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NEBOSH International General Certificate in Occupational Health and Safety UNIT IGC3: HEALTH AND SAFETY PRACTICAL APPLICATION Student Name: Student Number: Date of Submission:

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Scope of the assignment

NEBOSH International General Certificatein Occupational Health and Safety

UNIT IGC3: HEALTH AND SAFETY PRACTICAL APPLICATIONStudent Name:

Student Number:

Date of Submission: IGC3 The Health and Safety Practical Application

Candidate and course provider declarations:

For completion by the candidate:

I declare that the work submitted for this practical application assessment ie. the completed observation sheets and the report to management, is my own work. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print) :- Signature :-

Date :- 23 / 03 /2013For completion by a course provider representative (e.g. internal practical assessor):

I declare that the work marked is identical to that received from the candidate. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print)

Signature

Date

For completion by the course providers internal practical assessor:

I declare that I have marked this work and am both qualified and approved by NEBOSH to do so. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print)

Signature

Date

NB: This declaration must be completed in full submitted and retained with the candidates script. If this declaration is not submitted the candidates result may be declared void.

INTERNATIONAL GENERAL

CERTIFICATE Assessors marking sheet

(2011 specification)

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Date of practical application

Name of assessor

Course provider numberCourse provider name

Student numberStudent name

CriteriaMaximum marks available Assessors marks awardedNEBOSH moderated marks

(if different)

1Completion of observation sheets

1.1Range and outline of hazards and consequences15

1.2Identification of suitable control measures and timescales15

2Report - Introduction and Executive Summary

2.1Introduction providing an overview of the chosen area5

2.2Executive summary5

3Report - Main findings of the inspection

3.1Quality of interpretation of findings 15

3.2Identification of possible breaches of international standards5

3.3Persuasiveness / conciseness / technical content 10

4Report - Conclusions and Recommendations

4.1Clear and concise conclusions which are clearly related to report findings and are effective in convincing management to take action15

4.2Recommendations which present realistic actions to improve health and safety in the chosen area15

TOTAL MARKS

Grades:100

Outcome: PASS (60% or more)

REFER (less than 60%)

Date assessed ____ / ____ / ____

Assessors signature ______________________

Date received by course provider ____ / ____ / ____

Date received by NEBOSH

(if applicable) _____ / _____ / _____

Assessors additional comments on the practical application:ASSESSED BY (name in block letters)

The mark sheet must be retained by the Course Provider and sent to NEBOSH only if requested.

NEBOSH USE ONLY

NEBOSH Moderators comments:

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE Candidates observation

(2011 specification)sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Sheet number of _____Student name

Student number

Place inspected

Date of inspection ___ / _____ / _____

ObservationsControl measures Timescale

Hazards and consequencesImmediate and longer term actions

INTERNATIONAL GENERAL

CERTIFICATE

(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number

Location

Date of review / /

Introduction including overview of area inspected and activities taking place.From,

Mohammed Aslam Thangal T.K

Nebosh student

Arion Educare,Kayamkulam.

To,

The Manager

National Industrial gas plants

INTERNATIONAL GENERAL

CERTIFICATE

(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number

Location

Date of review / /

Executive Summary

INTERNATIONAL GENERAL

CERTIFICATE

(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number

Location

Date of review / /

Main findings of the inspection

INTERNATIONAL GENERAL

CERTIFICATE

(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number

Location

Date of review / /

Conclusions

INTERNATIONAL GENERAL

CERTIFICATE

(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number

Location

Date of review / /

Recommendations:

RecommendationLikely resource implicationsPriorityTarget date

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