Professional Documents
Culture Documents
Student Name:
Student Number:
Date of Submission:
Name (Print)
_________________________________
Signature
_________________________________
Date
_________________________________
Name (Print)
_________________________________
Signature
_________________________________
Date
_________________________________
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.
INTERNATIONAL GENERAL
CERTIFICATE
Name of assessor
Course provider
number
Course provider
name
Student number
Student name
Maximum
marks
available
Criteria
1
1.1
15
1.2
15
2.1
2.2
Executive summary
3.1
3.2
3.3
4.1
15
4.2
15
TOTAL MARKS
15
5
10
100
Assessors
marks awarded
NEBOSH
moderated
marks
(if different)
Outcome: PASS
(60% or more)
REFER
INTERNATIONAL GENERAL
CERTIFICATE
Candidates observation
sheet
of _____
Observations
Hazards and consequences
Control measures
Immediate and longer term actions
Timescale
INTERNATIONAL GENERAL
CERTIFICATE
Candidate report template
Date of review
INTERNATIONAL GENERAL
CERTIFICATE
Candidate report template
Executive Summary
Date of review
INTERNATIONAL GENERAL
CERTIFICATE
Candidate report template
Date of review
INTERNATIONAL GENERAL
CERTIFICATE
Candidate report template
Conclusions
Date of review
INTERNATIONAL GENERAL
CERTIFICATE
Candidate report template
Date of review
Recommendations:
Recommendation
Priority
Target date