CHCAGE002 Assessment Workbook

Assessment Workbook

Certificate III in Individual Support [CHC33015]Implement falls prevention strategies [CHCAGE002]

Participant name: _______________________________

ContentsAssessment Workbook.....................................................................................................6

Assessment Overview...................................................................................................6Assessment Instructions...............................................................................................6Agreement by the Student............................................................................................7Agreement by the Assessor..........................................................................................8

Assessment Task 1 – Knowledge Questions.....................................................................9Assessment Task 2 – Case Study/Scenario....................................................................13

Scenario 2.1................................................................................................................13Scenario 2.2................................................................................................................15Scenario 2.3................................................................................................................17Scenario 2.4................................................................................................................18

Knowledge Assessment Record.....................................................................................19Assessment Task 3 – Simulated Practical Demonstration..............................................20Simulated Practical Assessment Record........................................................................31Final Assessment Outcome Record................................................................................32Achievement of Competence.........................................................................................33

Assessment Workbook V1 150808 Implement falls prevention strategies [CHCAGE002]ATAR Design © Copyright 2015 Page 2 of 33

Unit of competencyCHCAGE002 Implement falls prevention strategies

Overview/Competency demonstrationThis unit describes the skills and knowledge required to work in partnership with older people and their carer/s to implement strategies to minimise the risk of falls.

This unit applies to support workers in a residential or community context. Work performed requires some discretion and judgement and may be carried out under regular direct or indirect supervision.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

To demonstrate your competency in this unit you will need to provide evidence of your ability to: Prepare to implement falls prevention strategies Identify potential risk of falls Implement falls prevention strategies Monitor falls prevention strategies

In order to satisfy the requirements of this unit you need to be able to demonstrate to your assessor that you can: Determine identified strategies which can be implemented within role and

responsibilities and discuss with supervisor or relevant health professional Interpret findings of the assessment and explain relevant information to the older

person and their carer clarifying any requirements Seek the older persons’ permission, cooperation and commitment by

communicating in a supportive and encouraging manner that is respectful of the older person and their carer's level of understanding, cultural background, needs and rights

Discuss the older person’s concerns about falling and how they have coped with previous falls in a manner respectful of their privacy, dignity, wishes and beliefs

Discuss the support of carers where appropriate Identify and explore lifestyle, health and mobility factors with the older person, that

might affect the level of risk Determine the older person’s physical indicators of risk of falls using appropriate

tools and methodologies within scope of role Determine the older person’s risk factors based on findings in collaboration with

supervisor and/or relevant health professional Identify the older person’s needs, issues and concerns outside scope of practice and

refer to appropriate supervisor, health professional or agency in line with organisation procedures

Identify and explain options to minimise the risk of falls and include opportunities for the older person and carer to contribute where appropriate

Work with the older person and their carers to identify and implement strategies that are consistent with their safety needs, priorities, preferences and specific requirements

Implement strategies in a safe and effective manner that minimises the older person’s discomfort

In collaboration with the older person and carers, decide how strategies can be tested and how success will be measured and communicated within the support team


Work with the older person and their carers to review and measure the outcomes of falls prevention strategies

Share and celebrate positive results with the older person, carers, supervisor or health professional as appropriate

Identify when and why strategies are not having the desired result and any indicators of increased risk

Determine future strategies and actions including referral to other services in consultation with the older person, carers and health professional

Complete, maintain and store all relevant documentation and reports according to organisation policy and protocols

Performance EvidenceThe candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has: implemented falls prevention strategies for at least 2 older people and monitored

and evaluated those strategies in a collaborative, positive and respectful manner

Knowledge EvidenceThe candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of: the ageing process and how it might affect the risk of falls factors, including stroke, contributing to the risk of falls and their impact on older

people and their carers normal posture, gait and balance and how to recognise deviations medical causes of falls, including stroke and how to recognise signs of those causes the physical and psychological effects of falls on older people and their carers falls prevention strategies and indicators of when a strategy should be halted legal and ethical considerations for working with older people, including:

- duty of care- human rights- privacy, confidentiality and disclosure- work health and safety

documentation requirements including the importance of accurate, objective and appropriately detailed records


