Technical Education and Skills Development Authority

Schoo
l logo
(Name of school)
Templates

__________________________________
NAME:

___________________________________________
QUALIFICATION
 TRAINERS PROFILE
2x2 picture
CURRICULUM VITAE

Address:
Contact #:
Email:

Personal Information
Sex :
Birth date :
Birth Place :
Civil Status:
Nationality:
Religion :

Educational Background

LEVEL SCHOOL YEAR GRADUATE

Graduate Studies :
College :
Secondary :
Elementary :

Professional Licensure Taken:

Work Experience

Inclusive Dates Position & Company

Trainings & Seminars

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page i of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 TRANSCRIPT OF RECORDS

(photocopy)

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page ii of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 Date Developed: Document No.
January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page iii of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 NATIONAL CERTIFICATE II
( for qualifications with TR)

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page iv of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 TABLE OF CONTENTS

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page v of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 Technical Education and Skills Development Authority
Schoo
l logo
(Name of school)
Templates

Sector : TVET

Qualification Title: TRAINING METHODOLOGY I

Technical Education & Skills Development Authority

NAME OF YOUR SCHOOL / TRAINING CENTER
Address of your school

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page vi of vii
Developed by: (name of school)
(trainers name)
Revision # 01
 Plan
Training
Session

Date Developed: Document No.

January 2018 Issued by:
Date Revised:
SCHOOL LOGO (your qualifications) July 2018 Page vii of vii
Developed by: (name of school)
(trainers name)
Revision # 01
Data Gathering Instrument for Trainee’s Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that best
describes you as a learner. Blank spaces are provided for some data that
need your response.
Name of Trainee:_____(sample name of trainee with experience/ RPL)________

Characteristics of learners

Language, literacy Average grade in: Average grade in:

and numeracy English Math
(LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
a. 75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

language a. Cebuano
background
b. Ifugao
c. Igorot
d. Ibanag
e. Gaddang
f. Muslim
g. Ibaloy
h. Tagalog
i. Others( please specify)_____________

Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 8 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
 Characteristics of learners

h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age: _____
Physical ability 1. Disabilities(if any)_____________________
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) ___________________

Previous TM Certificates
experience with a. TQ certified
the topic b. TM graduate
c. TM trainer
d. TM lead trainer
Number of years as a competency trainer ______

Previous List down trainings related to TM

learning ___________________________
experience ___________________________
___________________________
National Certificates acquired and NC level
Training Level
___________________________
completed
___________________________

Special courses Other courses related to TM

a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________

Learning styles a. Visual - The visual learner takes mental

pictures of information given, so in order for
this kind of learner to retain information,
oral or written, presentations of new
information must contain diagrams and
drawings, preferably in color. The visual
learner can't concentrate with a lot of activity
Date Developed: Document No. NTTA-TM1-01
Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 9 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
 Characteristics of learners

around him and will focus better and learn

faster in a quiet study environment.
b. Kinesthetic - described as the students in
the classroom, who have problems sitting
still and who often bounce their legs while
tapping their fingers on the desks. They are
often referred to as hyperactive students with
concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text. Having
to read long texts is pointless and will not be
retained by the auditory learner unless it is
read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities where
they can watch, listen and then review what
has happened.
f. Theorist - Learns most when ideas are linked
to existing theories and concepts.
g. Pragmatist - Learns most from learning
activities that are directly relevant to their
situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)
___________________________

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 10 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
FORM 1.1 SELF-ASSESSMENT CHECK
( for BASIC , COMMON , CORE COMPETENCIES refer to your TR/CBC)
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
<<< Remember always put a check under YES COLUMN
CAN I…? YES NO
1. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………
………
2.

3.

4.

5.

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 11 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
COMMON COMPETENCIES
<<< Remember always put a check under YES COLUMN
CAN I…? YES NO
1. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

2. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

3. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

CORE COMPETENCIES
CAN I…? YES NO
1. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

2. ( Unit of competencies)

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 12 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
CORE COMPETENCIES
CAN I…? YES NO
1.1 ( Learning Outcomes…
…………

3. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

4. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………
5. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he/she is teaching.

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 13 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
ALL CORE (sample) (sample)
COMPETENCIES -Certificate of Training -submitted COT
With unit of -Certificate of completion -submitted COE
competencies
-Able to demonstrate -demonstration

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 14 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
 Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.

Form 1.3 Summary of Current Competencies Versus Required

Competencies

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
1. Unit of competency (CORE COMPETENCIES)
1.1 Learning Copy ALL LOs under
Outcome YES column from
Self-assessment
Check
1.2 Learning
Outcome
1.3 Learning
Outcome
2. Unit of competency (CORE COMPETENCIES)
1.1 Learning Copy ALL LOs under
Outcome NO column from
Self-assessment
Check
1.2 Learning
Outcome
1.3 Learning Outcome
3. Unit of competency (CORE COMPETENCIES)
1.1 Learning
Outcome
1.2 Learning
Outcome
1.3 Learning
Outcome

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 15 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
 Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.

