Supervise

Work-Based
Learning

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

Date Developed: Document No.

SHIELDED September 07, 2020 Issued by:
METAL ARC Date Revised:
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Marlon C. Casinay
 sessions. Please check the appropriate box of your answer
to the questions below.
BASIC COMPETENCIES
CAN I…? YE NO
S
1. Participate in Workplace Communication
1.1 Obtain and convey workplace information √
1.2 Complete relevant work-related documents. √
1. 3 Participate in workplace meeting and √
discussion.
2. Work in A Team Environment
2.1. Describe and identify team role and √
responsibility in a team.
2.2 Describe work as a team. √
3. Practice Career Professionalism
3.1. Integrate personal objectives with √
organizational goals
3.2 Set and meet work priorities √
3.3 Maintain Professional Growth and √
Development
4. Practice Occupational Health and Safety
4.1 Identity hazards and risks √
4.2 Evaluate hazards and risks √
4.3 Control hazards and risks √
4.4 Maintain occupational health and safety √
awareness

COMMOM COMPETENCIES
CAN I..?
1.Apply Safety Practices
1.1 Identify hazardous area √
1.2 Use personal protective clothing and devices √
1.3 Perform safe handling of tools, equipment √
and materials
1.4 Perform first aid √

Date Developed: Document No.

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 1.5 Use Fire extinguisher √
2. Interpret Drawing and Sketches
2.1 Identify standard alphabet of lines √
2.2 Identify orthographic/ isometric views √
2.3 Interpret standard drawing symbols, √
dimensional tolerances and notations
3. Perform Industry Calculation
3.1 Perform four fundamental operations. √
3.2 Perform conversion of units √
3.3 Perform calculations on algebraic expressions √

3.4 Compute percentage and ratio √

4. Contribute to Quality System

4.1 Inspect work done. √
4.2 Apply quality standards to work √
4.3 Protect company property and customer √
interests
5. Use Hand Tools
5.1 Select hand tools √
5.2 Use hand tools √
5.3 Maintain hand tools √
6. Prepare Weld Materials
6.1 Set up cutting equipment √
6.2 Cut and prepare edge of materials √
1.3 Clean surfaces and edges √

6.4 Prepare welding consumables

3.5 Prepare welding safety and protective √

equipment
4. Set-Up Welding Equipment
7.1 Set up welding machine √
7.2 Set up welding accessories √
7.3 Set up welding positioners, jigs and √
8. Fit-Up Materials

Date Developed: Document No.

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 8.1 Perform tack welding √
8.2 Check gap and alignment √
9. Repair Weld
9.1 Mark/locate weld defects √
9.2 Prepare tools and equipment √
9.3 Remove defects √
9.4 Perform re-welding √
CORE COMPETENCIES
CAN I..?
1. Weld Carbon Steel Plates
1.1 Weld carbon steel plates in flat position (1G) √
1.2 Weld carbon steel plates in horizontal position √
(2G)
1.3 Weld carbon steel plates in vertical position √
(3G)
1.4 Weld carbon steel plates in overhead position √
(4G)
2. Weld Carbon Steel Pipe
2.1 Weld carbon steel pipe in flat position (2G) √
2.2 Weld carbon steel pipe in horizontal position √
(5G)
2.3 Weld carbon steel pipe in vertical position (6G) √

Date Developed: Document No.

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Evidences/Proof of Current Competencies (Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies

Participate in Certificate of employment Submitted photocopy of

Workplace SMAW NC11
Training certificate
Communicatio Submitted Training
n certificate

Work in A Certificate of employment Submitted photocopy of

Team SMAW NC11
Training certificate
Environment Submitted photocopy of
Training certificate

Practice Career Certificate of employment Submitted photocopy of

Professionalism Training certificate SMAW NC11
Submitted photocopy of
Training certificate

Practice Certificate of employment Submitted photocopy of

Occupational SMAW NC11
Training certificate
Health and Submitted photocopy of
Safety Training certificate
Apply Safety Certificate of employment Submitted Training
Practices certificate
Training certificate

Interpret Certificate of employment Submitted photocopy of

Drawing and SMAW NC11
Training certificate
Sketches

Perform Certificate of employment Submitted Training

Industry certificate
Training certificate
Calculation

Contribute to Certificate of employment Submitted photocopy of

Quality System Training certificate SMAW NC11

Use Hand Certificate of employment Submitted Training

Date Developed: Document No.

