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Funded Qualifications
yes
IQA Form – Plant Operations
IQA Form – Plant Operations
Type of IQA
Formative
Summative
Date of IQA
Candidate First Name
Candidate Last Name
Start Date
End Date
Candidate 2 First Name
Candidate 2 Last Name
Candidate 2 – Start Date
End Date
Candidate 3 First Name
Candidate 3 Last Name
Candidate 3 – Start Date
End Date
Assessor First Name
Assessor Last Name
IQA First Name
IQA Last Name
Qualification Details
Qualification
Type of plant
– Select –
Telehandler
Counterbalance Forklift
Agricultural Tractor
Compact Crane
Crusher
Dozer
Excavator 180°
Excavator 360°
Forward Tipping Dumper
Forward Tipping Mini Dumper
Loader/Compressor
Loading Shovel
Lorry Loader
M.E.W.P. Boom
M.E.W.P. Scissor Lift
Mobile Crane
Multi Lift & Drop Vehicle
Overhead Crane
Plant Loader & Securer
Reach Truck
Rear Dump Truck
Road Roller
Screener
Skidsteer Loader
Skip Lorries
Soil Stabilizer
Movement
Towed
Self Propelled
Wheeled/Tracked
Wheeled
Tracked
Size – 180°
Below 5 tonne
Above 5 tonne
Size
Below 10 tonne
Above 10 tonne
Attachments and/or additional plant types
Mandatory Units
HL7R 04 – Conform to General Workplace Health, Safety and Welfare HL7T 04 – Conform to Productive Work Practices
Optional 1
Optional 2
Optional 3
Optional 4
Optional 5
Optional 6
Optional 7
Optional 8
Paperwork Checklist
Please select all paperwork checked by this IQA
Registration
Candidate Careers and Qualifications
General Health and Safety Quiz
Productive Workplace Practices Quiz
Plant Operative Quiz
Evidence
Observation Report
Professional Discussion Recording
Witness Statement
Candidate Feedback
Additional Paperwork (Funded Qualifications ONLY)
Registration Form Checks
Yes
No
Does the candidate picture match with the supplied ID?
Is the form Signed?
Does the signature on the ID closely match the signature on the form?
Was English ability confirmed by the assessor/inductor?
Can you confirm No reasonable adjustment requirements were identified?
Candidate Careers and Qualifications
Yes
No
Was the form signed?
General Health and Safety Quiz
Yes
No
Full Marks Achieved?
Productive Workplace Practices Quiz
Yes
No
Full Marks Achieved?
Plant Operations Quiz
Yes
No
Full Marks Achieved?
Evidence – is all the below evidence present and VASCR?
Yes
No
Trained Operator Card
Risk Assessment
Method Statement
Pre-start Checks
COSHH Assessments
Daily Briefing
Observation Report
Yes
No
Is the candidate and course clearly identified?
Has the location of the observation been identified?
Did the assessor cover all the required areas?
Is Picture evidence included?
Are descriptions with the pictures?
Has the Assessor signed the report?
Professional Discussion Recording
Yes
No
Was the assessor clearly identified at the start of the recording?
Was the candidate clearly identified at the start of the recording?
Was the qualification clearly identified?
Was the date clearly identified?
Witness Testimony
Yes
No
Has the witness completed their details?
Has the witness signed the statement?
Candidate Feedback
Yes
No
Is the feedback positive?
Additional paperwork (Funded qualifications ONLY) – Are the following forms present, accurate and fully completed with signatures where applicable)
Yes
No
Eligibility Stage 1 Check
SVQ Funded registration form
Employers Form
Eligibility Stage 2 Check
Equal Opportunities signature page
Training Agreement
Meta Skills Profiling
Progress Meetings
Overall Feedback
Actions
Development Points
Are certification claims valid?
Yes
No
IQA Signature
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