CPCCCM2007B theory

Student signature Date A copy of this page must be supplied to the office and kept in the student’s file with the evidence Name of document: Student final assessment Version 1 Page 3 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Contents Student Assessment Agreement ............................................................................... 1 Assessment Task Cover Sheet .................................................................................... 2 Student Declaration .................................................................................................. 2 Assessor declaration ................................................................................................ 2 Feedback ..................................................................................................................... 2 Student result response ........................................................................................... 2 STUDENT DETAILS ............................................................................................................ 6 Declarations ..................................................................................................................... 7 SUBMISSION EVIDENCE - ASSESSMENT TASK 3 SIMULATED PRACTICAL AND/OR WORKPLACE OBSERVATION .............................................................................................. 9 Appendix 2 Safety checklist ........................................................................................... 11 Appendix 3 Tool List & Condition requirement ............................................................... 15 Appendix 4 Faults report ................................................................................................ 16 Appendix 5 Material List ................................................................................................. 17 Appendix 6 Maintenance Logbook ................................................................................. 18 APPENDIX 7 – ASSESSOR OBSERVATION CHECKLIST ...................................................... 19 ASSESSOR OBSERVATION CHECKLIST – CRITERION 1 ..................................................... 20 ASSESSOR OBSERVATION CHECKLIST – CRITERION 2 ..................................................... 22 ASSESSOR OBSERVATION CHECKLIST – CRITERION 3 ..................................................... 24 ASSESSOR OBSERVATION CHECKLIST – CRITERION 4 ..................................................... 26 ASSESSOR OBSERVATION CHECKLIST – CRITERION 5 ..................................................... 28 ASSESSOR OBSERVATION CHECKLIST – CRITERION 6 ..................................................... 30 RECORD OF ASSESSMENT TASK 3 SIMULATED PRACTICAL AND/OR WORKPLACE OBSERVATION ................................................................................................................ 32 Name of document: Student final assessment Version 1 Page 6 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Name of document: Student final assessment Version 1 Page 9 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission Student declaration Agreement by the student: Please sign below to demonstrate that you understand what is required of you in relation to this assessment. Do you have any special needs or considerations to be made for this assessment? If yes, what are they? ☐Ye s ☐No Do you understand your rights to appeal the decisions made in an assessment? ☐Ye s ☐No I understand I have three attempts to complete each task satisfactorily. If after the third attempt I am deemed ‘Not Yet Competent’, I will be required to do further training before reattempting this unit ☐Ye s ☐No Reasonable adjustment: If you require any adjustments to accommodate a need in order to complete this assessment, please talk to your assessor. Arrangements will be put in place to ensure a fair and flexible approach is undertaken for this assessment. Please note that the range or nature of the adjustment will ensure that the outcomes of the unit are not compromised. ☐Ye s ☐No I agree to comply with all rules, regulations, policies and procedures provided as part of the simulated environment. ☐Ye s ☐No I give permission for the RTO to use my assignment at the workplace for assessment moderation / validation purposes. ☐Ye s ☐No I confirm that I have read and understood my responsibilities and requirements for assessment. Student Signature Dat e ____/____/____

