CI Request Form

SECTION 1 – CI Lodgement Details

Date: CI No. :

Name:
SECTION 2 – CI Details
This request is an:

Amendment Deletion Addition

This CI submission relates to a:

Procedure System
Course materials
Policy Trainers / Assessors
Legislation
Form Facility / Equipment
Other :

This CI opportunity was identified through:

Complaint / Appeal Client Feedback / suggestion Staff suggestion
Training / Assessment Outcome Audit processes and outcomes Legislative / Compliance change
Validation Safety & Health Process breakdown
Other:

Please outline the issue / cause which identified the CI opportunity:

SECTION 3 – Recommendations

If amends are required to training and assessment material, please specify amendment/s required and version/page #

THESE CHECKS REFER TO TRAINING & ASSESSMENT RESOURCES:

Learning guide/assessments checked for the following (Check applicable boxes)
Outdated references Up-to-date useful resources Regulations are up to date
Links operating or outdated Relevant appendices Spelling/grammar errors
Amends required to: Learning Guide Assessment/Marking Guide Mapping documents

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Next review 18-04-2017 Rev 1.2 (18-04-2016) Approved by RTOADM
CI Request Form

Signature : Date: / /

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Next review 18-04-2017 Rev 1.2 (18-04-2016) Approved by RTOADM
SECTION 4 – Management Approval
Approval is granted for the following recommendations:
Comments:
All
As selected

Who: Required by: / /

RTO Manager
Date: / /
Signature :
SECTION 5 – Actions Implemented
Agreed actions completed and effected:
All
As selected
Outcome communicated to person who lodged CI / Staff (where relevant)
Comments:

Signature : Date: / /

NovaCore CMS\SRTO 2015\FormContinuous Improvement (CI) Request Form 3 of 3

Next review 18-04-2017 Rev 1.2 (18-04-2016) Approved by RTOADM