM PLUMBING REPAIR AND

MAINTENANCE WORKS

NC Level I

Learning Task/Activity Date Instructors

Outcome Required Accomplished Remarks
Clear
clogged
pipes
clear
clogged
fixtures

______________________ ____________________
Trainees Signature Trainers Signature
 TRAINEES PROGRESS SHEET

Name : JUAN DELA CRUZ Trainer :

Nominal
: Machining NC I :
Qualification Duration
Training Training Date Date Trainees Supervisors
Units of Competency Rating
Activity Duration Started Finished Initial Initial

Total
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for
the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings
 Average Ratings

PREPARATION Average
1. Workshop layout conforms
with the components of a
CBT workshop
2. Number of CBLM is
sufficient
3. Objectives of every training
session is well explained
4. Expected activities/outputs
are clarified
General Average