Form No. 1.4: Training Needs

Training Needs Module Title/Module of

Instruction
(Learning Outcomes)
Write all LEARNING OUTCOMES under 1. WRITE Unit of
this unit of competency 1>>>> competencies here
(with NO
Learning outcomes)
Write all LEARNING OUTCOMES under 2.
this unit of competency 1>>>>

Write all LEARNING OUTCOMES under 3.

this unit of competency 1>>>>

Write all LEARNING OUTCOMES under 6.

this unit of competency 1>>>>

Date Developed: Document No. NTTA-TM1-01

Trainers July 2010 Issued by:
Methodology Level I Date Revised:
February 2012 Page 16 of 250
Developed by: NTTA
Templates Carolin L. Corilla
Revision # 01
 SESSION PLAN
Sector :
Qualification Title :
Unit of Competency :
Module Title :
Learning Outcomes:
1 abc
2 def
3 ghi
4 jkl
5 mno

A. INTRODUCTION
( pls copy the MODULE DESCRIPTOR from your chosen 1 unit of competency (see: TR/CBC)

Date Developed: Document No. NTTA-TM1-01

July 2010 Issued by:
Trainers Methodology Level I Date Revised:
February 2012 Page 17 of 250
Templates Developed by: NTTA
Carolin L. Corilla
Revision # 01
B. LEARNING ACTIVITIES
LO 1: abc
Learning Content Methods Presentation Practice Feedback Resources Time
See CBC for the See CBC Read Info Sheet No Answer Self Refer CBLM See
content Check No. answer to Books CB
answer key Journal C
Internet
Review Task Sheet Perform Evaluate CBLM
No Task Sheet performance Specific
No. using tools,
Criteria materia
Checklist ls,
No. equipm
ent
Review Operation Perform Evaluate CBLM
Sheet No Operation performance Specific
Sheet No. using tools,
Criteria materia
Checklist ls,
No. equipm
ent
Familiarize Job Perform Job Evaluate CBLM
Sheet No. Sheet No. performance Specific
using tools,
Criteria materia
Checklist ls,
No. equipm
ent

Date Developed: Document No. NTTA-TM1-01

July 2010 Issued by:
Trainers Methodology Level I Date Revised:
February 2012 Page 18 of 250
Templates Developed by: NTTA
Carolin L. Corilla
Revision # 01
LO 2: def

Learning Content Methods Presentation Practice Feedback Resources Time

LO 3: ghi

Learning Content Methods Presentation Practice Feedback Resources Time

LO 4: jkl
Learning Content Methods Presentation Practice Feedback Resources Time

LO 5: mno
Learning Content Methods Presentation Practice Feedback Resources Time

Date Developed: Document No. NTTA-TM1-01

July 2010 Issued by:
Trainers Methodology Level I Date Revised:
February 2012 Page 19 of 250
Templates Developed by: NTTA
Carolin L. Corilla
Revision # 01
 C. ASSESSMENT PLAN
 Written Test
 Performance Test

D. TEACHER’S SELF-REFLECTION OF THE SESSION

__________________
Trainer

NOTE:
1st number – CORE competency
2nd number – Learning Outcome
3rd number – Learning Content

Example Information Sheet 1.2-3

Date Developed: Document No. NTTA-TM1-01

July 2010 Issued by:
Trainers Methodology Level I Date Revised:
February 2012 Page 20 of 250
Templates Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Technical Education and Skills Development Authority

(Name of school)
(TRAINERS METHODOLOGY I)

(pls change picture based on your qualifications)

Sector : (refer TR)

Qualification Title: (qualification)

Unit of Competency: your chosen CORE

Module Title: your chosen CORE

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 21 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
PARTS OF A COMPETENCY-BASED LEARNING MATERIAL

References/Further Reading

Performance Criteria Checklist

Operation/Task/Job Sheet

Self Check Answer Key

Self Check

Information Sheet

Learning Experiences

Learning Outcome Summary

Module
Module Content
Content

Module
List of Competencies
Content

Module Content

Module Content

Insert picture

In our efforts to standardize CBLM,

the above parts are recommended for
use in Competency Based Training
(CBT) in Technical Education and
Skills Development Authority (TESDA)
Technology Institutions. The next
sections will show you the
components and features of each part.
NOTE: REMOVE BOX IF DONE
EDITTING

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 22 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 (your Qualification)
COMPETENCY-BASED LEARNING MATERIALS

List of Competencies
No. Unit of Competency Module Title Code
BASIC COMPETENCIES

Copy fr TR
Copy fr TR Copy fr TR

COMMON COMPETENCIES

Copy fr TR
Copy fr TR Copy fr TR

CORE COMPETENCIES

Copy fr TR
Copy fr TR Copy fr TR

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 23 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 MODULE CONTENT

UNIT OF COMPETENCY :

MODULE TITLE :

MODULE DESCRIPTOR :

NOMINAL DURATION :

LEARNING OUTCOMES:
At the end of this module you MUST be able to:
1. abc
2. def
3. ghi
4. jkl

ASSESSMENT CRITERIA: ( summary of all learning outcomes)

1.
2.
3.
4.
5.
6.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 24 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
(do not include all the LOS . ONLY CHOOSE 1 learning
outcome)
LEARNING OUTCOME NO._____
(Learning Outcome Title)

Contents:

1.
2.
3.
4.
5.
Assessment Criteria

1.
2.
3.
4.

