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
sessions. Please check the appropriate box of your answer
to the questions below.

BASIC COMPETENCIES

CAN I…? YE NO
S

1. PARTICIPATE IN WORK PLACE COMMUNICATION

Obtain and convey workplace Information. /

Participate in workplace meetings and discussions. /

Complete relevant work related documents. /

2. WORK IN TEAM ENVIRONMENT

Describe team role and scope. /

Identify own role and responsibility within team. /

Work as a team member. /

3.PRACTICE CAREER PROFESSIONALISM

Integrate personal objectives with organizational goals. /

Set and meet work priorities. /

Maintain professional growth and development. /

4. PRACTICE OCCUPATIONAL HEALTH AND SAFETY

PROCEDURES

Identify hazards and risks /

Evaluate hazards and risks. /

Control hazards and risks. /

Maintain OHS awareness. /

COMMON COMPETENCIES

CAN I…? YES NO

1.PREPARE MATERIALS AND TOOLS

Identify materials /

Requisition materials /

Receive and inspect materials /

2.INTERPRET TECHNICAL DRAWINGS AND PLANS

Analyze signs, symbols and data /

Interpret technical drawings and plans /

Apply freehand sketching /

3.OBSERVE PROCEDURES, SPECIFICATIONS

AND MANUALS OF INSTRUCTION

Identify and access specification/manuals /

Interpret manuals /

Apply information in manual /

Store manuals /

4.PERFORM MENSURATIONS AND CALCULATIONS

Select measuring instruments /

Carry out measurements and calculations /

5.PERFORM BASIC BENCHWORKS

Prepare materials, tools and equipment /

Lay-out and mark dimensions/features on workplace /

Perform required basic metal works /

6.BASIC ELECTRICAL WORKS

Prepare electrical tools and test instruments /

Test power supply and electrical components /

Perform basic electrical repair /

7.MAINTAIN TOOLS AND EQUIPMENT

Check condition of tools and equipment /

Perform basic preventive maintenance /

Store tools and equipment /

8.PERFORM HOUSEKEEPING AND SAFETY

PRACTICES FOR RAC SERVICING

Sort materials, tools and equipment /

Clean workplace area, materials, tools and equipment. /

Systematize dispensing and retrieval of materials, tools and /

equipment.

9.DOCUMENT WORK ACCOMPLISHED

Identify forms and Data. /

Prepare reports. /

CORE COMPETENCIES

CAN I…? YES NO

1.INSTALL DOMESTIC REFRIGERATION AND AIR

CONDITIONING (DomRAC) UNITS

Conduct survey /

Install DomRAC electrical circuit /

 Install DomRAC unit /

Conduct performance test /

2.SERVICE AND MAINTAIN DOMESTIC REFRIGERATION AND AIR-

CONDITIONING (DomRAC) UNITS

Clean and replace air filter /

Service evaporator/condenser /

Maintain fan motor assembly /

Service electrical power and control circuits /

Accomplish service and maintenance report /

3.TROUBLESHOOT AND REPAIR DOMESTIC

REFRIGERATION AND AIR-CONDITIONING

(DomRAC) SYSTEMS

Plan and prepare for troubleshooting and repair /

Identify and repair faults/troubles /

Perform refrigerant recovery/recycling and /

retrofitting/conversion on domestic refrigeration and air
conditioning unit

Test-run repaired unit /

Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation
 Current
Proof/Evidence Means of validating
competencies

Obtain and Transcript of Record Submit Authenticated

convey workplace TOR
Information.

Participate in Transcript of Record Submit Authenticated

workplace TOR
meetings and
discussions.

Complete relevant Transcript of Record Submit Authenticated

work related TOR
documents.

Describe team Transcript of Record Submit Authenticated

role and scope. TOR

Identify own role Transcript of Record Submit Authenticated

and responsibility TOR
within tea

Work as a team Transcript of Record Submit Authenticated

member. TOR

Integrate personal Transcript of Record Submit Authenticated

objectives with TOR
organizational
goals

Set and meet Transcript of Record Submit Authenticated

work priorities. TOR

Maintain Transcript of Record Submit Authenticated

professional TOR
growth and
developmen

Clean workplace Transcript of Record Submit Authenticated

 area, materials, TOR
tools and
equipment.

Sort materials, Transcript of Record Submit Authenticated

tools and TOR
equipment

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 (Sample)

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC

PARTICIPATE IN WORK PLACE COMMUNICATION

Obtain and convey Obtain and convey

workplace Information. workplace
Information.

Participate in workplace Participate in

meetings and workplace meetings
discussions. and discussions.

Complete relevant work Complete relevant

related documents. work related
documents.

WORK IN TEAM ENVIRONMENT

Describe team role and Describe team role

scope. and scope.

Work as a team member. Work as a team

member.

PRACTICE CAREER PROFESSIONALISM

Integrate personal Integrate personal

objectives with objectives with
organizational goals. organizational
goals.

Set and meet work Set and meet work

priorities. priorities.

Maintain professional Maintain

growth and development. professional growth
and development.

PRACTICE OCCUPATIONAL HEALTH AND SAFETY

PROCEDURES

Identify hazards and risks Identify hazards and

risks

Evaluate hazards and Evaluate hazards and

risks. risks.
Control hazards and Control hazards and
risks. risks.

Maintain OHS awareness. Maintain OHS

awareness.

