TM TEMPLATES With Guide 1

Sector : TVET ( your sector)
Qualification Title: ( your qualification)
Unit of Competency: ( your gap)
Module Title:
Logo of your school, name of your school and address

Plan
Training
Session
Date Developed: Document No.

Issued by:
Date Revised:
Page i of vii
School Logo Qualification Name of School
Developed by:
Your Name
Revision #
Data Gathering Instrument for Trainee’s Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that best
describes you as a learner. Blank spaces are provided for some data that
need your response.
Name: ____________________________________ Hypothetical Trainee; highlight answers
Characteristics of learners
Language, Average grade in: Average grade in:

literacy and English Math
numeracy (LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
a. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:

language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________
Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
May 2018 Issued by:
School Logo Date Revised: Page 2 of 250
Qualification
Developed by:
Your school
Your name
Revision #
Age Your age: _____
Physical ability 1. Disabilities(if any)_____________________
2. Existing Health Conditions (Existing illness
if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) ___________________
Previous Work experience – related to your

experience with qualification
the topic a.
b.
Number of years as a (work) ______
Previous List down trainings related to (your

learning qualification
experience ___________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
completed ___________________________
___________________________
Special courses Other courses related to qualification

a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________
Learning styles a. Visual - The visual learner takes mental

pictures of information given, so in order
for this kind of learner to retain
information, oral or written, presentations
of new information must contain diagrams
and drawings, preferably in color. The
visual learner can't concentrate with a lot
of activity around him and will focus better
and learn faster in a quiet study
environment.
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b. Kinesthetic - described as the students in

the classroom, who have problems sitting
still and who often bounce their legs while
tapping their fingers on the desks. They are
often referred to as hyperactive students
with concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text.
Having to read long texts is pointless and
will not be retained by the auditory learner
unless it is read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities
where they can watch, listen and then
review what has happened.
f. Theorist - Learns most when ideas are
linked to existing theories and concepts.
g. Pragmatist - Learns most from learning
activities that are directly relevant to their
situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)
___________________________

May 2018 Issued by:
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Your name
Revision #
FORM 1.1 SELF-ASSESSMENT CHECK ( COPY FROM YOUR CBC)
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 workplace communication
2. Work in a team environment
3. Practice career professionalism
4. Practice occupational health and safety procedures
5.

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COMMON COMPETENCIES
CAN I…? YE NO
S
1.
5.

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CORE COMPETENCIES
CAN I…? YE NO
S
1.
5.

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Evidences/Proof of Current Competencies (Sample)
Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation
BASIC/ COMMON/ CORE= entries are sample only; write your own
qualification’s competencies
Basic = basic to all qualifications

Common= common to your sector
Core= of your qualification
Current
Proof/Evidence Means of validating
competencies
BASIC
1.1 Obtain and
convey workplace Certificate of Employment Submitted original COE,
information called up issuing
1.2 Participate in company to verify
workplace authenticity, conducted
meetings and interview AND ASKED TO
discussions DEMONSTRATE
1.3 Complete
relevant work
related documents
2. Work in a Team environment
2.1 Describe team
role and scope
2.2 Identify own
role and
responsibility
within the team
2.3 Work as a
team member
3. Practice career professionalism

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3.1 Integrate
personal
objectives with
organizational
goals
3.2 Set and meet
work priorities
3.3 Maintain
professional
growth and
development
4. Practice Occupational Health and Safety Procedures
4.1 Identify
hazards and risks
4.2 Evaluate
hazards and risks
4.3 Control
hazards and risks
4.4 Maintain
Occupational
Heath and Safety
COMMON
1.
1.1
CORE
1.
1.1

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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)
BASIC/ COMMON /CORE
Required Units of Current Training Gaps/

Competency/Learning Competencies Requirements
Outcomes based on CBC
BASIC
1.1 Obtain and convey Obtain and convey
workplace communication workplace
communication
2.
2.1
3.
3.1
4.
4.1

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COMMON
1.
1.1
1.2
CORE
1.
1.1
1.2
Core - do not fill up the CURRENT COMPETENCIES of your gap;

instead fill up under the column “TRAINING GAP”

May 2018 Issued by:
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Form No. 1.4: Training Needs
ONLY YOUR GAP ( L.O.)
Training Needs Module Title/
(Learning Outcomes) Module of Instruction
All the L.O’s , highlight your gap
Unit of competency of your
gap, add “ing”