Conditions

The participants will have access to:

1.
2.
3.
Assessment Method:

1.
2.
3.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 25 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Learning Experiences
Learning OutcomeNo. ____
(Learning Outcome TITLE)

Learning Activities Special Instructions

See session for the for the
sequence of Learning content
Read Information Sheet No. (+tile
of the learning content)
Answer Self Check

Refer to answer

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
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Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Information Sheet _______

THE QUICK BROWN FOX

(Title) <<-Bookman Old Style font14/ Capitalize

Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to:
USE SMART objective (COGNITIVE, AFFECTIVE, PSYCHOMOTOR)
1.
2.
3.
Time: 30 minutes pls refer to your Session plan)

(Introductory Paragraph about the INFORMATION/topic

(Body- include all necessary information regarding the topic

INFORMATION SHEET should not more than 10 pages)

Insert PICTURES/DIAGRAMS/ILLUSTRATIONS related to the

content

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 27 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Self- Check ______

(Type of Test) : (Instruction)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
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Carolin L. Corilla
Revision # 01
 ANSWER KEY ____

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
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Developed by: NTTA
Carolin L. Corilla
Revision # 01
 TASK SHEET _____
Title: title should start with a VERB

Performance Objective: Given (condition), ,you should be able to

(performance) following (standard).
Time: (see SESSION PLAN)

Supplies/Materials :

Equipment :

Steps/Procedure:
(pls indicate the step by step procedure pls include picture to give
emphasis)
1.
2.
3.
4.

Assessment Method:
Demonstration

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
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Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Performance Criteria Checklist ______

CRITERIA
Did you…. YES NO
(simply copy the steps from your TASK SHEET)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 31 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 OPERATION SHEET _____
Title: title should start with a VERB

Performance Objective: Given (condition), ,you should be able to

(performance) following (standard).
Time: (see SESSION PLAN)

Supplies/Materials :

Equipment :

Steps/Procedure:
(pls indicate the step by step procedure pls include picture to give
emphasis)
1.
2.
3.
4.

Assessment Method:
Demonstration

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 32 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Performance Criteria Checklist ______

CRITERIA
Did you…. YES NO
(simply copy the steps from your TASK SHEET)
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 33 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 JOB SHEET _____
Title: title should start with a VERB

Performance Objective: Given (condition), ,you should be able to

(performance) following (standard).
Time: (see SESSION PLAN )

Supplies/Materials :

Equipment :

Steps/Procedure:
(pls indicate the step by step procedure pls include picture to give
emphasis)
1.
2.
3.
4.

Assessment Method:
Demonstration

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 34 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Performance Criteria Checklist ______

CRITERIA
Did you…. YES NO
(simply copy the steps from your TASK SHEET)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 35 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
Evidence Plan

Competency
standard:
Unit of
competency:
Ways in which evidence will be collected:

Demonstration & Questioning

Observation & Questioning
[tick the column]

Portfolio

Written
The evidence must show that the trainee…
See performance criteria checklist
Identify parts of session plan
*Prepare a session plan

( mark at least 2 methods of assessment)

NOTE: *Critical aspects of competency

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 36 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 TABLE OF SPECIFICATION

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 37 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 TEST ITEM DISTRIBUTION
Factual Compre Applicatio Total Perce
Content / Objective Knowledge hension n No. of ntage
Items (%)
% % %

Learning contents

Total 100%

NOTE: K < C < A

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 38 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
Performance Test

Specific Instruction for the Candidate

Qualification Your qualification

Unit of Competency Chosen CORE competency

General Instruction:

Specific Instruction:

Task or Job

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 39 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 QUESTIONING TOOL
Questions to probe the candidate’s underpinning knowledge Satisfactory
respon
A guide questions for trainer
se
Make at least 3 questions with answer
Extension/Reflection Questions Yes No
1. ……………….?
Model Answer:  

2. ……………….?
Model Answer:  

3. ……………….?
Model Answer:  

4. ……………….?
Model Answer:  
Safety Questions
5. ……………….?  
Model Answer:
6. ……………….?  
Model Answer:
7. ……………….?  
Model Answer:
8. ……………….?  
Model Answer:
Contingency Questions
9. ……………….?  
Model Answer:
10. ……………….?  
Model Answer:
11. ……………….?  
Model Answer:
12. ……………….?  
Model Answer:
Job Role/Environment Questions  
13. ……………….?  
Model Answer:

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
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Developed by: NTTA
Carolin L. Corilla
Revision # 01
14. ……………….?  
Model Answer:
15. ……………….?  
Model Answer:
16. ……………….?  
Model Answer:
Rules and Regulations  
17. ……………….?  
Model Answer:
18. ……………….?  
Model Answer:
19. ……………….?  
Model Answer:
20. ……………….?  
Model Answer:
The candidate’s underpinning  Satisfactory  Not
knowledge was: Satisfactory

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 41 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
INVENTORY OF TRAINING RESOURCES
Resources for presenting instruction
 Print Resources As per TR As per Remarks
Inventory

 Non Print Resources As per TR As per Remarks

Inventory

Resources for Skills practice of Competency #1

______________________________
 Supplies and Materials As per TR As per Remarks
Inventory

 Tools As per TR As per Remarks

Inventory

 Equipment As per TR As per Remarks

Inventory

Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 42 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 SHOP LAY-OUT
(specifyLearning Resource Center, Practical Work Area, Contextual Learning
Laboratory, Institutional Assessment Area, Trainers Resource Center, Quality
Control Area, Distance Learning, Computer Laboratory, Support Service Area)
9 areas of CBT

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 43 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Supervise
Work-Based
Learning

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 44 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
FORM 1.1 SELF-ASSESSMENT CHECK

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.
FORM 1.1 SELF-ASSESSMENT CHECK
( for BASIC , COMMON , CORE COMPETENCIES refer to your TR/CBC)
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
<<< Remember always put a check under YES COLUMN
CAN I…? YES NO
6. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………
………
7.

8.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 45 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
BASIC COMPETENCIES
<<< Remember always put a check under YES COLUMN
CAN I…? YES NO

9.

10.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 46 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
COMMON COMPETENCIES
<<< Remember always put a check under YES COLUMN
CAN I…? YES NO
4. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

5. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

6. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

CORE COMPETENCIES
CAN I…? YES NO
2. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

2. ( Unit of competencies)
1.1 ( Learning Outcomes…
Date Developed: Document No. NTTA-TM1-07
Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 47 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
CORE COMPETENCIES
CAN I…? YES NO
…………

6. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

7. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………
8. ( Unit of competencies)
1.1 ( Learning Outcomes…
…………

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he/she is teaching.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 48 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
ALL CORE (sample) (sample)
COMPETENCIES -Certificate of Training -submitted COT
With unit of -Certificate of completion -submitted COE
competencies
-Able to demonstrate -demonstration

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 49 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.

Form 1.3 Summary of Current Competencies Versus Required

Competencies

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
4. Unit of competency (CORE COMPETENCIES)
1.1 Learning Copy ALL LOs under
Outcome YES column from
Self-assessment
Check
1.2 Learning
Outcome
1.3 Learning
Outcome
5. Unit of competency (CORE COMPETENCIES)
1.1 Learning Copy ALL LOs under
Outcome NO column from
Self-assessment
Check
1.2 Learning
Outcome
1.3 Learning Outcome
6. Unit of competency (CORE COMPETENCIES)
1.1 Learning
Outcome
1.2 Learning
Outcome
1.3 Learning
Outcome

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 50 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.

Form No. 1.4: Training Needs

Training Needs Module Duration

Title/Module of
(Learning Outcomes)
Instruction
Write all LEARNING 7. WRITE Unit of
OUTCOMES under this unit competencies
of competency 1>>>> here
(with NO
Learning
outcomes)

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 51 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 TRAINING PLAN

Qualification: ____________________________
Date
Trainees’ Training Training Mode of Facilities/Tools Assessment
Staff Venue and
Requirements Activity/Task Training and Equipment Method
Time
Core competencies Performance Sample Name Please specify (compa Sample Sampl
criteria On the job of ny e July
person where 13,201
training
With learning whom Tools, materials, the Direct 8
outcomes the equipment trainee Observation
Apprenticesh trainee s
underg 8-5pm
ip Direct
o the demonstrati
supervi on
OJT)
sion
Job
shadowing

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 52 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Technical Education and Skills Development Authority Instructions:
___(your institution)___ This Trainees’ Record Book (TRB) is intended to serve as
record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence
TRAINEE’S RECORD BOOK that can be submitted for portfolio assessment and for
whatever purpose it will serve you. It is therefore important
that all its contents are viably entered by both the trainees
and instructor.
I.D. The Trainees’ Record Book contains all the required
competencies in your chosen qualification. All you have to do
is to fill in the column “Task Required” and “Date
Accomplished” with all the activities in accordance with the
Trainee’s No._______________ training program and to be taken up in the school and with
Name of the trainee the guidance of the instructor. The instructor will likewise
indicate his/her remarks on the “Instructors Remarks”
column regarding the outcome of the task accomplished by
NAME OF TRAINEE : ___________________________________ the trainees. Be sure that the trainee will personally
___________ NC II accomplish the task and confirmed by the instructor.