Assessment WorkbookAssessment OverviewTo be deemed competent in this unit of competency the Learner must complete the following successfully:Activities Complete the activities in the Activity WorkbookFinal Assessment (Assessment)

These are a set of tasks you will be required to complete. You must achieve a satisfactory result for each task to be deemed competent in this unit

This Assessment Workbook is divided into the following tasks:Task 1 Knowledge questionsTask 2 Case study/scenariosTask 3 Simulated Practical

The content of this final assessment is designed to consolidate your learning to provide evidence that you are indeed competent. More specifically, summative assessments are designed to evaluate student learning at the end of an instructional unit and compared to a bench mark. The assessor will base the final outcome of each unit and deem the assessment competent for every satisfactory task.

You must complete this assessment individually. If any answers are incorrect, your trainer/assessor will work with you to identify gaps in your knowledge and understanding and make arrangements for reassessment, which may involve re-sitting the assessment or answering the questions verbally.

Assessment InstructionsWhat you need to do before assessment: Complete all the activities in this Assessment Workbook The accompanying learner guide can be used to assist with this Assessment

Workbook Are you ready for assessment? Your Assessment Workbook needs to be sighted by

your assessor prior to assessment

When you are ready to be assessed your assessor will: Ensure you are advised of the time, date and venue of assessments Explain the assessment tasks fully Make provision for any special support you may need Organise and arrange all required resources

If you have any difficulties or there is anything you don’t understand, talk with your Trainer/Assessor; they are here to help you. Never be too afraid to ask about anything you don’t understand related to safety and do not attempt to complete tasks you are unsure about. You can raise any concerns with your trainer/assessor.


Agreement by the StudentPease sign below to demonstrate that you understand what is required of you in relation to this assessment.

Have you read and understood what is required of you in terms of assessment?

Yes No

Do you understand the requirements of this assessment? Yes NoDo you agree to the way in which you are being assessed? Yes NoDo you have any special needs or considerations to be made for this assessment? If yes, what are they?

Yes No

Do you understand your rights to appeal the decisions made in an assessment?

Yes No

I understand I have three attempts to complete each task satisfactorily. After three attempts, $200 per unit will be charged to reassess the unit of competency. If after the fourth attempt I am deemed ‘Not Yet Competent’, I will be required to do further training before reattempting this unit.

Yes No

I hereby certify that this assessment is my own work, based on my personal study and/or research. I have acknowledged all material and resources used in the presentation of this assessment whether they are books, articles, reports, internet searched or any other document or personal communication. I also certify that the assessment has not previously been submitted for assessment in any other subject or any other time in the same subject and that I have not copied in part or whole or otherwise plagiarised the work of other learning and/or other persons.

I confirm that I understand that I must complete this assessment on my own. I confirm that I will not cheat or plagiarise, or copy from another student during the completion of this assessment.

Yes No

I agree to allow the RTO to discuss the progress / results of my assignment with my supervisor or a representative from my organisation should this be required.

Yes No

I give permission for the RTO to use my assignment for assessment moderation / validation purposes.

Yes No

I confirm that I have read and understood my responsibilities and requirements for assessment.Student’s Signature: Date: ____/____/____


Agreement by the AssessorThe assessor is to complete this declaration with the student. I have acknowledged the underpinning knowledge and skills may be assessed on or off the job.

Yes No

Context of and specific resources for assessment.

This unit can be assessed independently; however holistic assessment practice with other community services units of competency is encouraged.

Resources required for assessment include access to: appropriate workplace where assessment can take place relevant organisation policy, protocols and procedures equipment and resources normally used in the workplace

If you ticked NO what arrangement has been made to satisfy the gap?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Yes No

I confirm that I am a qualified workplace assessor and will be conducting the assessment for this unit and student.

Yes No

Have all aspects of the student agreement been explained and understood?

Yes No

Does the student understand they have three attempts to complete each task satisfactorily? After three attempts $200 per unit will be charged to reassess the unit of competency. If after the fourth attempt the student is deemed ‘Not Yet Competent’, they will be required to do further training before reattempting this unit.