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Tools Training certificate certificate

Prepare Weld Certificate of employment Submitted photocopy of

Materials SMAW NC11
Training certificate

Set-Up Welding Certificate of employment Submitted Training

Equipment certificate
Training certificate

Fit-Up Certificate of employment Submitted photocopy of

Materials SMAW NC11
Training certificate

Repair Weld Certificate of employment Submitted Training

certificate
Training certificate

Weld Carbon Certificate of employment Submitted photocopy of

Steel Plates SMAW NC11
Training certificate

Weld Carbon Certificate of employment Submitted Training

Steel Pipes certificate

Date Developed: Document No.

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 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 Competencies Training
Competency/Learning Gaps/Requirement
Outcomes based on CBC s
Basic Competencies
1. Participate in 1. Participate in
Workplace Workplace
Communication Communication
1.1 Obtain and convey 1.1 Obtain and convey
workplace information workplace information
1.2 Complete relevant 1.2Complete relevant
work-related work-related
documents. documents.
1.3 Participate in 1.3 Participate in
workplace meeting and workplace meeting
discussion. and discussion.
2. Work in a team 2. Work in A Team
environment Environment
2.1. Describe and identify 2.1. Describe and
team role and identify team role
responsibility in a and responsibility in
team. a team.
2.2. Describe work as a 2.2. Describe work as a
team. team.
2.3 Describe and identify 2.3 Describe and identify
team role and team role and
responsibility in a team responsibility in a
team

3. Practice Career 3. Practice Career

Professionalism Professionalism
3.1 Integrate personal 3.1 Integrate personal
objectives with objectives with
organizational goals organizational goals
3.2 Set and meet work 3.2 Set and meet work
priorities priorities
3.3 Perform calculations 3.3 Perform

Date Developed: Document No.

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 on algebraic calculations on
expressions algebraic
expressions
3.4Compute percentage
and ratio 3.4 Compute
percentage and ratio
4. Practice Occupational 4. Practice
Health And Safety Occupational Health
4.1 Identity hazards and And Safety
risks 4.1 Identity hazards and
4.2 Evaluate hazards and risks
risks 4.2 Evaluate hazards
4.3 Control hazards and and risks
risks 4.3 Control hazards
4.4 Maintain occupational and risks
health and safety 4.4 Maintain
awareness occupational health and
safety awareness
Required Units of Required Units of Training
Competency/Learning Competency/Learning Gaps/Requireme
Outcomes based on CBC Outcomes based on nts
CBC
COMMON COMPETENCIES
1. Apply Safety 1. Apply Safety
Practices Practices
1.1 Identify hazardous
area 1.1 Identify hazardous
1.2 Use personal area
protective clothing 1.2 Use personal
and devices protective clothing
and devices
1.3 Perform safe
handling of tools, 1.3 Perform safe
equipment and handling of tools,
materials equipment and
materials
1.4 Perform first aid 1.4 Perform first aid
1.5 Use Fire 1.5 Use Fire extinguisher
extinguisher
2. Interpret Drawing 2. Interpret Drawing
and Sketches and Sketches
2.1Identify standard 2.1 Identify standard
alphabet of lines alphabet of lines
2.2 Identify 2.2 Identify
Date Developed: Document No.
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 orthographic/ orthographic/
isometric views isometric views
2.3 Interpret standard 2.3 Interpret standard
drawing symbols, drawing symbols,
dimensional tolerances dimensional
and notations tolerances and
notations