QUALIFICATION : ___________________________________ It is of great importance that the content should be

written legibly on ink. Avoid any corrections or erasures and
Nominal duration see TR maintain the cleanliness of this record.
TRAINING DURATION :____________________________________ This will be collected by your trainer and submit the
Your name as a trainer same to the Vocational Instruction Supervisor (VIS) and shall
form part of the permanent trainee’s document on file.
TRAINER : ___________________________________

THANK YOU.

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 53 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
NOTES:

__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 54 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 CORE COMPETENCIES
NOTE: NO NEED TO INCLUDE BASIC AND COMMON
Unit of Competency: _______________________________________ Unit of Competency: ________________________________
NC Level II NC Level II
Learning Task/Activity Date Instructors Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks Outcome Required Accomplished Remarks

NOTE: after you PRINT this portfolio pls sign TRAINEE/R

__________________ ___________________ ____________________ ______________________
Trainee’s Signature Trainer’s Signature Trainee’s Signature Trainer’s Signature

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 55 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Unit of Competency:______________________________________
Unit of Competency: ________________________________

NC Level I
NC Level I
Learning Task/Activity Date Instructor
Learning Task/Activity Date Instructors
Outcome Required Accomplishe s Remarks
Outcome Required Accomplished Remarks
d

_____________________ ______________________ _____________________ ____________________

Trainee’s Signature Trainer’s Signature Trainee’s Signature Trainer’s Signature

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 56 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
Unit of Competency: _______________________________________ Learning Task/Activity Date Instructors
NC Level II Outcome Required Accomplished Remarks

Learning Task/Activity Date Instructors

Outcome Required Accomplished Remarks

____________________ ______________________
Trainee’s Signature Trainer’s
Signature
__________________ ___________________
Trainee’s Signature Trainer’s Signature

Unit of Competency: ________________________________

NC Level II
Date Developed: Document No. NTTA-TM1-07
Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 57 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 NC Level II
Unit of Competency: _______________________________________
Learning Task/Activity Date Instructors
NC Level II Outcome Required Accomplished Remarks
Learning Task/Activity Date Instructors Perform
Outcome Required Accomplished Remarks piping lay
outs
 Lay out
measurements Cut pipes
through
 Cut pipe
walls and
within the
floors
required
length and
according to ____________________ ______________________
job
Trainee’s Signature Trainer’s Signature
requirements
 Thread pipes
in accordance
with standard
thread
engagement

__________________ ___________________
Trainee’s Signature Trainer’s Signature

Unit of Competency: ________________________________________

Date Developed: Document No. NTTA-TM1-07
Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 58 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 Unit of Competency:_____________________________________
NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
 Clear
clogged
pipes
clear
clogged
fixtures
______________________ ____________________
Trainee’s Signature Trainer’s Signature

Date Developed: Document No. NTTA-TM1-07

Trainers July 2010
Methodology Level Issued by:
Date Revised:
I February 2012 Page 59 of 61
Developed by: NTTA
Carolin L. Corilla
Revision # 01
 TRAINEE’S PROGRESS SHEET

Name : trainee Trainer : Trainer

Nominal
Qualification : _________________________ : See TR
Duration
Training Training Date Date Trainee’s Supervisor’s
Units of Competency Rating
Activity Duration Started Finished Initial Initial
core Learning
outcome

Total

Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for
the performance of your trainees. Please take note however that in TESDA, we do not use numerical rating
INSTITUTION SUMMARY EVALUATION
INDUSTRY EVALUATION SUMMARY
 TRAINING SESSION EVALUATION

INSTRUCTIONS:
This post-training evaluation instrument is intended to measure how
satisfactorily your trainer has done his job during the whole duration of
your training. Please give your honest rating by checking on the
corresponding cell of your response. Yours answers will be treated with
utmost confidentiality.
TRAINER/INTRUCTORS
1 2 3 4 5
Name of trainer: ________________________________________
1. Orient the trainees
2. Discusses clearly the unit of competencies and
outcomes to be attained at the start of every
module
3. Exhibits mastery of the subject/course he/she is
teaching
4. Motivates and elicits active participation from the
students or trainees
5. Keep records of evidence/s of competency
attainment of each student/trainees
6. Instill value of safety and orderliness in the
classrooms and workshops
7. Instills the value of teamwork and positive work
values
8. Instills good grooming and hygiene
9. Instills value of time
10. Quality of voice while teaching
11. Clarity of language / dialect used in teaching
12. Provides extra attentions to trainees and students
with specific learning needs
13. Attends classes regularly and promptly
14. Shows energy and enthusiasm while teaching
15. Maximizes use of training supplies and materials
16. Dresses appropriately
17. Shows empathy
18. Demonstrates self-control
 This post training evaluation instrument is intended to measure how
satisfactory you trainer prepared and facilitated your training. Please give
your honest rating by checking on the corresponding cell of your response.
Your answers will be treated with utmost confidentiality.
Use the following rating scales:
5 – Outstanding
4 - Very Good/ Very Satisfactory
3 - Good/Adequate
2 - Fair/Satisfactory
1 - Poor/Unsatisfactory