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SESSION PLAN
Sector : T/R
Qualification Title : T/R
Unit of Competency : T/R
Module Title : T/R
Learning Outcomes: CBC
After ___ hours of learning activities, the trainees will be able to effectively:
1.
2.
3.,
A. INTRODUCTION- CBC
B. LEARNING ACTIVITIES
LO 1: All the L.O’s of the unit of competency ( your gap)
Learning Content Methods Presentation Practice Feedback Resources Time
Refer to PTS CBLM
LO 2:

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C. ASSESSMENT PLAN- CBC
 Written Test
 Performance Test
D. TEACHER’S SELF-REFLECTION OF THE SESSION ( leave blank)

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COMPETENCY-BASED LEARNING MATERIAL
Picture related to your Qualification
Sector:
Qualification Title:
Unit of Competency:
Module Title:
Name of your School:
Footer: Institution quality assurance logo (TESDA)

And the logo of your institution

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HOW TO USE THIS COMPETENCY –BASED
LEARNING MATERIALS
Welcome!
The core unit of competency, "_________________________", is one of the

competencies of ________________________________________ NC II, a course
which comprises the knowledge, skills and attitudes required for a TVET
trainee to possess.
The module, _______________________________________, contains

training materials and activities related to preparing area for bed making,
performing bed making and performing after care activities of materials and
equipment used for you to complete. This is prepared to help you achieve
the required competency in _________________________ NCII.
In this module, you are required to go through a series of learning

activities in order to complete each learning outcome. In each learning
outcome are Information Sheets, Task Sheets, Job Sheets and Operation
Sheets. Follow and perform the activities on your own. If you have
questions, do not hesitate to ask for assistance from your facilitator.
The goal of this module is the development of practical skills. You

must learn the basic concepts and terminology to gain these skills. For most
part, you will get this information from the Information Sheets.
This will be the source of information for you to acquire knowledge

and skills in this particular competency independently and at your own pace
with minimum supervision or help from your trainer.
You will be given plenty of opportunity to ask questions and practice

on the job. Make sure you practice your new skills during regular work shift.
This way you will improve both your speed and memory as well as your
confidence.

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Reminder:
 Read Information Sheet, perform Task Sheet, Job Sheet or Operation

Sheet until you are confident that your outputs conform to the Self-Check
(Answer Key) and Performance Criteria Checklist that follows the sheet.
Suggested references are included to supplement the materials provided
in this module.
 When you feel confident that you have had sufficient practice to achieve
competency, perform and submit output of the Task Sheet, Job Sheet or
Operation Sheet to your facilitator for evaluation and recording in the
Accomplishment Chart. Output shall serve as your portfolio during the
Institutional Competency Assessment. When you feel confident that you
have had sufficient practice, ask your trainer to evaluate you. The results
of your institutional assessment will be recorded in your Progress Chart.
You must pass the Institutional Competency Assessment for this

competency before moving to another competency. A Certificate of
Achievement will be awarded to you after passing the evaluation.
You need to complete this module before you can perform the module on
_________________________________________.

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PARTS OF A COMPETENCY-BASED LEARNING MATERIAL
References/Further Reading
Performance Criteria Checklist

Operation/Task/Job Sheet
Self Check Answer Key
Self Check
Information Sheet
Learning Experiences
Learning Outcome Summary
Module
Module Content
Content
Module
List of Competencies
Content
Module Content
Module Content
Front Page
In our efforts to standardize CBLM,

the above parts are recommended for
use in Competency Based Training
(CBT) in Technical Education and
Skills Development Authority (TESDA)
Technology Institutions. The next
sections will show you the
components and features of each part.

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Revision #
(Qualification Title)
COMPETENCY-BASED LEARNING MATERIALS
List of Competencies
Get from TRAINING REGULATIONS (BASIC, COMMON, CORE)
No. Unit of Competency Module Title Code
1.
2.
3.
4.
5.
6.

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MODULE CONTENT
UNIT OF COMPETENCY
MODULE TITLE
MODULE DESCRIPTOR: CBC
NOMINAL DURATION: T.R/CBC
LEARNING OUTCOMES: CBC

At the end of this module you MUST be able to:
1.
2.
3.
4.
ASSESSMENT CRITERIA: CBC, all the assessment criteria of all the

L.O’s
1.
2.
3.
4.
5.
6.

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Revision #
LEARNING OUTCOME NO. 4 Your Gap
(LO Title)
Contents: CBC
1.
2.
3.
4.
5.
Assessment Criteria CBC
1.
2.
3.
4.
Conditions CBC
The participants will have access to:
1.
2.
3.
Assessment Method: CBC
1.
2.
3.