3. Perform Industry 3. Perform Industry

Calculation Calculation
3.1 Perform four 3.1 Perform four
fundamental operations. fundamental operations.
3.2 Perform conversion 3.2 Perform conversion
of units of units
3.3 Perform 3.3 Perform
calculations on algebraic calculations on algebraic
expressions expressions
3.4 Compute 3.4 Compute
percentage and ratio percentage and ratio
4. Contribute to Quality 4. Contribute to Quality
System System
4.1 Inspect work done. 4.1 Inspect work done.
4.2 Apply quality 4.2 Apply quality
standards to work standards to work
4.3 Protect company 4.3 Protect company
property and customer property and customer
interests interests
5. Use Hand Tools 5. Use Hand Tools
5.1 Select hand tools 5.1 Select hand tools
5.2 Use hand tools
5.2 Use hand tools
5.3 Maintain hand
5.3 Maintain hand tools tools
6. Prepare Weld 6. Prepare Weld
Materials Materials
6.1 Set up cutting 6.1 Set up cutting
equipment equipment
6.2 Cut and prepare
6.2 Cut and prepare
edge of materials
edge of materials
6.3 Clean surfaces and
6.3 Clean surfaces and edges
edges 6.4 Prepare welding
6.4 Prepare welding consumables
6.5 Prepare welding

Date Developed: Document No.

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Marlon C. Casinay
 consumables safety and protective
equipment
6. 5 Prepare welding
safety and protective
equipment
7. Set-Up Welding 7. Set-Up Welding
Equipment Equipment
7.1 Set up welding 7.1 Set up welding
machine
machine
7.2 Set up welding
7.2 Set up welding
accessories
7.3 Set up welding accessories
positioners, jigs and 7.3 Set up welding
positioners, jigs
and
CORE COMPETENCIES
1. Weld Carbon Steel 1.Weld Carbon
Plate Steel Plate
1.1 Weld carbon
1.1 Weld carbon steel
steel plates in flat
plates in flat position
position (1G)
(1G)
1.2 Weld carbon
1.2 Weld carbon steel steel plates in
plates in horizontal horizontal position
position (2G) (2G)
1.3 Weld carbon steel 1.3 Weld carbon
plates in vertical steel plates in
position (3G) vertical position
(3G)
1.4 Weld carbon steel 1.4 Weld carbon
plates in overhead steel plates in
position (4G) overhead position
(4G)
2. Weld Carbon Steel 2. Weld Carbon Steel
Pipe Pipe
2.1 Weld carbon steel 2.1 Weld carbon steel
pipe in flat position pipe in flat position (2G)
(2G) 2.2 Weld carbon steel
2.2 Weld carbon steel pipe in horizontal
pipe in horizontal position (5G)
position (5G) 2.3 Weld carbon steel
2.3 Weld carbon steel pipe in vertical position
pipe in vertical (6G)

Date Developed: Document No.

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Marlon C. Casinay
 position (6G)

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)
1. Weld carbon steel plates in flat
position (1G)
2. Weld carbon steel plates in
horizontal position (2G) Welding Carbon Steel
3. Weld carbon steel plates in vertical Plate
position (3G)
4. Weld carbon steel plates in overhead
position (4G)

Date Developed: Document No.

SHIELDED September 07, 2020 Issued by:
METAL ARC Date Revised:
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Marlon C. Casinay
 TRAINING PLAN
Qualification: Shielded Metal Arc Welding (SMAW) NCII
Trainees
’
Training Mode of Facilities/Tools Assessmen Date and
Training Staff Venue
Activity/Task Training and Equipment t Method Time
Require
ments