PREPARATION 1 2 3 4 5
1. Workshop layout conforms with the components of
a CBT Workshop
2. Number of CBLM is sufficient
3. Objectives of very training session is well explained
4. Expected activities/outputs are clarified
DESIGN AND DELIVERY 1 2 3 4 5
1. Course contents are sufficient to attain objectives
2. CBLM are logically organized and presented
3. Information Sheet are comprehensive in providing the
required knowledge
4. Examples, illustrations and demonstration help you
learn
5. Practice exercises like Task/Jobs Sheets are
sufficient to learn required skills
6. Valuable knowledge are learned through the contents
of the course.
7. Training Methodologies are effective
8. Assessment Methods and evaluation system are
suitable for the trainees and the competency
9. Recording of achievements and competencies
acquired is prompt and comprehensive
10. Feedback about performance of learners are given
immediately

TRAINING FACILITIES AND RESOURCES 1 2 3 4 5

1. Training Resources are adequate
2. Training Venue is conductive and appropriate
3. Equipment, Supplies, and Materials are Sufficient
4. Equipment, Supplies , and Materials are suitable and
appropriate
5. Promptness is providing Supplies and Materials
SUPPORT STAFF 1 2 3 4 5
1. Support Staff are accommodating

Comments / Suggestions:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
RATER 1
PREPARATION 1 2 3 4 5
1. Preparation layout conforms
with the components of a CBT
workshop
2. Number of CBLM is sufficient
3. Objective of every training
session is well explained
4. Expected activities/outputs
are clarified
RATER 2
PREPARATION 1 2 3 4 5
1. Preparation layout conforms
with the components of a CBT
workshop
2. Number of CBLM is sufficient
3. Objective of every training
session is well explained
4. Expected activities/outputs
are clarified

RATER 3
PREPARATION 1 2 3 4 5
1. Preparation layout conforms
with the components of a CBT
workshop
2. Number of CBLM is sufficient
3. Objective of every training
session is well explained
4. Expected activities/outputs
are clarified

RATER 4
PREPARATION 1 2 3 4 5
1. Preparation layout conforms
with the components of a CBT
workshop
2. Number of CBLM is sufficient
3. Objective of every training
session is well explained
4. Expected activities/outputs
are clarified

RATER 5
PREPARATION 1 2 3 4 5
1. Preparation layout conforms
with the components of a CBT
workshop
2. Number of CBLM is sufficient
3. Objective of every training
session is well explained
4. Expected activities/outputs
are clarified
 Average Ratings
PREPARATION Average

1. Workshop layout conforms

with the components of a
CBT workshop
2. Number of CBLM is sufficient

3. Objectives of every training

session is well explained

4. Expected activities/outputs are

clarified

General Average
RANGE:
4.50 – 5.00 = Outstanding
3.50 - 4.49 = Very Good/Very Satisfactory
2.50 - 3.49 = Good/Satisfactory
1.50 – 2.49 = Fair/Adequate
0.00 – 1.49 = Poor/Unsatisfactory

General Interpretation:
SAMPLE
The average rating for workshop layout and number of CBLM and also
Objectives of every training session is 3 which mean good/satisfactory, for
expected activities/outputs with an average score of 3.5 means very good/
very satisfactory. Finally, the general average is 3.75 thus the result shows it
is very good/ very satisfactory.

Recommendation:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
__________________________________________________________________________.
Facilitate
Learning
Session
 Training Activity Matrix

Venue
Facilities/Tools Date &
Training Activity Trainee Remarks
and Equipment (Workstation/ Time
Area)
Prayer
Recap of Activities 8:00 AM
All to 8:30
Unfreezing Activities AM
trainees
Feedback of Training

Rejoinder/Motivation
(Specific Activities of (List down all Name of observations
each Trainee for the Facilities/Tools Workstation1 on the
day here) and Equipment progress of
needed for the each trainee
workstation and for the day
Sample: activities here) will be written
here
Read Information Learning July 10,
Sheet 1.2-3 CBLM Resource 2018
Center
Group 1
or 8:00 am-
name at 5:00 PM
least 5
trainees
PLEASE REFER TO YOUR SESSION PLAN FOR THE SEQUENCE OF ACTIVITIES

(Specific Activities of observations

(List down all
each Trainee here) on the
Facilities/Tools
progress of
and Equipment Name of
each trainee
needed for the Workstation 2
for the day
workstation and
will be written
activities here)
here
observations
(List down all
on the
Facilities/Tools
(Specific Activities of progress of
and Equipment Name of
each Trainee for the each trainee
needed for the Workstation 3
day here) for the day
workstation and
will be written
activities here)
here
observations
(List down all
on the
Facilities/Tools
(Specific Activities of progress of
and Equipment Name of
each Trainee for the each trainee
needed for the Workstation 4
day here) for the day
workstation and
will be written
activities here)
here
 Minutes of the Meeting Template