Appendix 2 Safety checklist To complete the checklist, you must:  Identify the job name, location and date  tick YES, NO or NA for each inspection item  complete the corrective action section identifying the item, the corrective action and the date completed  sign as the “inspected by” and date  your assessor must sign as indication of hazards or safety issues being reported PROJECT/WORKORDER LOCATION Date Work description - general Yes No N/ A JSEA/SWMS: inducted into the safe work method statement ☐ ☐ ☐ JSEA: Work has progressed in accordance with the safe work method statement. ☐ ☐ ☐ Signage and barricades: identify and ensure implementation of any signage and barricade requirement ☐ ☐ ☐ Weather conditions: Are monitored for potentially hazardous conditions such as strong winds and / or electrical storms and that a contingency plan can be activated as required ☐ ☐ ☐ Prior to commencement of the task checked plant, tools and equipment for serviceability, and any faults are rectified or reported prior to commencement of build ☐ ☐ ☐ Environmental requirements such as clean up management, waste management, noise and dust and vibration meet the requirements as per the environmental plans in accordance with the statutory and regulatory authority obligations such as federal, state and local authorities administering applicable Acts, regulations and codes of practice. ☐ ☐ ☐ Work description -JSEA – Site planning Each worker must have a: – site induction –white card and appropriate PPE ☐ ☐ ☐ Each worker has been briefed on the procedure and their duties ☐ ☐ ☐ appropriate materials selected such as connectors, metal, nails, reconstituted timber products and piers, screws, timber, flooring materials such as strip, boards and sheets, may be either fitted or ☐ ☐ ☐ Name of document: Student final assessment Version 1 Page 12 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Permit-Required Confined Space Entry Will the scope of your work require you to be working in a confined space where physical or atmospheric hazards (i.e. Flammable or toxic) may be present? ☐ ☐ ☐ Asbestos Will the work require asbestos removal or disturbance? ☐ ☐ ☐ Silica Dust Will work involve jackhammering, roto hammering, drilling, grinding or other disturbance of concrete or use of products that contain crystalline silica that might create silica dust? ☐ ☐ ☐ Will work involve wet slab or wall concrete cutting, drilling, and coring or cutting/sanding drywall or joint compound? ☐ ☐ ☐ Item # Corrective Action Date Comp. Inspected by Date Reported to supervisor name supervisor signature Date Assessor name assessor signature Date Name of document: Student final assessment Version 1 Page 15 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Appendix 5 Material List List the materials you will need to complete the task (you can refer to attachment 9). Referring to the site plan, prepare a materials list. Then calculate the quantity required. Material description Size Quantity Name of document: Student final assessment Version 1 Page 18 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

APPENDIX 7 – ASSESSOR OBSERVATION CHECKLIST To be completed by the assessor whist observing the student perform the task as outlined in this document Student Name Who was present for the observation task? Please list Name Position Note to the assessor Assessors note: You must record in detail under the explain below how the student demonstrated their ability to satisfactorily perform this task when participating in observation activity. Record your observations in detail under the section labelled “Explain How”. You need to ensure that you take detailed notes on the performance of the learner in the explanation section provided Is reasonable adjustment required to complete this task. If yes please explain ☐Yes ☐ No If yes please explain: Name of document: Student final assessment Version 1 Page 21 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Name of document: Student final assessment Version 1 Page 22 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Page 23 of 38 ASSESSOR OBSERVATION CHECKLIST – CRITERION 1 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ Online (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to plan and prepare. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ obtain, confirm, and apply work instructions, including plans, specifications, quality requirements and operational details from relevant information Plan and prepare to complete the following task fix timber to a concrete base to job specifications, including:  completion of stripping and assembly of the tool  completing log of serviceability  maintaining and cleaning  selecting charges and fasteners applicable to base material and material being fixed  misfire procedures  using attachments  complying with storage and security regulations and OHS requirements for the working environment  selecting signage  test fire.  Refer to Attachment 1 – 17 ☐ ☐ ☐ follow safety (WHS) requirements in accordance with safety plans and policies ☐ ☐ ☐ identify and implement signage and barricade requirements ☐ ☐ ☐ select tools and equipment to carry out tasks consistent with job requirements, check for serviceability, and rectify or report any faults prior to commencement ☐ ☐ ☐ calculate material quantity requirements in accordance with plans, specifications and quality requirements ☐ ☐ ☐ identify, obtain, prepare and safely handle and locate ready for use materials appropriate to the work application ☐ ☐ ☐ identify and apply environmental requirements for the project in accordance with environmental plans and statutory and regulatory authority obligations ☐ ☐ ☐ communicate effectively:  determine requirements  enable clear and direct communication, using questioning to identify and confirm requirements, share information, listen and understand  follow instructions  read and interpret documentation from a variety of sources and drawings and specifications  report faults  use language and concepts appropriate to cultural differences  use and interpret non-verbal communication, such as hand signals  ☐ ☐ Observation comments. You (assessor) must detail exactly what was observed including the setting, people involved and how this section was performed and to what level taking into consideration the outcome for each observable item in the checklist. Should the student receive an NS for any of the items then arrangements

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 24 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

