COMPETENCY STATUS

STANDARD FORM

NAME OF FORM: COMPETENCY STATUS FORM: APPLICATION FOR LEARNER CERTIFICATIONQUALIFICATION TITLE: GENERAL EDUCATION AND TRAINING CERTIFICATE: CHEMICAL OPERATIONS NQF LEVEL 1QUALIFICATION ID: 66029LEARNING PROGRAMME ID: 58514NUMBER OF CREDITS: 120 ( Minimum)

Notes : None of the unit standards in this form may be deleted. Ensure that the prescribed documents are attached. This form may also be used for achievement against skills programmes. In that case only indicate and sign for unit standards achieved. Please ensure that this form is fully and accurately completed to avoid delays in the production of certificates or statements of results. Units standards shared (NCOP) in grey are to be signed off by assessor who are registered with TETA.

Title of Learner Mr. Mrs. Miss. Dr. Prof. Other, Specify

Last Name

Full Name (s)

Unit Standard number

Unit Standard Name Registered Assessor or Team Name(s)

Assessor / SME Signature(s)

Assessor / SME Registration No(s).

Learner Signature Date of Assessment

CORE UNIT STANDARDS:Candidates are required to achieve all the following unit standards (66 Credits):

110075(3 credits) Apply basic fire fighting techniques

12199(8 credits)

Demonstrate an understanding of quality principles used in the chemical industry

244062(8 credits)

Demonstrate understanding of elementary chemical principles and their applications in process industries

244065(4 credits)

Demonstrate understanding of process piping, fittings and valves

244069(6 credits)

Demonstrate understanding of solid, liquid and gas storage methods

244070(12 credits)

Demonstrate understanding of solid, liquid and gas transfer equipment

244061(4 credits)

Interpret material safety data sheets (MSDS) in order to address chemical safety in the workplace

244063(6 credits)

Maintain basic safety, health and environmental issues

244067(3 credits)

Read and interpret simple drawings in a process environment

244064(5 credits) Understand elementary process instrumentation

244066(4 credits)

Understand the principles of physics related to heat and thermal energy and its application in a processing

environment

244068(3 credits)

Demonstrate the understanding of the organisation and its relationships with stakeholders and the

industry within which it operates

FUNDAMENTAL UNITS STANDARDS:Candidates are required to achieve all the following unit standards (39 Credits):

119373(5 credits)

Describe and represent objects in terms of shape, space and measurement

119368(6 credits)

Describe, interpret and represent mathematical patterns, functions and algebra in different

119635(6 credits)

Engage in a range of speaking/signing and listening interactions for a variety of purposes

119364(5 credits)

Evaluate and solve data handling and probability problems within given contexts

119631(5 credits) Explore and use a variety of strategies to learn

119640(6 credit) Read/view and respond to a range of text types

119636(6 credits) Write/Sign for a variety of different purposes

ELECTIVE UNIT STANDARDS:Candidates are to choose a minimum of 15 credits relevant to their working situation from the following list. The selection is determined by the working opportunities and the learner’s

personal preference116511

(1 credit) Carry out basic first aid treatment in the workplace

14664(3 credits)

Demonstrate knowledge of diversity within different relationships in the South African society

116527(2 credits)

Demonstrate knowledge pertaining to basic health and safety principles in and around a workplace

13165(6 credits)

Describe the properties of materials found in the workplace and describe their impact on the

environment117943

(2 credits)Install a Personal Computer (PC) peripheral device, in

a GUI environment116932

(3 credits) Operate a personal computer system

14605(2 credits)

Take a representative sample in a manufacturing process line

116938(4 credits)

Use a Graphical User Interface (GUI)-based word processor to create and edit documents

117902(4 credits)

Use generic functions in a Graphical User Interface (GUI)-environment

12204(2 credits)

Use wastewater/sewage, effluent and storm water systems in industry

113924(2 credits) Apply basic business ethics in a work environment

14804(6 credits)

Demonstrate knowledge of Good Manufacturing Practices in a Chemical Manufacturing environment

9599(3 credits)

Lift and move material and equipment by means of a forklift

(Unit standard a NCOP quality assurance by TETA)

116231

(8 credits) Operate a cab controlled overhead crane

(Unit standard a NCOP quality assurance by TETA)

116235(5 credits)

Operate a pendant controlled overhead crane

(Unit standard a NCOP quality assurance by TETA)

12207(4 credits)

Operate moving equipment to stack, de-stack and position materials

(Unit standard a NCOP quality assurance by TETA)

114936(2 credits) Participate effectively in a team or group

12484(4 credits) Perform basic fire fighting

14706(4 credits) Perform basic rigging procedures

12208(3 credits) Perform lubrication on production machinery

116937(4 credits)

Use a Graphical User Interface (GUI)-based spreadsheet application to create and edit

spreadsheets244078

(3 credits) Demonstrate understanding of a work permit system

Declaration of assessments and moderations:

As the registered constituent assessor and moderator involved in the assessments of the learner indicated in this form, we declare that a summary of assessment contained in this Competency Status Form is true and accurate as per the Assessment Summary Record attached. The complete records of the assessments of this learner are available for QALA Evaluation by the CHIETA ETQA on request.

MODERATOR NAME SIGNATURE REGISTRATION NUMBER DATE

NAME OF SUBJECT MATTER EXPERT (SME)(APPLICABLE TO THE REGISTERED TEAM) *

SIGNATURE REGISTRATION NUMBER DATE