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SELF-ASSESSMENT CHECKLIST
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
CAN I…? YES NO
1. Prepare materials and tools
1.1 Obtain and convey workplace information? /
1.2 Complete relevant work related documents? /
1.3 Participate in workplace meeting and discussion? /
2. Work in a team environment
2.1 Describe and identify team role and responsibility in a /
team?
2.2 Describe work as a team member?
3. Practice career professionalism
3.1 Integrate personal objectives with organizational goals? /
3.2 Set and meet work priorities? /
3.3 Maintain professional growth and development? /
4. Practice occupational health and safety
4.1 Identify hazards and risks?
4.2 Evaluate hazard and risks? /
4.3 Control hazards and risks? /
4.4 Maintain occupational health and safety awareness? /
COMMON COMPETENCIES
CAN I…? YES NO
1. Prepare materials and tools
1.1 Identify materials and tools applicable to a specific job? /
1.2 Request appropriate materials and tools? /
1.3 Receive and inspect materials?
CORE COMPETENCIES
CAN I…? YES NO
1. Prepare Electrical Power And Hydraulic Tools
1.1 Select electrical power and hydraulic tools? /
1.2 Maintain electrical power and hydraulic tools? /
2. Perform Roughing-in Activities for Communication and Distribution
Systems
2.1 Install electrical metallic conduit? /
2.2 Install wire ways and cable tray? /
2.3 Install telephone terminal cabinet and distribution /
frame?
2.4 Install cable bridge? /
3. Install Wiring Devices for Floor and Ground Fault Current Interrupting
Outlets
1.1 Select wiring devices? /
1.2 Install wiring devices? /
Required Units of
Training
Current Competencies Competency/Learning
Gaps/Requirements
Outcomes
BASIC COMPETENCIES
Prepare materials and tools
Obtain and convey Obtain and convey
workplace information workplace information
Complete relevant work Complete relevant work
related documents related documents
Participate in workplace Participate in workplace
meeting and discussion meeting and discussion
Work in a team environment
Describe and identify team Describe and identify team
role and responsibility in a role and responsibility in a
team team
Describe work as a team Describe work as a team
member member
Practice occupational health and safety
Identify hazards and risks Identify hazards and risks
Evaluate hazard and risks Evaluate hazard and risks
Control hazards and risks Control hazards and risks
Maintain occupational Maintain occupational
health and safety health and safety
awareness awareness
COMMON COMPETENCIES
Prepare materials and tools
Identify materials and tools Identify materials and
applicable to a specific job tools applicable to a
specific job
Request appropriate Request appropriate
materials and tools materials and tools
Receive and inspect Receive and inspect
materials materials
Module Title/Module of
Gaps Duration (hours)
Instruction
Plan and prepare Planning and preparing work 30 hrs.
work
Install lighting Installing lighting fixtures 30 hrs.
fixtures