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.
Unit GC3- Health and Safety Practical Application
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Date of practical application
Assessors marking sheet
Name of assessor
Course provider
number
Course provider
name
Student number
Student name
Criteria
Maximum
marks
available
Completion of observation sheets
1.
1
Range and number of hazards/good practice
15
1.
2
Identification of suitable control measures and
timescales
15
Report - Introduction and Executive Summary
2.
1
Introduction providing an overview of the chosen
area
2.
2
Executive summary
Report - Main findings of the inspection
3.
1
Quality of interpretation of findings and clear
references to strengths and weaknesses
15
3.
2
Identification of possible breaches of international
standards
3.
3
Persuasiveness / conciseness / technical content
10
Report - Conclusions and Recommendations
4.
1
Clear and concise conclusions which are clearly
related to report findings and are effective in
convincing management to take action
15
4.
2
Recommendations which present realistic actions to
improve health and safety in the chosen area
15
Unit GC3- Health and Safety Practical Application
Assessors
marks awarded
NEBOSH
moderated
marks
(if different)
TOTAL MARKS
Outcome: PASS
(60% or more)
100
REFER
(less than 60%)
Date assessed ____ / ____ / ____
Assessors signature ______________________
Date received by course provider ____ / ____ / ____
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
Unit GC3- Health and Safety Practical Application
NEBOSH Moderators comments:
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Candidates observation
sheet
Sheet number
Student name: Cristian Galbeaza
_Student number ______________________
Place inspected: MC Construction (Cleveland) Ltd workshop
Observations
Hazards and Consequences
Unit GC3- Health and Safety Practical Application
of _____
Date of inspection _________________
Control measures
List Immediate, and longer-term actions
required
Timescale
(immediate,1 week,
Etc)
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Candidates observation
sheet
Sheet number
Unit GC3- Health and Safety Practical Application
of _____
Student name: Cristian Galbeaza
_Student number ______________________
Place inspected: MC Construction (Cleveland) Ltd workshop
Observations
Hazards and Consequences
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Unit GC3- Health and Safety Practical Application
Date of inspection
Control measures
List Immediate, and longer-term actions
required
_________________
Timescale
(immediate, 1 week,
Etc)
Candidates observation
sheet
Sheet number
Student name: Cristian Galbeaza
_Student number ______________________
Place inspected: MC Construction (Cleveland) Ltd workshop
Observations
Hazards and Consequences
Unit GC3- Health and Safety Practical Application
of _____
Date of inspection
Control measures
List Immediate, and longer-term actions
required
_________________
Timescale
(immediate, 1 week,
Etc)
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Candidates observation
sheet
Sheet number
Student name: Cristian Galbeaza
_Student number ______________________
Place inspected: MC Construction (Cleveland) Ltd workshop
Observations
Hazards and Consequences
Unit GC3- Health and Safety Practical Application
of _____
Date of inspection
Control measures
List Immediate, and longer-term actions
required
_________________
Timescale
(immediate, 1 week,
Etc)
GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICATION
Candidates observation
sheet
Sheet number
Student name: Cristian Galbeaza
Unit GC3- Health and Safety Practical Application
of _____
_Student number ______________________
Place inspected: MC Construction (Cleveland) Ltd workshop
Observations
Hazards and Consequences
UNIT GC3 THE HEALTH AND
SAFETY PRACTICAL APPLICAITON
Unit GC3- Health and Safety Practical Application
Date of inspection
Control measures
List Immediate, and longer-term actions
required
_________________
Timescale
(immediate, 1 week,
Etc)
Candidate report template
Student number ____________________________
Location MC Construction (Cleveland) Ltd workshop _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
Unit GC3- Health and Safety Practical Application
Priority
Target date