 Weld 1. Perform CBT Trainer Arc Welding CNVS Based on Septemb

carbon root pass Delivery Industry machine SMAW Training er 2 to
steel penetratio AC/DC and NC II Plan and Novembe
Supervis
plates n accessories Worksho Assessme r 19
or
in flat p/Practi nt 2020
2. Weld Welding
positio cal Work Criteria
capping/ table/positioners 8:00Am
n. Area
final pass Electrode oven To
penetratio Industry 5:00pm
n Automatic gas
cutting
3. Perform machine
uniformity
of beads Portable disc
ripples in grinder
accordanc Exhaust fan
e with
welding Power hacksaw
standards Anvil
4. Perform Work bench w/
stringer or bench vice on 4
layer corners
beads
Oxy-
deposited
acetylene/Oxy-
in
LPG cylinder
accordanc
with content
e with
welding Chipping
standards Hammer
? Steel brush
Ballpeen
Hammer

Date Developed: Document No.

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 Plier/tong
Files-bastard
cut
Head
shield/helmet

Date Developed: Document No.

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 Weld 1.Apply Trainer Arc Welding CNVS Based on Septemb
carbo correct machine SMAW Training er 2 to
CBT Industry
n welding AC/DC and NC II Plan and Novembe
Delivery Supervis
steel current to accessories Worksho Assessme r 19
or
plates perform p/Practi nt 2020
Welding
in good cal Work Criteria
table/positioner 8:00Am
horizo penetratio Area
s
ntal n To
Industry
positi Electrode oven 5:00pm
on Automatic gas
2. Perform
cutting
arc machine
length
in good Portable disc
starting grinder
point Exhaust fan
Power hacksaw
3. Use Anvil
Back hand
technique Work bench w/
in angle bench vice on 4
travel corners
Oxy-
acetylene/Oxy-
4. Observe LPG cylinder
kinds of with content
electrodes
and Chipping
manipulate Hammer
it Steel brush
Ballpeen
5. Apply Hammer
speed of Plier/tong
travel
Files-bastard
while
cut
welding a
root pass Head
penetratio shield/helmet
n
procedure

Date Developed: Document No.

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 Weld 1. Perform CBT Trainer Arc Welding CNVS Based on Septemb
carbo root pass Delivery Industry machine SMAW Training er 2 to
n penetrati AC/DC and NC II Plan and Novembe
Supervis
steel on accessories Worksho Assessme r 19
or
plates p/Practi nt 2020
2. Weld Welding
in cal Work Criteria
capping/ table/positioner 8:00Am
vertic Area
final pass s
al To
penetrati Industry
positi Electrode oven 5:00pm
on
on Automatic gas
3. Perform cutting
uniformit machine
y of
beads Portable disc
ripples in grinder
accordan Exhaust fan
ce with
welding Power hacksaw
standard Anvil
s
Work bench w/
4. Perform bench vice on 4
stringer corners
or layer
Oxy-
beads
acetylene/Oxy-
deposited
LPG cylinder
in
with content
accordan
ce with Chipping
welding Hammer
standard Steel brush
s
Ballpeen
5. Finish Hammer
weldment
visually Plier/tong
acceptabl Files-bastard
e in cut
accordan
ce with Head
the shield/helmet
welding
standard
s
6. Apply
correct
welding
current
Date Developed: Document No.
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 to
perform
good
penetrati
on
 Weld 1. Perform CBT Trainer AC/DC and CNVS Based on Septemb
carbo root Delivery accessories SMAW Training er 2 to
Industry
n pass NC II Plan and Novembe
Supervis Welding
steel penetrat Worksho Assessme r 19
or table/position
plates ion p/Practi nt 2020
ers
in cal Work Criteria
2. Weld 8:00Am
overh Electrode oven Area
capping
ead To
/ final Automatic gas Industry
positi 5:00pm
pass cutting
on penetrat machine
ion Portable disc
3. Perform grinder
uniform Exhaust fan
ity of
beads Power hacksaw
ripples Anvil
in
Work bench w/
accorda
bench vice on
nce with
4 corners
welding
standar Oxy-
ds acetylene/Oxy
-LPG cylinder
4. Perform
with content
stringer
or layer Chipping
beads Hammer
deposite Steel brush
d in
accorda Ballpeen
nce with Hammer
welding Plier/tong
standar
ds Files-bastard
cut
5. Finish
weldme Head
nt shield/helmet
visually
accepta
ble in
accorda
Date Developed: Document No.
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Marlon C. Casinay
 nce with
the
welding
standar
ds