Yes No

I confirm that I have explained and confirmed all of the above items with the student.Assessor Signature: Date: ____/____/____


Assessment Task 1 – Knowledge QuestionsInstructions Read the following questions Answer the questions in the space provided You must answer all questions satisfactorily to receive a satisfactory outcome for

this section

1.1 Describe how an aged care worker could prepare for an assessment of the risk of falls for an older person.

Result ☐ S ☐ NS

1.2 Provide information to clarify the assessment process, and information that will be obtained and stored, and clarify relevant others who might see the assessment results.

Result ☐ S ☐ NS

1.3 How should workers communicate with older people and their carer, and why is it necessary to obtain consent for assessments?

Result ☐ S ☐ NS


1.4 What should staff take into account when conducting an assessment of the risk of falls?

Result ☐ S ☐ NS

1.5 Explain how staff might implement fall minimisation strategies.

Result ☐ S ☐ NS

1.6 Describe how staff might monitor fall minimisation strategies.

Result ☐ S ☐ NS


1.7 What do staff need to consider when completing documentation?

Result ☐ S ☐ NS

1.8 What impact do falls by elderly people have on society?

Result ☐ S ☐ NS

1.9 What are the benefits of investing in fall prevention?

Result ☐ S ☐ NS


1.10 What tools can be used to evaluate the risk of falls?

Result ☐ S ☐ NS

1.11 What are the major causes of falls?

Result ☐ S ☐ NS

Did the student satisfactorily complete this task?

SATISFACTORY NOT SATISFACTORY


Assessment Task 2 – Case Study/ScenarioInstructions Read the scenarios provided Complete this task using the information in the scenario To receive a satisfactory result for this task you must complete this section

satisfactorily

Scenario 2.1 Tony is a 67 year old man who resides at your facility. He is diagnosed with Motor Neurone disease and is wheelchair bound. Tony has limited movement in his upper body, and no movement in his lower body. Staff have been assisting Tony with personal care for the past 6 months. Today you have noticed that Tony has developed quite a lean in his chair and you are concerned that this may result in him falling from the wheelchair.

You mention this to Tony and his wife Sandra. She informs you that he has had the same chair for over 5 years and that she too is concerned that he may fall as the lean gets worse late in the day. You know that there is some sort of referral process for accessing new equipment.

2.1.1 What is a Risk Assessment?

Result ☐ S ☐ NS

2.1.2 What level of risk is Tony at?

Result ☐ S ☐ NS


2.1.3 Who would be involved in the referral process?

Result ☐ S ☐ NS

2.1.4 How would you ensure that Tony and his wife Sandra are ‘kept in the loop’ regarding the action you are too take?

Result ☐ S ☐ NS

2.1.5 What documentation would you complete in regards to the above scenario?

Result ☐ S ☐ NS


Scenario 2.2Gary is a 67 year old man who resides at your facility. He is diagnosed with Motor Neurone disease and is wheelchair bound. Gary has limited movement in his upper body and no movement in his lower body. Staff have been assisting Gary with personal care for the past 6 months. Today you have noticed that Gary has developed quite a lean in his chair and you are concerned that this may result in him falling from the wheelchair.

You mention this to Garry and his wife Sally. She informs you that he has had the same chair for over 5 years and that she too is concerned that he may fall as the lean gets worse late in the day. You know that there is some sort of referral process for accessing new equipment.

2.2.1 What type of risk assessment would you need to assess Gary as a risk?

Result ☐ S ☐ NS

2.2.2 What level of risk is Gary at?

Result ☐ S ☐ NS


2.2.3 Who would be involved in the referral process?

Result ☐ S ☐ NS

2.2.4 How would you ensure that Gary and his wife Sally are ‘kept in the loop’ regarding the action you are able to take?

2.2.5 What documentation would you complete in relation to the above scenario?

Result ☐ S ☐ NS


Result ☐ S ☐ NS

Scenario 2.3Mrs Simpson Lives at home alone she has never had a fall before, she has recently had a decrease in her mobility and has required treatment from a physio who has recommended the following. Assistance X1 staff member for all transfers, Hip protectors 24/7 and direct monitoring until she can be assessed in a few weeks’ time.

2.3.1 Before implementing strategies what key factors should you take in consideration?

Result ☐ S ☐ NS


Scenario 2.4Mrs Sandringham has an unsteady gait he uses a 4WW at all times. She recently has become unwell she is retaining fluid below the knees and is not sleeping well at night, the doctor on his last visit has prescribed sleeping tablets and a diuretic for Mrs Sandringham. After Two days taking the sleeping tablets and the diuretic, Mrs Sandringham found herself rushing half asleep to get to the bathroom, she battles with the 4WW half asleep and is worried she may not make the bathroom.