Name of document: Student final assessment Version 1 Page 25 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ASSESSOR OBSERVATION CHECKLIST – CRITERION 2 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ On line (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to set out fasteners. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ Identify and set out fasteners to minimum distances from the edges of concrete substrate, in accordance with legislation, regulations and codes of practice. determine the suitability of the substrate, concrete base to accept an EPT charge.  Wear eye protection  Test material by striking a fastener against the material with a hammer  Check the point of the fastener to determine suitability of substrate  Check the point of test impact on the material to determine suitability of substrate  Establish the age of any concrete which is intended as a substrate to fixing to determine suitability  Check behind the base material  Determine if concrete substrate is post or pre-tensioned and obtain engineer specification  Set out fasteners accordingly ☐ ☐ ☐ Temporarily hold/fix material into designed position, according to detailed drawings (Attachment 9) ☐ ☐ ☐ demonstrate the following skills at all times:  Effective communication  teamwork skills to work with others to action tasks and relate to people from a range of cultural and ethnic backgrounds and with varying physical and mental abilities  use a range of mobile technology, such as two-way radio and mobile phones  Use voice and hand signals to access and understand site- specific instructions. ☐ ☐

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 26 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission Observation comments. You (assessor) must detail exactly what was observed including the setting, people involved and how this section was performed and to what level taking into consideration the outcome for each observable item in the checklist. Should the student receive an NS for any of the items then arrangements must be made for reassessment. It should be noted that one or more dates can be utilised. For example, a section of the assessment may require a meeting so therefore that meeting can take place on line and most likely will be on a different day to a role play observation Write your comment here. OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

Page 27 of 38 Name of the RTO: Trinity Institute (Australia) Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ASSESSOR OBSERVATION CHECKLIST – CRITERION 3 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ On line (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to use EPT. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ establish and maintain a safe work area for the protection of others.  Produce a 6 m clear area around the firing position.  Check for service indicator signs for gas pipes or electrical lines  Check with the site engineer, foreman and relevant tradespeople working on the site  Check service diagrams for the construction you are working on.  Check substrate material thickness  Establish ‘no go’ areas behind the material or walls being worked on  Ensure areas below or behind materials are closed to the general public  Install containment shields behind the base materials/wall/floor  Check for evidence of explosive or flammable gases, dusts or vapors  Check for evidence for zone of compressed air  Check it is not a zone of extreme heat  Install signage  Nominate and use a spotter ☐ ☐ ☐ Carry out fixing with an EPT:  Check EPT for operation according to manufacturer specifications and OHS requirements, for use of EPT  Install attachments and accessories, including channel and rebate to EPT in accordance with manufacturer specifications and OHS requirements  Select fastener according to requirements of job  Select charge to assessed requirements for material, base and penetration  Load fastener and charge in EPT, to manufacturer specifications  Wear PPE  Ensure the spotter’s role is carried out to OHS requirements  Correctly ‘cycle’ the EPT  Ensure correct voice warnings are employed  Fire test shot  Determine correct charge strength  Fire the EPT with correct strength charge with strict adherence to OHS requirements  Check fastening penetration and appropriate depth into material  Carry out misfire procedures according to manufacturer recommendations, legislation, regulations and codes of practice ☐ ☐ ☐ Remove temporary holding and fixings without damage to material ☐ ☐ ☐ demonstrate the following skills at all times:  Effective communication  teamwork skills to work with others to action tasks and relate ☐ ☐

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 28 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

Name of document: Student final assessment Version 1 Page 29 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ASSESSOR OBSERVATION CHECKLIST – CRITERION 4 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ Online (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to secure and store equipment and charges. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ Charges are stored in accordance with legislation, regulations and codes of practice ☐ ☐ ☐ Unused fasteners, the EPT and attachments are stored in their correct carry case in accordance with manufacturer recommendations ☐ ☐ ☐ Logbook is checked and written skills are demonstrated to record maintenance (Appendix 6) ☐ ☐ ☐ demonstrate the following skills at all times:  Effective communication  teamwork skills to work with others to action tasks and relate to people from a range of cultural and ethnic backgrounds and with varying physical and mental abilities  use a range of mobile technology, such as two-way radio and mobile phones  Use voice and hand signals to access and understand site- specific instructions. ☐ ☐