Prepared by: Approved by:

MARLON C. CASINAY DINDO N. MENDOZA

Trainer VIS-Designate

Technical Education and Skills

Development Authority
Calubian National Vocational
School
Trainee’s No._______________
TRAINEE’S RECORD BOOK

Date Developed: Document No.

SHIELDED
METAL ARC
I.D.
September 07, 2020
Date Revised:
Issued by:

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Marlon C. Casinay
NAME : instructor will likewise indicate
Manuel C. Gonzaga his/her remarks on the
“Instructors Remarks” column
regarding the outcome of the task
QUALIFICATION : accomplished by the trainees. Be
SMAW NC-II sure that the trainee will
personally accomplish the task
TRAINING DURATION : and confirmed by the instructor.
200 Hours It is of great importance that
the content should be written
legibly on ink. Avoid any
TRAINER : corrections or erasures and
Marlon C. Casinay maintain the cleanliness of this
record.
This will be collected by your
trainer and submit the same to the
Vocational Instruction Supervisor
(VIS) and shall form part of the
permanent trainee’s document on
file.

Instructions:
THANK YOU.
This Trainees’ Record Book
(TRB) is intended to serve as
record of all NOTES:
accomplishment/task/activities
while undergoing training in the
industry. It will eventually become _______________________________
evidence 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. ___________________________

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 _______________________________
training program and to be taken ___________________________
up in the school and with the _______________________________
guidance of the instructor. The ___________________________
Date Developed: Document No.
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Marlon C. Casinay
 _______________________________
___________________________
_______________________________
___________________________
_______________________________
___________________________
_______________________________
___________________________
_______________________________
___________________________
_______________________________
___________________________
_______________________________
___________________________

Date Developed: Document No.

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Marlon C. Casinay
Unit of Competency:1. WELD CARBON • Safe welding
STEEL PLATES practices
NC Level II
• Welding
Learning Task/Activity Procedure
Outcome Required Accomplished Specifications
(WPS)
 Weld • Essentials of 10/25/2016
carbon welding
steel plates • International __________________
in flat welding codes ___________________
position and standards
Trainee’s Signature
• Acceptable Trainer’s Signature
weld profiles
• Weld defects,
causes and
remedies
 Weld • Essentials of 10/25/2016
carbon welding
steel plates • International
in welding codes
horizontal and standards
position Unit of Competency: 2. WELD CARBON
• Acceptable STEEL PIPE
weld profiles
NC Level II
• Weld defects,
causes and Learning Task/Activity Date
remedies Outcome Required Accomplished

• Safe welding Weld carbon  Essentials of 10/28/2016

practices steel pipes in welding
horizontal  International
• Welding position (2G) welding codes
Procedure and standards
Specifications
 Acceptable weld
(WPS)
profiles
• Welding  Weld defects,
techniques and causes and
procedures remedies
 Welding
Procedure
 Weld • Safe welding 10/26/2016 Specifications
carbon practices (WPS)
steel plates • Welding  Welding
in vertical Procedure techniques and
position Specifications procedures
(WPS)  Safe welding
practices
• Weld defects,
causes and
remedies Weld carbon  Essentials of 10/28/2016
steel pipes in welding

Date Developed: Document No.

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Marlon C. Casinay
 Fixed pipe  International
horizontal welding codes
position (5G) and standards
 Acceptable
weld profiles
 Weld defects,
causes and
remedies
 Welding
Procedure
Specifications
(WPS)
 Welding
techniques and
procedures
 Safe welding
practices

Weld carbon  Essentials of 10/29/2016

steel pipes in welding
fixed pipe,  International
inclined at welding codes
45 position and standards
(6G)  Acceptable
weld profiles
 Weld defects,
causes and
remedies
 Welding
Procedure
Specifications
(WPS)
 Welding
techniques
and
procedures
 Safe welding
practices

__________________
_____________________
Trainee’s Signature
Trainer’s Signature

Date Developed: Document No.