2.4.1 What could the possible cause be of increased falls risk?

Result ☐ S ☐ NS

2.4.2 What interventions would you take if you found a strategy not having the desired effect?

Result ☐ S ☐ NS

2.4.3 You place a commode beside the bed of a night and monitor its effectiveness:

Result ☐ S ☐ NS


Knowledge Assessment RecordUnit of competencyCHCAGE002 Implement falls prevention strategies Learner Name:

Assessor Name:

Site: Date: ____/____/____

Assessment activity Satisfactory Date More evidence Date

Task 1 – Knowledge questions ☐ ☐Task 2 – Case study/Scenario ☐ ☐Context detail (Assessor to record)

AttemptsAttempt 1 ____/____/____ Attempt 2 ____/____/____ Attempt 3 ____/____/____Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have three assessment attempts. After the third attempt arrangements for payment will be made for reassessment purposesAssessor feedback to learner: The assessor must write full feedback to the learner that is constructive and not generic.


Assessment Task 3 – Simulated Practical DemonstrationInstructions You will be assessed by the assessor present within the simulated room. In some instances an actor will be employed as the expert to act out the assessment The script provided in this paper is only an example as to what you should say, you

do not need to follow the script word for word. As long as the dialogue you use meets industry standard.

The scenario and main objective will be provided to you in this document and must be read prior to commencing your assessment. To listen to the scenario double click on the audio icon to commence preparation for your assessment

To receive a satisfactory result for this task you must complete each section satisfactorily

Simulated Practical Demonstration 3.1Read the following before commencing.

The StoryMr John Harrison has had a fall as he had been getting up and walking around his room with his frame without assistance. He has sustained a skin tear to his left elbow. You are discussing with him the risks involved in doing this and need to develop some strategies to reduce the risk of falling and incurring an injury.

ObjectiveYou are requested to assess the risk factors, discuss these risks with Mr John Harrison and develop some strategies to reduce of minimise the risk. You also need to complete an incident report post fall.

ProcedureYou will be required to demonstrate to your trainer/assessor your ability to identify a risk and how you will communicate the risk to the client and develop some strategies. You will also need to complete the relevant documentation. To obtain satisfactory results in this task you will be required to satisfactorily perform each element.

Assessment Workbook V1 150808 Provide individualised support [CHCCCS015]ATAR Design © Copyright 2015 Page 19 of 33

3.1.1 Role play the following

You have just finished dressing Mr Harrison’s skin tear on his left elbow and come back to check on him and have a chat about the fall.

Knock on the door, and introduce yourself.

“Hello Mr. Harrison it’s _______. I’m back because I wanted to talk to you about your mobility, we are a bit concerned about you walking around your room without help and we don’t want you to have another fall”.

“I’m allowed, you’re not going to shackle me down.”

“No I don’t want to do that, I understand you want to move around without calling for staff but there is a risk you can fall, do you agree. Especially when you try to empty your catheter bag on your own?”

(Shrugs his shoulders)“Well I suppose so but damn it I don’t want to feel helpless”

“What about if we figure out a few strategies to reduce the risk of you falling”

“Oh such as what?”

“First of all we can clear a bit of this clutter in your room, and make sure the lighting is stronger so you can see better, maybe a lamp, then we can get some hip protectors so that if you do fall, the impact may be reduced, the other issue is your footwear walking with slippers is not satisfactory”

“Yeah that sounds reasonable, what about the catheter, it gets so full.”

“What about if we empty your bag every 2 hours and we will write that in your care plan, so that it doesn’t get too full?”

“Alright we will see if that happens”

“Are you happy for me to get the physio in to look at your shoes and measure you up for some hip protectors, maybe she can review your frame too?”


“Yeah ok if it means I can still walk around ant not be shackled down yes”.

You leave and document an incident report regarding the fall and skin tear.

Complete a progress note regarding the above conversation.