PREPARE MATERIALS AND TOOLS

Identify materials Identify materials

Requisition materials Requisition materials

Receive and inspect Receive and inspect

materials materials

INTERPRET TECHNICAL DRAWINGS AND PLANS

Analyze signs, symbols Analyze signs,

and data symbols and data

Interpret technical Interpret technical

drawings and plans drawings and plans

Apply freehand sketching Apply freehand

sketching

OBSERVE PROCEDURES, SPECIFICATIONS

AND MANUALS OF INSTRUCTION

Identify and access Identify and access

specification/manuals specification/manuals

Interpret manuals Interpret manuals

Apply information in Apply information in

manual manual

Store manuals Store manuals

PERFORM MENSURATIONS AND CALCULATIONS

Select measuring Select measuring

instruments instruments
Carry out measurements Carry out
and calculations measurements and
calculations

PERFORM BASIC BENCHWORKS

Prepare materials, tools Prepare materials,

and equipment tools and equipment

Lay-out and mark Lay-out and mark

dimensions/features on dimensions/features
workplace on workplace

Perform required basic Perform required

metal works basic metal works

PERFORM BASIC ELECTRICAL WORKS

Prepare electrical tools Prepare electrical tools

and test instruments and test instruments

Test power supply and Test power supply and

electrical components electrical components

Perform basic electrical Perform basic

repair electrical repair

MAINTAIN TOOLS AND EQUIPMENS

Check condition of tools Check condition of

and equipment tools and equipment

Perform basic preventive Perform basic

maintenance preventive
maintenance

Store tools and Store tools and

equipment equipment

PERFORM HOUSEKEEPING AND SAFETY

PRACTICES FOR RAC SERVICING

Sort materials, tools and Sort materials,
equipment tools and
equipment

Clean workplace area, Clean workplace

materials, tools and area, materials,
equipment. tools and
equipment.

Systematize dispensing Systematize

and retrieval of materials, dispensing and
tools and equipment. retrieval of
materials, tools and
equipment.

DOCUMENT WORK ACCOMPLISHED

Identify forms and Data. Identify forms and

Data.

Prepare reports. Prepare reports.

INSTALL DOMESTIC REFRIGERATION AND AIR

CONDITIONING (DomRAC) UNITS

Conduct survey Conduct survey

Install DomRAC electrical Install DomRAC

circuit electrical circuit

Install DomRAC unit Install DomRAC unit

Conduct performance test Conduct performance

test

SERVICE AND MAINTAIN DOMESTIC REFRIGERATION AND AIR-

CONDITIONING (DomRAC) UNITS
Clean and replace air Clean and replace air
filter filter

Service Service
evaporator/condenser evaporator/condenser

Maintain fan motor Maintain fan motor

assembly assembly

Service electrical power Service electrical

and control circuits power and control
circuits

TROUBLESHOOT AND REPAIR DOMESTIC

REFRIGERATION AND AIR-CONDITIONING

(DomRAC) SYSTEMS

Plan and prepare for Plan and prepare for

troubleshooting and troubleshooting and
repair repair

Identify and repair Identify and repair

faults/troubles faults/troubles

Perform refrigerant Perform refrigerant

recovery/recycling and recovery/recycling
retrofitting/conversion on and
domestic refrigeration retrofitting/conversion
and air conditioning unit on domestic
refrigeration and air
conditioning unit

Test-run repaired unit Test-run repaired unit

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)

Identify hazards and risks PRACTICING

OCCUPATIONAL HEALTH
Evaluate hazards and risks.
AND SAFETY PROCEDURES
Control hazards and risks.

Maintain OHS awareness.

PREPARING MATERIALS
AND TOOLS
Identify materials

Requisition materials

Receive and inspect materials

INTERPRETING
TECHNICAL DRAWINGS
Analyze signs, symbols and data
AND PLANS

Interpret technical drawings and plans

Apply freehand sketching OBSERVING PROCEDURES,

SPECIFICATIONS AND
MANUALS OF
Identify and access
INSTRUCTION
specification/manuals

Interpret manuals

Apply information in manual

Store manuals
 PERFORMING
MENSURATIONS AND
Select measuring instruments
CALCULATIONS
Carry out measurements and
calculations

Prepare materials, tools and equipment PERFORMING BASIC

BENCHWORKS
Lay-out and mark dimensions/features
on workplace

Perform required basic metal works

THE BASIC OF
ELECTRICAL WORK
Prepare electrical tools and test
instruments

Test power supply and electrical

components

Perform basic electrical repair

Check condition of tools and equipment MAINTAIN TOOLS AND

EQUIPMENT
Perform basic preventive maintenance

Store tools and equipment

Identify forms and Data. DOCUMENTING WORK

ACCOMPLISH
Prepare reports.
Conduct survey INSTALLING DOMESTIC
REFRIGERATION AND AIR
Install DomRAC electrical circuit
CONDITIONING (DomRAC)
Install DomRAC unit
UNITS
Conduct performance test

Conduct survey

Clean and replace air filter SERVICING AND

MAINTAINING DOMESTIC
Service evaporator/condenser
REFRIGERATION AND AIR-
Maintain fan motor assembly
CONDITIONING (DomRAC)
Service electrical power and control UNITS
circuits

Accomplish service and maintenance

report

Plan and prepare for troubleshooting TROUBLESHOOT AND

and repair REPAIR DOMESTIC

Identify and repair faults/troubles REFRIGERATION AND AIR-

CONDITIONING (DomRAC)
Perform refrigerant recovery/recycling
SYSTEM
and retrofitting/conversion on domestic
refrigeration and air conditioning unit

Test-run repaired unit