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Learning Experiences
Learning Outcome 4 ( start with L.O.1 . Copy from the session plan)
(LO TITLE)
Learning Activities Special Instructions
Copy the format from the CBLM

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Revision #
Information Sheet _______
(Title)
Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to: SKA,
behaviorally stated or SMART
1.
2.
Time allotment:
Picture related to your qualification

(Introductory Paragraph) stating connection of the topic to the
previous lesson and the main skill to be mastered.
(Body)
- Present a single idea
- Has relevant graphics/illustrations to enhance textual context

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Self- Check ______
(Type of Test) : (Instruction)

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ANSWER KEY ____
1.
2.
3.
4.

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TASK SHEET _____
Title: start with a verb
Performance Objective: Given (condition), ,you should be able to

(performance) following (standard) within ______
hour/s.
Supplies/Materials :
Equipment :
Steps/Procedure:
1.
2.
3.
4.
Assessment Method:

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Developed by:
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Revision #
Performance Criteria Checklist ______
CRITERIA
YES NO
Did you….
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

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Revision #
JOB SHEET _____
Title: start with a verb

(performance) following (standard) within ___
hour/s.
Equipment :
Steps/Procedure:
5.
6.
7.
8.
Assessment Method:

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Revision #
CRITERIA
YES NO
Did you….
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

May 2018 Issued by:
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Developed by:
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Revision #
OPERATION SHEET _____
Title: start with a verb. Ex. Operate, perform
Title:

(performance) following (standard). SMART
Equipment :
Steps/Procedure:
9.
10.
11.
12.
Assessment Method:

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CRITERIA
YES NO
Did you….
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.

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Revision #
Evidence Plan
Competency Your qualification

standard:
Unit of Your Gap
competency:
Ways in which evidence will be collected:
[tick the column]
Third party Report

Demonstration &
Observation &
The evidence must show that the trainee…
CBC, assessment criteria; check the evidence
Portfolio
Written
guide from the TR and note the critical
aspects of the competency













NOTE: *Critical aspects of competency

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TABLE OF SPECIFICATION
# of
Objectives/Content
Knowledge Comprehension Application items/
area/Topics
% of test
All the contents
TOTAL

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Performance Test
Task, Operation Sheet and Job Sheet
Specific Instruction for the Candidate
Qualification
Unit of Competency
General Instruction:
Specific Instruction:

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QUESTIONING TOOL (refer to Plan CBLM page 222)
Satisfactory
Questions to probe the candidate’s underpinning knowledge
response
Extension/Reflection Questions Yes No
1.  
2.  
3.  
4.  
Safety Questions
5.  
6.  
7.  
8.  
Contingency Questions
9.  
10.  
11.  
12.  
Job Role/Environment Questions  
13.  
14.  
15.  
16.  
Rules and Regulations  
17.  
18.  
19.  
20.  
The candidate’s underpinning  Satisfactory  Not
knowledge was: Satisfactory

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Templates for Inventory of Training Resources refer to your TR
Resources for presenting instruction
 Print Resources As per TR As per Remarks
Inventory
 Non Print Resources As per TR As per Remarks

Inventory
Resources for Skills practice of Competency #1

______________________________
 Supplies and Materials As per TR As per Remarks
Inventory
 Tools As per TR As per Remarks

Inventory
 Equipment As per TR As per Remarks

Inventory
Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.
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Facilitate
Learning
Session

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Training Activity Matrix
Venue
Facilities/Tools Date &
Training Activity Trainee Remarks
and Equipment (Workstation/ Time
Area)
Prayer

Recap of Activities 8:00 AM
All to 8:30
Unfreezing Activities AM
trainees
Feedback of Training

Rejoinder/Motivation
observations
(List down all on the
Facilities/Tools
(Specific Activities of progress of
and Equipment Name of
each Trainee for the each trainee
needed for the Workstation1
day here) for the day
workstation and
will be
activities here)
written here
observations
(Specific Activities of (List down all
on the
each Trainee here) Facilities/Tools
progress of
each trainee
needed for the Workstation 2 for the day
workstation and
will be
activities here)
written here
observations
(List down all
on the
Facilities/Tools
needed for the Workstation 3
workstation and
will be
activities here)
written here
observations
(List down all
on the
Facilities/Tools
needed for the Workstation 4
workstation and
will be
activities here)
written here

May 2018 Issued by:
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May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
May 2018 Issued by:
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Minutes of the Meeting
Focus Group Discussion
Date: ________________________
Agenda:
Competency-based Training Delivery
Present:
1. ____________
2. ____________
3. ____________
4. ____________
CBT Concerns Discussions Resolutions/Agreement