Progress notesResident Name: _________________________ DOB: ________________UR.No:/ACS ID: 002 Admission: 02/02/2012Medicare Number: ____________________________________ Rm No:_________

Date/Time

Notes Signature & Designation


Result ☐ S ☐ NSResident/Visitor Accident/Incident Form

Site: Date: Area:

Resident Room No

Visitor (Please Specify)

Family Contractor Volunteer

Other (Please Specify)

Name of person involved: (if not a resident) Room NoAddress: (if relevant) Telephone No: Time of accident/Incident (am/pm): Reported to: Location where accident occurred: Location of injury: (please circle)

Description of Injury: Incident:

Result ☐ S ☐ NS


Simulated Practical Demonstration 3.2Read the following before commencing.

The StoryMr John Harrison has had a fall and you are discussing with your supervisor the plan of action to address the falls risks posed in this case. Mr Harrison has Parkinson’s Disease, he is on anti -Parkinson and antihypertensive medication. He ambulates with a frame and his vision is intact. This is his first fall. He has mild cognitive decline and mild anxiety. He has some lack of insight as he mobilises without assistance. He is underweight and has an Indwelling catheter. His room is very cluttered and has poor lighting.

ObjectiveYou are requested to assess the risk factors, discuss these risks with your supervisor and initiate strategies to prevent or minimise risk of falls.

ProcedureYou will be required to demonstrate to your trainer/assessor your ability to identify a risk and how you will develop some strategies including appropriate referrals. You will also need to complete the relevant documentation. To obtain satisfactory results in this task you will be required to satisfactorily perform each element.


3.1.2 Role play the following

You have just finished speaking with Mr Harrison and are discussing the issue with your supervisor.

“Hi Linda I wanted to talk to you about Mr Harrison’s mobility, we are a bit concerned about him having another fall he fell this morning and I’ve completed an incident report luckily it was only a skin tear. ”

“Sure what were you planning to do?”

“I understand he wants to move around without calling for staff but there is a risk he can fall and he agrees. He is especially at risk when he tries to empty his catheter bag on his own”

“Well its good he recognises he is at risk and it’s good that you recognise his need not to feel helpless”

“I suggested that staff empty his bag every 2 hours and we will write that in his care plan, so that it doesn’t get too full”

“That’s a good start”

“I also suggested for me to get the physio in to look at his shoes and measure him up for some hip protectors, maybe she can review his frame too?”

“Good, so organise a physio referral, what about a FRAT?”

“Oh yeah a Falls Risk Assessment Tool I will thanks Linda”


Specialist Referral Form

Name of specialist or agency:Name of client:DOB: ___/___/___ Medicare Number:Admission: UR.No:/ACS ID:Diagnosis:

Reason for referral:

Impact on client:

Client’s perspective of issue:

Result ☐ S ☐ NSUsing the information at the beginning of Prac 2 complete the form below.


Working together to prevent falls

Falls Risk Assessment Tool (FRAT)UR Number: DOB: ___/___/___Surname: Given names:Please fill in if no patient/resident label available

Part 1: Fall Risk Status

RISK FACTOR LEVEL RISK SCORE

RECENT FALLS(To score this, complete history of falls, overleaf)

None in last 12 months 2One or more between 3 and 12 months ago 4One or more in last 3 months 6One or more in last 3 months whilst inpatient / resident

8

MEDICATIONS(Sedatives, Anti-DepressantsAnti-Parkinson’s, DiureticsAnti-hypertensives, hypnotics)

Not taking any of these 1Taking one 2Taking two 3Taking more than two 4

PSYCHOLOGICAL(Anxiety, DepressionCooperation, Insight orJudgement esp. re mobility)

Does not appear to have any of these 1Appears mildly affected by one or more 2Appears moderately affected by one or more 3Appears severely affected by one or more 4

COGNITIVE STATUS(AMTS: Hodkinson Abbreviated Mental Test Score)

AMTS 9 or 10 / 10 OR intact 1AMTS 7-8 mildly impaired 2AMTS 5-6 mod impaired 3AMTS 4 or less severely impaired 4

(Low Risk: 5-11 Medium: Risk: 12-15 High Risk: 16-20) RISK SCORE /20

Automatic High Risk Status: (if ticked then circle HIGH risk below) Recent change in functional status and / or medications affecting safe mobility (or

anticipated) Dizziness / postural hypotension

FALL RISK STATUS: (Circle): LOW / MEDIUM / HIGH


Part 2: Risk Factor Checklist

Y NVision Reports / observed difficulty seeing - objects /

signs / finding way around

Mobility Mobility status unknown or appears unsafe / impulsive / forgets gait aid