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Marlon C. Casinay
 TRAINEE’S PROGRESS SHEET

Name : Manuel C. Gonzaga Trainer : Marlon C. Casinay

Qualification : SMAW NCII Nominal Duration : 120
Units of Training Training Date Trainee’s Supervisor’s
Date Finished Rating
Competency Activity Duration Started Initial Initial
Weld Carbon • Essentials of 120 Hours 10/20/2020 11/18/20200 Competent
Steel Plates welding
• International
welding codes
and standards
• Acceptable
weld profiles
• Weld defects,
causes and
remedies
• Welding
Procedure
Specifications
(WPS)
• Welding
techniques and
procedures
• Safe
welding
practices

WELD • Essentials of 10/20/2020 11/04/2020 Competent

CARBON welding
STEEL PIPE • International
welding codes
 and standards
• Acceptable
weld profiles
• Weld defects,
causes and
remedies
• Welding
Procedure
Specifications
(WPS)
• Welding
techniques and
procedures
• Safe welding
practices
200
Total
Hours
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 ratings
 TRAINING SESSION EVALUATION FORM
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. Your answer will be treated with utmost
confidentiality.

TRAINER/INSTRUCTORS
1 2 3 4 5
Name of Trainer: MARLON C. CASINAY
1. Orient trainees about CBT, the use of
CBLM and the evaluation system.
2. Discussion clearly the unit of competencies
and outcomes to be attained at the start of
every module.
3. Exhibit mastery of the subject/course
he\she is teaching.
4. Motivates and elicits active participation
from the students or trainees.
5. Keeps records of evidence/s of competency
attainment of each student/trainees.
6. Instill value of safety and orderliness in the
classrooms and workshop.
7. Instill 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. Provide extra attention to trainees and
student with specific learning needs.
13. Attends classes regularly and promptly.
14. Shows energy and enthusiasm while
teaching.
15. Maximizes use training supplies and
materials.
16. Dresses appropriately.
17. Shows empathy.
18. Demonstrate self-control.

Comments/Suggestions:

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. Your answer 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 lay-out conforms to 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.
DESIGN AND DELIVERY 1 2 3 4 5
1. Course content 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 demonstrations
help you learn.
5. Practice exercise like Task/Job Sheets are
sufficient to learn required skills.
6. Valuable knowledge are learned through the
content of the course.
7. Training methodologies are effective.
8. Assessment method and evaluation system
are suitable for the trainees and the
competency.
9. Recording of achievements and competencies
acquired is prompt and comprehensive.
10. Feedbacks about the performance of
learners are given immediately.
TRAINING FACILITIES/RESOURCES 1 2 3 4 5
1. Training resources are adequate.
2. Training venue is conducive and appropriate.
3. Equipment, Supplies and Materials are
sufficient.
4. Equipment, Supplies and Materials are suitable
and appropriate.
5. Promptness in providing Supplies and
Materials.
SUPPORT STAFF 1 2 3 4 5
1. Support Staff are accommodating.

Comments/Suggestions:

SELF-EVALUATION QUESTIONNAIRE
During the session, did I? Yes No
1. Establish an atmosphere of trust?
2. Encourage participation of the trainees?
3. Assist the trainees when they needed assistance?
4. Consider the feedback of the trainees?
5. Remain aware of non-verbal communication?
6. Praise effort?
7. Summarize key points?
8. Vary activities and task to aid attainment of competency?
9. Provide opportunities for practice?
10. Achieve the learning objectives?
11. Check video materials as to its relevancy to the skills training
required?