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 30 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission Observation comments. You (assessor) must detail exactly what was observed including the setting, people involved and how this section was performed and to what level taking into consideration the outcome for each observable item in the checklist. Should the student receive an NS for any of the items then arrangements must be made for reassessment. It should be noted that one or more dates can be utilised. For example, a section of the assessment may require a meeting so therefore that meeting can take place on line and most likely will be on a different day to a role play observation Write your comment here. OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

Name of document: Student final assessment Version 1 Page 31 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ASSESSOR OBSERVATION CHECKLIST – CRITERION 5 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ Online (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to maintain EPT and kit. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ Conduct maintenance on the EPT and restock the EPT kit clean, check and maintain EPT in accordance with manufacturer recommendations and standard work practices:  Conduct a post-operational check for the tools used  Report faults if identified (appendix 4)  Conduct maintenance on EPT according to manufacturer recommendations  Check safety features of EPT for serviceability in accordance with manufacturer operating manual  Clean EPT and lubricate to manufacturer recommendations  Check for and remove any live or expended cartridges  Correctly stow EPT  Replenish diminished stock of charges and fasteners to designed effectiveness of EPT kit ☐ ☐ ☐ demonstrate the following skills at all times:  Effective communication  teamwork skills to work with others to action tasks and relate to people from a range of cultural and ethnic backgrounds and with varying physical and mental abilities  use a range of mobile technology, such as two-way radio and mobile phones  Use voice and hand signals to access and understand site- specific instructions. ☐ ☐

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 32 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission Observation comments. You (assessor) must detail exactly what was observed including the setting, people involved and how this section was performed and to what level taking into consideration the outcome for each observable item in the checklist. Should the student receive an NS for any of the items then arrangements must be made for reassessment. It should be noted that one or more dates can be utilised. For example, a section of the assessment may require a meeting so therefore that meeting can take place on line and most likely will be on a different day to a role play observation Write your comment here. OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

Name of document: Student final assessment Version 1 Page 33 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ASSESSOR OBSERVATION CHECKLIST – CRITERION 6 Before commencing was this observation conducted: ☐ In the workplace as a workplace observation in real time ☐ Via simulation with access to a real workplace ☐ In a simulated classroom environment ☐ Online (mainly used for meetings) When observing the student perform this task, the student was able to demonstrate their ability to clean up. The student can? Criterion (All criterion must be satisfactory to pass) S N S ☐ Clean, check, maintain and store EPT in accordance with manufacturer recommendations and standard work practices  Conduct a post-operational check for the tools used  Report faults if identified (appendix 4)  Conduct maintenance on EPT according to manufacturer recommendations  Check logbook and demonstrate written skills to record maintenance in logbook provided (Appendix 6)  Store charges in accordance with legislation, regulations, and codes of practice  Check safety features of EPT for serviceability in accordance with manufacturer operating manual  Clean EPT and lubricate to manufacturer recommendations  Check for and remove any live or expended cartridges  Correctly stow EPT  Store unused fasteners, the EPT and attachments in their correct carry case in accordance with manufacturer recommendations  Replenish diminished stock of charges and fasteners to designed effectiveness of EPT kit ☐ ☐ ☐ Clear work area and dispose of, reuse or recycle materials in accordance with legislation, regulations, codes of practice and job specification  Sweep the area and dispose of all casings  Ensure area is safe for other trades, workers and public  Disestablish the ‘no go’ area  Identify and prepare an area for material waste disposal  Provide an effective means to contain windblown rubbish  Correctly identify and provide correct temporary storage for materials to be re-used  Identify any hazardous materials from their SDS and take appropriate measures for disposal or recycling  Clear work area of off cut material  Correctly dispose of, or where possible, mark for recycling ☐ ☐

☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace ☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 34 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission ☐ demonstrate the following skills at all times:  Effective communication  teamwork skills to work with others to action tasks and relate to people from a range of cultural and ethnic backgrounds and with varying physical and mental abilities  use a range of mobile technology, such as two-way radio and mobile phones  Use voice and hand signals to access and understand site- specific instructions. ☐ ☐ Observation comments. You (assessor) must detail exactly what was observed including the setting, people involved and how this section was performed and to what level taking into consideration the outcome for each observable item in the checklist. Should the student receive an NS for any of the items then arrangements must be made for reassessment. It should be noted that one or more dates can be utilised. For example, a section of the assessment may require a meeting so therefore that meeting can take place on line and most likely will be on a different day to a role play observation Write your comment here. OBSERVATI ON DATE/S (AS REQUIRED) – Insert the dates all observatio ns took place for this section … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … . … … . / … … . / … … .

☐Simulated ☐workplace Name of document: Student final assessment Version 1 Page 35 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

RECORD OF ASSESSMENT TASK 3 SIMULATED PRACTICAL AND/OR WORKPLACE OBSERVATION To be completed by the assessor Learner details Assessor details Name Name Unit Code CPCCCM2007B Unit Title Use explosive power tools Record of assessment results (please tick appropriate box). ASSESSORS NOTE: Before making a final judgement on this assessment task, you must determine if the student is able to satisfactorily apply and perform the following criteria. Review the knowledge evidence by clicking on the link https://training.gov.au/Training/Details/CPCCCM2007B . Marking should be in line with the guides to completing the appendixes and/or attachments provided as the performance evidence, performance criterion and foundation skills is underpinned by this assessment task. All assessment tasks or parts for each section must be deemed satisfactory to achieve a satisfactory outcome for this task. If a NS is provided for any section or questions relating to this task then the task outcome should be treated as NS and the reassessment process should be applied. If a NS (not satisfactory) outcome is applied then you must inform the student in detail as to “why” this outcome was provided. Record your reasons in the section labelled “Not satisfactory (NS) outcomes”. See below for recording appropriate information Assessment activity - The learner has completed all the assessments requirements for this unit of competency and has been deemed Final outcome Date of final outcome Task 3 – Simulated practical observation – Part 1: Plan and prepare (Appendix 1, 2, 3, 4, 5, 7) ☐Satisfactory ☐ Not satisfactory Task 3 – Simulated practical observation – Part 2: Establish set out distances for EPT fasteners (Appendix 7) ☐Satisfactory ☐ Not satisfactory Task 3 – Simulated practical observation – Part 3: Use EPT (Appendix 7) ☐Satisfactory ☐ Not satisfactory Task 3 – Simulated practical observation – Part 4: Maintain and store EPT and clean- up site (Appendix 6, 7) ☐Satisfactory ☐ Not satisfactory Name of document: Student final assessment Version 1 Page 36 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Task 3 – Simulated practical observation – Assessor Observation Checklist ☐Satisfactory ☐ Not satisfactory Attempts Attempt 1 …../……/……. Attempt 2 …../……/……. Attempt 3 …../.…../….. Not satisfactory (NS) Outcomes Part number Record in detail the reason for the NS outcome applied Appeals – refer to the complaints and appeals policy and procedure If you receive a Not Satisfactory assessment result you have the right to appeal. You have three assessment attempts. After the third attempt arrangements for payment will be made for reassessment purposes. Refer to your student handbook for more details on the complaints and appeals process. Assessor Feedback to learner: The assessor must write full feedback to the learner that is constructive and not generic Reasonable Adjustment (if applicable) explain why reasonable adjustment has been applied and the tasks it was applied to Assessor Intervention (if applicable) - did you need to assist the student in this assessment. If so please explain: Assessor Assessor Date Name of document: Student final assessment Version 1 Page 37 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission

Name Signature Student declaration - I hereby certify that this assessment is my own work, based on my personal study and/or research. I have acknowledged all material and resources used in the presentation of this assessment whether they are books, articles, reports, internet searched or any other document or personal communication. I also certify that the assessment has not previously been submitted for assessment in any other subject or any other time in the same subject and that I have not copied in part or whole or otherwise plagiarised the work of other learning and/or other persons. I confirm that I understand that I must complete this assessment on my own. I confirm that I will not cheat or plagiarise or copy from another student during the completion of this assessment. Student name Student signature Date Name of document: Student final assessment Version 1 Page 38 of 38 Name of the RTO: Trinity Institute (Australia) RTO No: # 41310 CRICOS: #03556F Document uncontrolled when printed ©Universal Training Solutions All rights reserved. No part of this work may be produced, published, communicated to the public or adapted without permission