1. CBT Layout
2. Monitoring of
Attendance
3. Utilization of work
area
4. Orientation
a. CBT
b. Roles
c. TR
d. CBLM
e. Facilities
f. Evaluation system
5. RPL
6. Teaching methods
and technique
7. Monitoring of
learning activities
a. Achievement
chart
b. Progress chart
8. Feedback
9. Slow learners
10. Other
concerns

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Training Evaluation Report
1. Title of the Report
2. Executive summary
3. Rationale
4. Objectives
5. Methodology
6. Results and discussion

This is the body of the report. It should contain the following
parts:
Data interpretation
Data analysis
Conclusion
7. Recommendation

May 2018 Issued by:
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Supervise
Work-Based
Learning

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FORM 1.1 SELF-ASSESSMENT CHECK (Copy from you PLAN TRAINING
SESSION)
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.
CORE COMPETENCIES
CAN I…? YE NO
S
1.
2.
6.
7.
8.

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May 2018 Issued by:
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Revision #
Evidences/Proof of Current Competencies(Copy from you PLAN
TRAINING SESSION)
Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation
Current
Proof/Evidence Means of validating
competencies

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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 (Copy from you PLAN TRAINING SESSION)
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
1.
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
2.
3.
4.

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Form No. 1.4: Training Needs (Copy from you PLAN TRAINING
SESSION)
Module
Gap Title/Module of Duration (hours)
Instruction

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TRAINING PLAN
Qualification: ____________________________
Pre-training activities ( 1-8) page 21 SWBL
Date
Trainees’ Training Training Mode of Facilities/Tools Assessment
Staff Venue and
Requirements Activity/Task Training and Equipment Method
Time

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Sample MOA ; your institution and your industry partner
(page 25, SWBL)

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Technical Education and Skills Development Authority Instructions:
___(your institution)___ This Trainees’ Record Book (TRB) is intended to
serve as record of all accomplishment/task/activities
while undergoing training in the industry. It will
TRAINEE’S RECORD BOOK eventually become evidence that can be submitted for
portfolio assessment and for whatever purpose it will
serve you. It is therefore important that all its contents
are viably entered by both the trainees and instructor.
I.D. The Trainees’ Record Book contains all the
required competencies in your chosen qualification. All
you have to do is to fill in the column “Task Required”
and “Date Accomplished” with all the activities in
Trainee’s No._______________ accordance with the training program and to be taken
up in the school and with the guidance of the
instructor. The instructor will likewise indicate his/her
remarks on the “Instructors Remarks” column
NAME: __________________________________ regarding the outcome of the task accomplished by the
trainees. Be sure that the trainee will personally
accomplish the task and confirmed by the instructor.
QUALIFICATION: _______
It is of great importance that the content should
be written legibly on ink. Avoid any corrections or
TRAINING DURATION :____________________________ erasures and maintain the cleanliness of this record.
This will be collected by your trainer and submit
the same to the Vocational Instruction Supervisor (VIS)
TRAINER: __________________________________ and shall form part of the permanent trainee’s
document on file.
THANK YOU!

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NOTES:
_______________________________________________________
______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

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Unit of Competency: 2 _________________________
Unit of Competency: 1__________________ Your qualification
Your qualification
Learning Task/ Date Instructors Learning Task/ Date Instructors

Outcome Activity Accomplished Remarks Outcome Activity Accomplished Remarks
Required Required

__________________ ______________ ____________________ ________________

Trainee’s Signature Trainer’s Signature Trainee’s Signature Trainer’s Signature

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Unit of Competency: 3 __________________________ Unit of Competency: 4 ____________________________
Your qualification
Your qualification
Learning Task/ Date Instructors
Outcome Activity Accomplished Remarks Learning Task/ Date Instructor
Required Outcome Activity Accomplished s Remarks
Required
_____________________ ________________
_____________________ ________________
Trainee’s Signature Trainer’s Signature

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Unit of Competency: 5_____________________
NC Level I
Learning Task/ Activity Date Instructors
Outcome Required Accomplished Remarks
______________________ ________________

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TRAINEE’S PROGRESS SHEET
Name : JUAN DELA CRUZ Trainer :

