SUPERVISOR REPORT
Student’s name: Domingo Jr Branguelo Date of report: January 25,2021
Supervisor name: Mohammad Neamoth-Ullah
Service name: Contact number/s: )424338211
When have you worked in a supervisory capacity to the student (insert dates from and to)?
Do you understand the expectations and requirements of your role based on the above information? YES NO
Please fill in the following report.
Ye Not able to
s No confirm Provide examples or comments on student’s skills
Area/skills to be confirmed () () () and performance in this area
Correctly follows work health and safety processes and
procedures
Adheres to correct housekeeping processes and practices
Maintains WHS documentation following workplace processes
and protocols
Lead College Pty Ltd RTO No: 41489 CRICOS Code: 03636F
Supervisor Report Task 5 – HLTWHS003 Maintain work health and safety Page 1
Ye Not able to
s No confirm Provide examples or comments on student’s skills
Area/skills to be confirmed () () () and performance in this area
Maintains and supports the health and safety of the staff and
the workplace environment
Communicates effectively with staff about work health and
safety issues or concerns
Ability to report health and safety issues or concerns in line
with workplace processes and procedures
Consistently monitors safety procedures in the day-to-day
work activities required by the job role
Lead College Pty Ltd RTO No: 41489 CRICOS Code: 03636F
Supervisor Report Task 5 – HLTWHS003 Maintain work health and safety Page 2
Ye Not able to
s No confirm Provide examples or comments on student’s skills
Area/skills to be confirmed () () () and performance in this area
Please provide any further comments or observations you have made about the student’s performance in relation to the skills required as above.
Supervisor’s signature:
Supervisor’s name:
Date of report:
Lead College Pty Ltd RTO No: 41489 CRICOS Code: 03636F
Supervisor Report Task 5 – HLTWHS003 Maintain work health and safety Page 3