ASSESSMENT SUMMARY / COVERSHEETThis form is to be completed by the assessor and used a final record of student competency.All student submissions including any associated checklists (outlined below) are to be attached to this cover sheet beforeplacing on the students file.Student results are not to be entered onto the Student Database unless all relevant paperwork is completed and attached tothis form. Student Name:Student ID No:Final Completion Date: Course Title:Unit Code:BSBOHS504BUnit Title:Apply Principles of OHS Risk Management Please attach the following documentation to this form:ResultS = SatisfactoryNS = Not SatisfactoryAssessment 1S | NSAssessment 2S | NSAssessment 3S | NSAssessment 4S | NSAssessment 5S | NSAssessment 6S | NSFinal Assessment Result for this unitC / NYC Student Feedback: Student Declaration: I declare that the worksubmitted is my own and has not been copied or plagiarisedfrom any person or source. Name: ________________________Signature: ________________________Date: ____/_____/_____ Student Declaration: I declare that I have beenassessed in this unit, and I have been advised of myresult. I also am aware of my appeal rights.Name: ________________________________Signature: ____________________________Date: ____/_____/_____Entered into Student Management DatabaseAssessor Declaration: I declare that I have conducteda fair, valid, reliable and flexible assessment with thisstudent, and I have provided appropriate feedbackDate: Initials:Name: ____Sunaina R_________________________Signature: ___________________________Date: ____/_____/_____ Administrative use onlyASSESSOR USE ONLY Assessor: I declare that I have conducted a fair, valid, reliableand flexible assessment with this student, and I have providedappropriate feedback Name: ________________________Signature: ________________________Date: ____/_____/_____ In the written assessment, did the student:Satisfactory:Comments:Did the student answer all questions correctly?(Please note which questions were answeredincorrectly, if applicable). Yes NoIf ‘no’ to the above, did you identify gaps in thestudent’s understanding and knowledge? Yes NoIf ‘yes’ to the above, what arrangements havebeen made for reassessment? Yes NoPlease add any further comments about this assessment on the Assessment Cover Sheet.
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