Focus Group Discussion

Date: ________________________
Agenda:
Competency-based Training Delivery
Present:
 1. ____________
2. ____________
3. ____________
4. ____________

CBT Concerns Discussions Resolutions/Agreement

1. CBT Layout Attained
This is done by the
trainer
2. Monitoring of
Attendance
3. Utilization of work
area
4. Orientation
a. CBT
b. Roles
c. TR
d. CBLM
e. Facilities
f. Evaluation system
5. RPL

6. Teaching methods
and technique
7. Monitoring of
learning activities
a. Achievement
chart
b. Progress chart
8. Feedback
9. Slow learners
10. Other
concerns

Training Evaluation Report

1. Title of the Report

2. Executive summary

3. Rationale

4. Objectives
5. Methodology

6. Results and discussion

This is the body of the report. It should contain the following
parts:
Data interpretation
Data analysis
Conclusion

7. Recommendation

Maintain
Training
 Facilities

WORKSHOP LAY-OUT
(specifyLearning Resource Center, Practical Work Area, Contextual Learning
Laboratory, Institutional Assessment Area, Trainers Resource Center, Quality
Control Area, Distance Learning, Computer Laboratory, Support Service Area)
9 areas of CBT
 OPERATIONAL PROCEDURE

Audio System

Equipment Type

Equipment Code A S 2015 - 003

Location Reception Area

Operation Procedure:

1
2
3
4
5
6
7
8
9
10

1.) STEPS LIKE in a manufacturers manual

 WORKSHOP HOUSEKEEPING SCHEDULE
Qualification Station/Bldg

Area/Section

In-Charge

Schedule for the _____________

Monthly
Daily

Every other Day

Weekly

Every 15th Day

Remarks
Responsi
ACTIVITIES ble
Person

1. Clean and check welding Trainer

equipment/ accessories from dust

and oil; dry and properly laid-out/
Trainee 
secured/stable Janitor
2. Clean and free welding booths and
welding positioners from
dust/rust /gums, used Mig wire 
stubs and metal scraps
3. Clean and arrange working tables
according to floor plan/lay-out;
check stability

4. Clean and check floor, walls,
windows, ceilings
• graffiti/dust/rust

• cobwebs and
outdated/unnecessary
objects/items
• obstructions
• any used materials/scraps (slugs,
stubs) spilled liquid
• open cracks (floor)
5. Clean and check work shop
ventilation and illumination by
dusting lamps/bulbs, replacing
non-functional lamps and keeping 
exhaust clean
6. Clean and check computer set
-monitor, CPU, keyboards, mouse –
free, unnecessary markings, dust;
cables and plugs are in order; well- 
arranged; all items functional
7. Clean, inspect air conditioning
equipment: 
• keep screen and filter free from
dust/rust
• Check selector knobs if in normal
positions and are functional
• Check if drainage is OK
8. Clean, check and maintain Tool
Room
• Free of dust, not damp
 WORKSHOP INSPECTION CHECKLIST

Qualification
Area/Section In-Charge

YES NO INSPECTION ITEMS

1. Clean and check welding equipment/ accessories from dust

and oil; dry and properly laid-out/ secured/stable
2. Clean and free welding booths and welding positioners from
dust/rust /gums, used Mig wire stubs and metal scraps
3. Clean and arrange working tables according to floor
plan/lay-out; check stability
4. Clean and check floor, walls, windows, ceilings
• graffiti/dust/rust
• cobwebs and outdated/unnecessary objects/items
• obstructions
• any used materials/scraps (slugs, stubs) spilled liquid
• open cracks (floor)
5. Clean and check work shop ventilation and illumination by
dusting lamps/bulbs, replacing non-functional lamps and
keeping exhaust clean
6. Clean and check computer set -monitor, CPU, keyboards,
mouse – free, unnecessary markings, dust; cables and plugs
are in order; well-arranged; all items functional
7. Clean, inspect air conditioning equipment:
• keep screen and filter free from dust/rust
• Check selector knobs if in normal positions and are
functional
• Check if drainage is OK
8. Clean, check and maintain Tool Room
• Free of dust, not damp
• Tools in appropriate positions/locations
• With visible labels/signage
• Logbook and forms are complete, in order and updated
• Lights, ventilation – OK
10. Clean and check Rest Room
• Urinals, bowls, wash basins, walls and partitions are free
from stains, dirt, oils, graffiti and unnecessary objects;
• Ceilings free from cobwebs and dangling items
• Floor is kept dry; no broken tiles or protruding objects
 • Equipped with dipper and pails; properly located after use
• Water systems is functional: no dripping/damaged faucets
or pipes
• Drainage system is working, no water-clogged areas
• No offensive odor
• Lights /Ventilation – OK
9. Clean and check wash area:
• Walls/Floors- –free from oils, molds, broken tiles, gums,
stains or graffiti
• Drainage system is functional
• Water system functional; no dripping faucets or leaking
pipes
• Free from unnecessary objects (mops, rags)
10. Clean and maintain work shop surroundings by sweeping/
removing fallen leaves, branches, debris and other refuse,
impounded water, clearing pathways of obstructions
11. Disposal of waste materials
(Follow waste segregation system)
Remarks:

Inspected by: Date:

 EQUIPMENT MAINTENANCE SCHEDULE
EQUIPMENT TYPE Television (Samsung curve)

EQUIPMENT CODE
LOCATION
Schedule for the Month of March
MANPO Daily Every Weekly Every Monthly Remarks
ACTIVITIES WER Other 15th
Day Day

1. Check panel board, and

circuit breakers’ electrical
connections, cables and
outlets
 Clean and kept dry
 Parts are well-
secured/attached
 Properly labeled
2. Check Mig gun (nozzle,
contact tip, diffuser) and
ground cable:
 Clean and kept dry
 Parts are well-secured/
attached
 Inspect for damages and
replace parts if necessary
3. Check adjustment lever’s if
functional
(amperages/speed); if not,
calibrate

4. Check Gas cylinder outfit for

any abnormality
 Gate valve
 Co2 regulator
 Gas hose Fittings
 Fittings
5. Check/Clean wire feeder
(rollers, wire speed/spool
adjustment); remove used
oil, dust; keep dry.

6. Run the equipment for 5

minutes and observe for
unusual noise or abnormal
operation; if repair is
necessary, send to
technician.
 EQUIPMENT MAINTENANCE INSPECTION CHECKLIST
Equipment Type :
Property Code/Number :
Location :
YES NO INSPECTION ITEMS
1. Check panel board, and circuit breakers’ electrical connections, cables and outlets
 Clean and kept dry
 Parts are well-secured/attached
 Properly labeled
2. Check Mig gun (nozzle, contact tip, diffuser) and ground cable:
 Clean and kept dry
 Parts are well-secured/ attached
 Inspect for damages and replace parts if necessary
3. Check adjustment lever’s if functional (amperages/speed); if not, calibrate

4. Check Gas cylinder outfit for any abnormality

 Gate valve
 Co2 regulator
 Gas hose Fittings
 Fittings
5. Check/Clean wire feeder (rollers, wire speed/spool adjustment); remove used oil, dust;
keep dry.

6. Run the equipment for 5 minutes and observe for unusual noise or abnormal operation; if
repair is necessary, send to technician.

Remarks:

Inspected by: Date:

 TAG OUT INDEX CARD

Type Description (System

Log Serial Date Issued components, Test
(Danger/ Caution) Reference etc)

2015-004 January 4, Torn Underneath Massage Bed

2015

2015-005 January 4,
2015
 WASTE SEGREGATION LIST

Qualification

Area/Section

In-Charge

WASTE SEGREGATION METHOD

GENERAL / ACCUMULATED
WASTES Recycle Compost Dispose

Damaged Television Set (LCD)



Damaged Audio System



Empty Bottles

 BREAK DOWN / REPAIR REPORT

Property ID Audio System 010

Number

Property Name Audio System

Location Reception Area
Findings: Recommendation:
Damaged Player Device Replace Player Device

Inspected by: Reported to:

Date: Date:
JUNE 5, 2015 JUNE 5, 2015

Subsequent Action Taken: Recommendation:

Inspection and testing to verify Replaced player device
of functionality of the player
device

By: Reported to:

Property Custodian Proprietor

Date: Date:
June 5, 2015 June 5, 2015

SALVAGE REPORT

Area/Section Massage Room

In – Charge Jerald C. Moneva

Facility Type Part Identified Recommendation

Audio system Speakers Additional accessory to

new audio system
 EQUIPMENT RECORD W/ CODE AND DRAWING

Eqpt. PO Drawing
No. Location Qty Title Description
No. No. Ref.
1. Practical 01 3 Polisher 12” Wilson 100
work area (electric
with
complete
accessories)

2.

3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
 SALVAGE REPORT

Area / : Practical Work Area/ Workstation 5

Section

FACILITY TYPE PART ID RECOMMENDATION

Floor Polisher Pad (brush) Can still be use as back
up

Reported by: Date

Signature Over Printed

Name

INSPECTION REPORT
 ACTION PROGRESS/
FACILITY TYPE INCIDENT
TAKEN REMARKS

Floor Polisher Overheating Repair Machine running

smoothly and in
good condition

Reported by: Date: August 5,2015

 PURCHASE REQUEST
(based from your training center/ school)

PURPOSE: for additional resources or for replacement

Department: ___________________________ Date: ___________________

QUANTITY ITEM UNIT PRICE AMOUNT

Total Php

Requested by:
_______________________________

Received by:
_______________________________
Approved By:
_______________________________
--------------------------
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