Form 1.

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?

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |1
Chariss Joy C. Revision No.00
Lacaya
 Form 1.1

2. Observe procedures, specifications and manuals of

instruction
2.1 Identify, access, and interpret specification/manuals? /
2.2 Apply information in manual?
2.3 Store manuals? /
3. Interpret technical drawing
3.1 Analyze signs, symbols and data? /
3.2 Interpret technical drawing and plans? /
4. Perform mensurations and calculation
4.1 Select measuring instruments? /
4.2 Carry out measurements and calculations? /
5. Maintain tools and equipment
5.1 Check condition of tools and equipment? /
5.2 Perform basic preventive maintenance? /
5.3 Store tools and equipment? /

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? /

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |2
Chariss Joy C. Revision No.00
Lacaya
 Form 1.1

4. Install Electrical Protection System for Lighting and Grounding

4.1 Plan and prepare work? /
4.2 Install electrical protection system? /
5. Install Electrical Lighting System on Auxiliary Outlets and Lighting
Fixtures
5.1 Plan and prepare work? /
5.2 Install lighting fixtures? /

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |3
Chariss Joy C. Revision No.00
Lacaya
 Form 1.2

DETERMINING AND VALIDATING TRAINEES CURRENT

COMPETENCT/IES

Identify Current Competencies acquired related to Job/Occupation and Indicate

Proof of Evidence

Current Competencies Proof/Evidence

Select electrical power and hydraulic - Picture of Actual Workshop

tool

Maintain electrical power and - Picture of Actual Workshop

hydraulic tools - Employment Certificate

Install electrical metallic conduit - Picture of Actual Workshop

- Certificate of Training

Install wire ways and cable tray - Picture of Actual Workshop

- Certificate of Training

Install telephone terminal cabinet and - Picture of Actual Workshop

distribution frame - Certificate of Training
- Employment Certificate

Install cable bridge - Picture of Actual Workshop

- Certificate of Training

Select wiring devices - Picture of Actual Workshop

- Certificate of Training

Install wiring devices - Picture of Actual Workshop

- Certificate of Training

Plan and prepare work - Picture of Actual Workshop

Install electrical protection system - Picture of Actual Workshop

- Certificate of Training
- Employment Certificate

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |4
Chariss Joy C. Revision No.00
Lacaya

COMPARING AND CROSS MATCHING COMPETENCIES
Current Competencies
BASIC COMPETENCIES
Prepare materials and tools
Obtain and convey
workplace information
Complete relevant work
related documents
Participate in workplace
meeting and discussion
Work in a team environment
Describe and identify team
role and responsibility in a
team
Describe work as a team
member
Practice occupational health and safety
Identify hazards and risks
Evaluate hazard and risks
Control hazards and risks
Maintain occupational
health and safety
awareness
COMMON COMPETENCIES
Prepare materials and tools
Identify materials and tools
applicable to a specific job
Request appropriate
materials and tools
Receive and inspect
materials
Supervise Work Based
Learning
Form 1.3
Required Units of
Training
Competency/Learning
Gaps/Requirements
Outcomes
Obtain and convey
workplace information
Complete relevant work
related documents
Participate in workplace
meeting and discussion
Describe and identify team
role and responsibility in a
team
Describe work as a team
member
Identify hazards and risks
Evaluate hazard and risks
Control hazards and risks
Maintain occupational
health and safety
awareness
Identify materials and
tools applicable to a
specific job
Request appropriate
materials and tools
Receive and inspect
materials
Date Developed: Document No. ONSTS-EIM-01
September 26, 2018 Issued by:
Developed by: ONSTS Page |5
Chariss Joy C. Revision No.00
Lacaya
 Form 1.3

Observe procedures, specifications and manuals of instruction

Identify, access, and Identify, access, and
interpret interpret
specification/manuals specification/manuals

Apply information in Apply information in

manual
Store manuals
Interpret technical drawing
Analyze signs, symbols and
data
Interpret technical drawing
and plans
Perform mensurations and calculation
Select measuring
instruments
Carry out measurements
and calculations
Maintain tools and equipment
Check condition of tools
and equipment
Perform basic preventive
maintenance
Store tools and equipment
CORE COMPETENCIES
Prepare Electrical Power and Hydraulic Tools
Select electrical power and
hydraulic tools
Maintain electrical power
and hydraulic tools
Perform Roughing-in Activities for Communication and Distribution
Systems
Install electrical metallic
conduit
Install wire ways and cable
tray
manual
Store manuals
Analyze signs, symbols
and data
Interpret technical drawing
and plans
Select measuring
instruments
Carry out measurements
and calculations
Check condition of tools
and equipment
Perform basic preventive
maintenance
Store tools and equipment
Select electrical power and
hydraulic tools
Maintain electrical power
and hydraulic tools
Install electrical metallic
conduit
Install wire ways and cable
tray

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |6
Chariss Joy C. Revision No.00
Lacaya
 Form 1.3

Install telephone terminal Install telephone terminal

cabinet and distribution cabinet and distribution
frame frame
Install cable bridge Install cable bridge
Install Wiring Devices for Floor and Ground Fault Current Interrupting
Outlets
Select wiring devices Select wiring devices
Install wiring devices Install wiring devices
Install Electrical Protection System for Lighting and Grounding
Plan and prepare work Plan and prepare work
Install electrical protection Install electrical protection
system system
Install Electrical Lighting System on Auxiliary Outlets and Lighting
Fixtures
Plan and prepare work Plan and prepare
work
Install lighting fixtures Install lighting
fixtures

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |7
Chariss Joy C. Revision No.00
Lacaya
 Form 1.4

TRAINEES TRAINING REQUIREMENT

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

Date Developed: Document No. ONSTS-EIM-01

September 26, 2018 Issued by:
Supervise Work Based
Learning Developed by: ONSTS Page |8
Chariss Joy C. Revision No.00
Lacaya