FORM 4.

1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give your trainer a data that is
essential in designing a Training Plan for you. Please check the
appropriate box of your answer to each of the questions below.
BASIC COMPETENCIES YES NO
CAN I…?
1. PARTICIPATE IN WORKPLACE COMMUNICATION
 Obtain and convey workplace information? 
 Participate in workplace meetings and discussions? 
 Complete relevant work related documents? 
2. Work in Team Environment
 Describe team role and scope? 
 Identify own role and responsibility within team? 
 Work as a team member? 
3. Practice Career Professionalism
 Integrate personal objectives with organizational goals? 
 Set and meet work priorities? 
 Maintain professional growth and development? 
4. Practice Occupational Health and Safety Procedures
 Identify hazards and risks? 
 Evaluate hazards and risks? 
 Control hazards and risks? 
 Maintain OHS awareness? 
COMMON COMPETENCIES
CAN I…?
1. Apply Appropriate Sealant/Adhesive
 Identify appropriate Sealant/Adhesive? 
 Prepare surface for Sealant/Adhesive? 
 Apply Sealant/Adhesive evenly?
 Store/Dispose of sealant/adhesive? 
2. Move and Position Vehicle
 Prepare vehicle for driving? 
 Move and position vehicle? 
 Check the vehicle? 
3. Perform Mensuration and Calculation
 Select measuring instruments? 
 Carry out measurements and calculation? 
 Maintain measuring instrument? 
4. Read, Interpret and Apply Specifications and
Manuals
 Identify and access manual/specification? 
 Interpret manuals? 
 Apply information in manual? 
 Store manuals? 
5. Use and Apply Lubricant/Coolant
  Identify types of lubricants/coolant? 
 Use and apply lubricants/coolant? 
 Perform housekeeping activities? 
6. Perform Shop Maintenance
 Inspect/clean tools and work area? 
 Store/arrange tools and shop equipment? 
 Dispose waste/used lubricants? 
 Report damage tools/equipment? 

CORE COMPETENCIES
CAN I…?
 Carry Out Minor Vehicle Maintenance and Servicing
 Clean vehicle? 
 Maintain and service the vehicle system? 
 Drive Light Vehicle
 Perform light vehicle pre-starting and warm-up? 
 Drive light vehicle? 
 Monitor and maintain vehicle performance? 
 Obey and Observe Traffic Rules and Regulations
 Observe traffic sign and road marker? 
 Obey traffic rules and regulations? 
 Practice courtesy? 
 Respect traffic enforcers and other traffic management? 
 Implement and Coordinate Accident-Emergency
Procedures
 Respond to emergencies? 
 Arrange follow-up support and assistance? 
Evidences/Proof of Current Competencies

Form 4.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current competencies Proof/Evidence Means of validating

PARTICIPATE IN WORKPLACE COMMUNICATION

Obtain and convey
workplace information
Participate in workplace
meetings and discussions Certificate of Written and oral
Complete relevant work achievement questioning
related documents
Work in Team Environment
Describe team role and
scope
Identify own role and
responsibility within team Certificate of Written and oral
Work as a team member achievement questioning
Practice Career Professionalism
Integrate personal
objectives with
organizational goals
Set and meet work Certificate of Written and oral
priorities achievement questioning
Maintain professional
growth and development
Practice Occupational Health and Safety Procedures
Integrate personal
objectives with
organizational goals
Set and meet work Certificate of Written and oral
priorities achievement questioning
Maintain professional
growth and development
Apply Appropriate Sealant/Adhesive
Identify appropriate
Sealant/Adhesive
Apply Sealant/Adhesive
evenly Certificate of Written and oral
Store/Dispose of achievement questioning
sealant/adhesive
Identify appropriate
Sealant/Adhesive
Move and Position Vehicle
Prepare vehicle for driving
Certificate of Written and oral
Move and position vehicle
Check the vehicle achievement questioning

Perform Mensuration and Calculation

Select measuring
instruments
Certificate of Written and oral
Carry out measurements
achievement questioning
and calculation
Maintain measuring
instrument
Read, Interpret and Apply Specifications and Manuals
Identify and access
manual/specification
Certificate of Written and oral
Interpret manuals
achievement questioning
Apply information in
manual
Store manuals
Use and Apply Lubricant/Coolant
Identify types of
lubricants/coolant
Certificate of Written and oral
Use and apply
achievement questioning
lubricants/coolant
Perform housekeeping
activities
Perform Shop Maintenance
Inspect/clean tools and
work area
Certificate of Written and oral
Store/arrange tools and
achievement questioning
shop equipment
Dispose waste/used
lubricants
Report damage
tools/equipment
Carry Out Minor Vehicle Maintenance and Servicing
Clean vehicle
Certificate of Written and oral
Maintain and service the achievement questioning
vehicle system
Obey and Observe Traffic Rules and Regulations
Observe traffic sign and
road marker
Written and oral
Obey traffic rules and
Certificate of questioning
regulations
achievement
Practice courtesy
Respect traffic enforcers
and other traffic
management
Implement and Coordinate Accident-Emergency Procedures
 Respond to emergencies Certificate of Written and oral
achievement questioning
Arrange follow-up support
and assistance

