Observation Report Sheet

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)
Candidates observation
sheet
IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number
of _____
Student name _______________________________________
Student number _________________
Place inspected _____________________________________
Date of inspection ___ / _____ / _____
Observations
Hazards and consequences
Control measures
Immediate and longer term actions
Timescale
CERTIFICATE
sheet
IGC3 THE HEALTH AND

Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
CERTIFICATE
sheet
IGC3 THE HEALTH AND

Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
CERTIFICATE
sheet
IGC3 THE HEALTH AND

Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
CERTIFICATE
sheet
IGC3 THE HEALTH AND

Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
CERTIFICATE
sheet
IGC3 THE HEALTH AND

Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
CERTIFICATE
Candidate report template
UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number ________________________________

Location ______________________________________
Date of review
Structure report under the following headings:
Introduction including overview of area inspected and activities taking place
Executive Summary
Main findings of the inspection
Conclusions
Recommendations include as a table in the following format:

Recommendation
Likely resource implications
Priority
Target date
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
CERTIFICATE

Student number ________________________________

Location ______________________________________
Date of review
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
_______________________________
For 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.

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INTERNATIONAL GENERAL

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

IGC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Structure report under the following headings:

Introduction including overview of area inspected and activities taking place

Main findings of the inspection

Recommendations include as a table in the following format:

Likely resource implications

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

Candidate report template

UNIT IGC3 THE HEALTH AND

Student number ________________________________

IGC3 The Health and Safety Practical Application

For completion by a course provider representative (e.g. internal practical assessor):

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___