Transfers Transfer status unknown or appears unsafe ie. over-reaches, impulsive

Behaviours Observed or reported agitation, confusion, disorientation

Difficulty following instructions or non-compliant (observed or known)

Activities of Daily Living(A.D.L’s)

Observed risk-taking behaviours, or reported from referrer / previous facility

Observed unsafe use of equipment Unsafe footwear / inappropriate clothing

Environment Difficulties with orientation to environment i.e. areas between bed / bathroom / dining room

Nutrition Underweight / low appetite Continence Reported or known urgency / nocturia / accidents Other

HISTORY OF FALLSNote: For an accurate history, consult patient/resident/family/ medical records. Falls prior to this admission (home or referring facility) and/or during current stay

If ticked, detail most recent below

CIRCUMSTANCES OF RECENT FALLS: Information obtained from: ___________________________

(Circle below) (Where? / Comments)

Last fall: Time ago _____ Trip Slip Lost balance Collapse Leg/s gave way DizzinessPrevious: Time ago _____ Trip Slip Lost balance Collapse Leg/s gave way DizzinessPrevious: Time ago _____ Trip Slip Lost balance Collapse Leg/s gave way Dizziness


Part 3: Action Plan

Problem list Intervention strategies/referrals

Planned review:Date of Assessment:Initial Assessment completed by:Print Name:Signed:


Review

Review Date Risk Status Revised Care plan (Y or N)

Signed

Result ☐ S ☐ NS


Simulated Practical Assessment RecordUnit of competencyCHCAGE002 Implement falls prevention strategies Learner Name:

Assessor Name:

Site: Date: ____/____/____


Task 3 – Simulated practical ☐ ☐Context detail (Assessor to record)

AttemptsAttempt 1 ____/____/____ Attempt 2 ____/____/____ Attempt 3 ____/____/____Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have three assessment attempts. After the third attempt arrangements for payment will be made for reassessment purposesAssessor Feedback to learner: The assessor must write full feedback to the learner that is constructive and not generic.


Final Assessment Outcome RecordUnit of competencyCHCAGE002 Implement falls prevention strategies

To meet the requirements for competency, the student must satisfactorily complete all tasks as follows:Learner Name:

Assessor Name:

Site: Date: ____/____/____


Task 1 – Knowledge questions ☐ ☐Task 2 – Scenarios/Case study ☐ ☐Task 3 – Simulated Practical ☐ ☐Task 4 – Reflective journal/log book, third party report (formative assessment) assessor observations (summative assessment)

☐ ☐

Context detail (Assessor to record)

Date that final Assessment was conducted: ____/____/____Note: Final assessment date is the date for the training plan records that the final assessment was conducted not necessarily the date you correct/review the participant’s assessment.The learner has completed all the assessments requirements for this unit of competency and has been deemed.

COMPETENT NOT YET COMPETENT

AttemptsAttempt 1 ____/____/____ Attempt 2 ____/____/____ Attempt 3 ____/____/____Appeals: If you receive a Not Yet Competent assessment result you have the right to appeal. You have three assessment attempts. After the third attempt arrangements for payment will be made for reassessment purposes.Assessor feedback to learner: The assessor must write full feedback to the learner that is constructive and not generic.


Achievement of CompetenceBased on the evidence gathered during the training and assessment process we, the undersigned, agree the assessment was valid, reliable, flexible and fair.

We confirm competence in the following unit:CHCAGE002 Implement falls prevention strategies

Manager/Supervisor Name (if relevant):

Signature: Date: ____/____/____

Trainer/Assessor Name:

Signature: Date: ____/____/____

Trainee/Student Name:

Signature: Date: ____/____/____Reasonable Adjustment (if applicable) – explain why reasonable adjustment has been applied and the tasks it was applied to.

Assessor Intervention (if applicable) – did you need to assist the student in this assessment. If so please explain.

☐ Oral Assessment ☐ Written AssessmentComments:


Documents

CHCAGE002 Assessment Workbook