Note:
In reviewing the documents submitted by the prospective Trainee, the
following should be considered:
1. Authenticity of the document
2. Date acquired
3. Standing of the company/employer who issued the certificate

I. Identifying Training Gaps

Form 4.3 Summary of Current Competencies Versus Required Competencies

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
1. PARTICIPATE IN WORKPLACE COMMUNICATION
Obtain and convey workplace Obtain and convey
information workplace
information?
Participate in workplace Participate in
meetings and discussions workplace meetings
and discussions?
Complete relevant work Complete relevant
related documents work related
documents?
2. Work in Team Environment
Describe team role and Describe team role
scope and scope
Identify own role and Identify own role and
responsibility within team responsibility within
team
Work as a team member Work as a team
member
3. Practice Career Professionalism
Integrate personal Integrate personal
objectives with objectives with
organizational goals organizational goals
Set and meet work priorities Set and meet work
priorities
Maintain professional Maintain professional
growth and development growth and
development
4. Practice Occupational Health and Safety Procedures
Practice Occupational Practice
Health and Safety Occupational Health
Procedures and Safety
Procedures
Set and meet work priorities Set and meet work
priorities
Maintain professional Maintain professional
growth and development growth and
development
5. Apply Appropriate Sealant/Adhesive
Identify appropriate Identify appropriate
Sealant/Adhesive Sealant/Adhesive
Apply Sealant/Adhesive Apply
evenly Sealant/Adhesive
evenly
Store/Dispose of Store/Dispose of
 sealant/adhesive
Identify appropriate
Sealant/Adhesive
6. Move and Position Vehicle
Prepare vehicle for driving
Move and position vehicle
Check the vehicle
7. Perform Mensuration and Calculation
Select measuring
instruments
Carry out measurements
and calculation
Maintain measuring
instrument
8. Read, Interpret and Apply Specifications and Manuals
Identify and access
manual/specification
Interpret manuals
Apply information in
manual
Store manuals
9. Use and Apply Lubricant/Coolant
Identify types of
lubricants/coolant
Use and apply
lubricants/coolant
Perform housekeeping
activities
10 Perform Shop Maintenance
Inspect/clean tools and
work area
Store/arrange tools and
shop equipment
Dispose waste/used
lubricants
sealant/adhesive
Identify appropriate
Sealant/Adhesive
Prepare vehicle for
driving
Move and position
vehicle
Check the vehicle
Select measuring
instruments
Carry out
measurements and
calculation
Maintain measuring
instrument
Identify and access
manual/specification
Interpret manuals
Apply information in
manual
Store manuals
Identify types of
lubricants/coolant
Use and apply
lubricants/coolant
Perform
housekeeping
activities
Inspect/clean tools
and work area
Store/arrange tools
and shop equipment
Dispose waste/used
lubricants
 Report damage Report damage
tools/equipment tools/equipment
11. Carry Out Minor Vehicle Maintenance and Servicing
Clean vehicle Clean vehicle
Maintain and service the Maintain and service
vehicle system the vehicle system
12. Drive Light Vehicle
Perform light vehicle pre- Perform light vehicle
starting and warm-up pre-starting and
warm-up
Drive light vehicle Drive light vehicle
Monitor and maintain vehicle Monitor and maintain
performance vehicle performance
13. Obey and Observe Traffic Rules and Regulations
Observe traffic sign and road Observe traffic sign
marker and road marker
Obey traffic rules and Obey traffic rules and
regulations regulations
Practice courtesy Practice courtesy
Respect traffic enforcers and Respect traffic
other traffic management enforcers and other
traffic management
14. Implement and Coordinate Accident-Emergency Procedures
Respond to emergencies Respond to
emergencies
Arrange follow-up support Arrange follow-up
and assistance support and
assistance
 Form No. 4.4: Training Needs

Training Needs Module Title/Module of

(Learning Outcomes)

Perform light vehicle pre-starting and

warm-up Driving Light Vehicle
Drive light vehicle
Monitor and maintain vehicle
performance