PROGRAM EVALUATION INTERPRETATION AND ANALYSIS

RATER A
PREPARATION 1 2 3 4 5
1. Workshop lay-out conforms with the components of a CBT X
workshop
2. Number of CBLM is sufficient X
3. Objectives of every training session is well explained X
4. Expected activities/outputs are clarified X

RATER B
PREPARATION 1 2 3 4 5
1. Workshop lay-out conforms with the components of a CBT X
workshop
2. Number of CBLM is sufficient X
3. Objectives of every training session is well explained X
4. Expected activities/outputs are clarified X
RATER C
PREPARATION 1 2 3 4 5
1. Workshop lay-out conforms with the components of a CBT X
workshop
2. Number of CBLM is sufficient X
3. Objectives of every training session is well explained X
4. Expected activities/outputs are clarified X

Rater Rating for Rating for Rating for item 3 Rating for item 4
item 1 item 2
A 2 3 3 3
B 3 4 4 3
C 3 4 3 5
Total 8 11 10 11

Average 2.7 3.7 3.3 3.7

PREPARATION AVERAGE
1. Workshop lay-out conforms with 2.7
the components of a CBT
workshop
2. Number of CBLM is sufficient 3.7
3. Objectives of every training 3.3
session is well explained
4. Expected activities/outputs are 3.7
clarified
General Average 3.35

Sample Range:
0.00 – 1.49 = Poor/Unsatisfactory
1.50 – 2.49 = Fair/Adequate
2.50 – 3. 49 = Good/Satisfactory
3.50 – 4.49 = VeryGood/Very satisfactory
4.50 – 5.0 = Outstanding
 SUPERVICE INDUSTRY TRAINING OR ON THE JOB
TRAINING EVALUATION FORM

Dear trainees:
The following questionnaire is design to evaluate the effectiveness of the
supervised Industry Training (SIT) or on the Job Training (OJT) you have
with the industry Partners of TESDA-Calubian National Vocational School.
Please check (/) the appropriate box corresponding to your rating for each
question asked. The result of this evaluation shall serve as a basis for
improving the design and management of the SIT in TESDA-CNVS to
maximize the benefits of the said Program. Thank you for your cooperation.

Legend:

5– Outstanding
4-Very good/ Very satisfactory
3-Good / Adequate
4- Fair/ Satisfactory
1 - Poor/ Unsatisfactory
NA- not applicable

Ite
m Question Ratings
No.1
 INSTITUTIONAL EVALUATION 1 2 3 4 5 NA
Has CALUBIAN ANTIONAL
VOCATIONAL SCHOOL Conducted an
1 orientation about the SIT/OJT program,
the requirements and preparation
needed and its expectations?
Has CALUBIAN ANTIONAL
VOCATIONAL SCHOOL Provided the
2 necessary assistance such as referrals
or recommendations in finding the
company for OJ?
Has CALUBIAN ANTIONAL
3 VOCATIONAL SCHOOL shoed
coordination with the industry partner
in the design and supervision of your
SIT/OJT?
Has your in- school training adequate to
4 undertake Industry partner assignment
and its challenge?
Has CALUBIAN ANTIONAL
5 VOCATIONAL SCHOOL monitored your
progress in the Industry
Has the supervision been effective in
6 achieving your OJT objectives and
[providing feedbacks when necessary?
Did CALUBIAN ANTIONAL VOCATIONAL
7 SCHOOL conduct assessment of your
SIT/ OJT programs upon completion?
Were you provided with the results of
the Industry and CALUBIAN ANTIONAL
8
VOCATIONAL SCHOOL assessment of
your OJT

Comments/ Suggestion:

Item
Question Ratings
No.
INDUSTRY PARTNER 1 2 3 4 5 NA
1 Was the Industry partner appropriate for
their type of your training required and/
or desired?
2 Has the Industry partner designed the
training to meet your objectives and
expectation?
3 Has the Industry partner showed
coordination with TESDA-CNVS in the
design and supervision of the SIT/OJT?
4 Has the Industry and its staff welcome
you and treated you with respect and
understanding?
5 Has the Industry partner facilitated the
training including the provision of the
necessary resources such as facilities
and equipment needed to achieve your
OJT objectives?
6 Has the Industry partner assigned a
supervisor to oversee your work or
training/
7 Was the supervisor effective in
supervising you through regular
meeting, consultations and advice?
8 Has the training provided you with the
necessary technical and administrative
exposure of the real-world problems and
practice?
9 Has the training program allows you to
develop self-confidence, self-motivation
and positive attitude towards work?
10 Has the experience improved your
personal skills and human relations?
11 Are you satisfied with your training in
the industry?

Comments/ Suggestion:

Signature:
Printed Name: Qualification:
Host Industry Partner: Supervisor:
Period of Training: Instructor:
 MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Memorandum of Agreement made and entered into by and between:

The TESDA-Calubian National Vocational School represented by its

Vocational School Administrator, ARACELI P. PICARDAL herein referred to
as the first party;

And MFC shop, represented by its Proprietorship/Owner, Lonmar C.

Conde,herein referred to as the second party.

WITNESSETH THAT

WHEREAS, the TESDA-CNVS, in pursuit of its mission to help the

unemployed individuals by providing them with quality education that will
give them employable technical skills and proper work ethics.
WHEREAS, MFC shop, as the social development of necessary experience
and expertise in managing programs that facilitates the provision of
industrial and entrepreneurial skills training for the disadvantage sector.
NOW, THEREFORE, for and in consideration of the above premises, both
parties hereby agree as follows:

A. NATURE AND SCOPE OF PARTNERSHIP

1. TESDA-CNVS and MFC shop will work as partners in the technical
training of trainees in SMAW NC II.
2. TESDA-CNVS and MFC shop commit to enable the students-
trainees to qualify at least for the entry level job requirements in the
industries.
3. TESDA-CNVS and MFC shop shall follow the training program
registered in the UTPRAS including its duration (23 days every
Saturdays) and schedule. Training shall start on January 27, 2020 -
February 22, 2020.
B. FUNCTIONS AND RESPONSIBILITIES OF THE TESDA-CNVS

1. Exercise general supervision over training program.

2. Designate a coordinator who will closely monitor the training
program.
3. Conduct mandatory assessment of trainees.
4. Issue certificate of training to graduates of the program.
5. Undertake such other functions to ensure the success of the
program.

C. FUNCTIONS AND RESPONSIBILITIES OF MFC SHOP

1. Select and screen scholars/trainees.

2. Provide trainees uniform, supplies and training consumables
necessary to ensure the successful implementation of the program.
3. Pay TESDA-CNVS the fee (Php. 6,000.00) and assessment fee (Php.
500.00) per scholar.
4. Pay the honoraria of the trainer (Php. 500.00/day x 36 days) for the
duration of the training.
5. Designate an individual who will work closely with the school
coordinator regarding training activities.
6. Undertake such other functions to ensure smooth implementation
of the program.

D. MISCELLANEOUS PROVISIONS

1. The parties pledge to cooperate with each other and to perform their
respective obligation under the agreement.
2. In case of injury resulting from an accident related to the training,
TESDA-CNVS liability shall be limited to the school accident
insurance plan.
3. The agreement may be amended or modified only through a written
instrument duly signed and executed by the parties. This
memorandum of agreement will commence upon signing.
IN WITNESS WHEREOF, the parties have signed this memorandum of
agreement this 15th day of December 2020 at TESDA-CNVS, Philippines.

By:
ARACELI P. PICARDAL
Vocational School Administrator
TESDA-CNVS
(First Party)

Lonmar C. Conde
MFC shop/Owner
(Second Party)

SIGNED IN THE PRESENCE OF:

MARLON C. CASINAY
Instructor I
TESDA-CNVS

Note: To be notarized by a Notary Public