Nominal
Qualification : :
Duration
Training Training Date Date Trainee’s Supervisor’s
Units of Competency Rating
Activity Duration Started Finished Initial Initial
Total
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical
rating or simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a
numerical rating for the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
Training Session Evaluation
Instructions:
This post-training evaluation instrument is intended to measure how
satisfactorily your trainer has done his job during the whole duration of
your training. Please give your honest rating by checking on the
corresponding cell of your response. Your answers will be treated with
utmost confidentiality.
TRAINER/INSTRUCTOR
1 2 3 4 5
Name of Trainer: ____________________________
1. Orients trainees about CBT, the use of CBLM
√
and the evaluation system
2. Discusses clearly the unit of competencies and
outcomes to be attained at the start of every √
module
3. Exhibits mastery of the subject/course he is
√
teaching
4. Motivates and elicits active participation from
√
the students or trainees
5. Keeps records of evidence/s of competency
√
attainment of each student/trainees
6. Instill value of safety and orderliness in the
√
classrooms and workshops
7. Instills the value of teamwork and positive
√
work values
8. Instills good grooming √
9. Instills value of time √
10. Quality of voice while teaching √
11. Clarity of language/dialect used in teaching √
12. Provides extra attention to trainees and
√
students with specific learning needs.
13. Attends classes regularly and promptly √
14. Shows energy and enthusiasm while teaching √
15. Maximizes use of training supplies and
√
materials
16. Dresses appropriately √
17. Shows empathy √
18. Demonstrates self-control √

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
This post-training evaluation instrument is intended to measure how
satisfactorily your trainer prepared and facilitated your training. Please
give your honest rating by checking on the corresponding cell of your
response. Your answers will be treated with utmost confidentiality.
Use the following rating scales:
5 - Outstanding
4 - Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
PREPARATION 1 2 3 4 5
1. Workshop layout conforms with the components
of a CBT workshop
2. Number of CBLM is sufficient
3. Objectives of every training session is well
explained
4. Expected activities/outputs are clarified
DESIGN AND DELIVERY 1 2 3 4 5
1. Course contents are sufficient to attain
objectives
2. CBLM are logically organized and presented
3. Information Sheet are comprehensive in
providing the required knowledge
4. Examples, illustrations and demonstrations help
you learn
5. Practice exercises like Task/Job Sheets are
sufficient to learn required skills
6. Valuable knowledge are learned through the
contents of the course
7. Training Methodologies are effective
8. Assessment Methods and evaluation system are
suitable for the trainees and the competency
9. Recording of achievements and competencies
acquired is prompt and comprehensive
10. Feedback about the performance of learners are
given immediately
TRAINING FACILITIES/RESOURCES 1 2 3 4 5
May 2018 Issued by:
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Revision #
1. Training Resources are adequate
2. Training Venue is conducive and appropriate
3. Equipment, supplies, and materials are
sufficient
4. Equipment, Supplies and Materials are suitable
and appropriate
5. Promptness in providing Supplies and Materials
SUPPORT STAFF 1 2 3 4 5
1. Support Staff are accommodating
Comments/Suggestions:
Fill -up

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
SUPERVISED INDUSTRY TRAINING OR ON-THE-JOB
TRAINING EVALUATION FORM
Dear Trainees:
The following questionnaire is designed to evaluate the effectiveness of
the Supervised Industry Training (SIT) or On-the-Job Training (OJT) you
had with the Industry Partner of ________________________. Please check
(√) the appropriate box corresponding to your rating for each question
asked. The results of this evaluation shall serve as a basis for improving
the design and management of the SIT in SICAT to maximize the benefits
of the said Program. Thank you for your cooperation.
Use the following rating scales:
5 - Outstanding
4 - Very Good/Very Satisfactory
3 – Good/Adequate
2 – Fair/Satisfactory
1 – Poor/Unsatisfactory
Item RATING
Question
No.
INSTITUTIONAL EVALUATION 1 2 3 4 5 N/A
Has (your institution) conducted
an orientation about the SIT/OJT
1 program, the requirements and
preparations needed and its
expectations?
Has (your institution) provided the
necessary assistance such as
2 referrals or recommendations in
finding the company for your OJT?
Has (your institution) showed

coordination with (industry
3 partner) in the design and
supervision of your SIT/OJT?
Has your in-school training
adequate to undertake (industry
4 partner) assignment and its
challenges?
Has (your institution) monitored
5 your progress in the Industry?

May 2018 Issued by:
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Revision #
Has the supervision been effective
in achieving your OJT objectives
6 and providing feedbacks when
necessary?
Did (your institution) conduct
7 assessment of your SIT/OJT
program upon completion?
Were you provided with the results
of the (industry partner) and (your
8 institution) assessment of your
OJT?
FILL UP
Item RATING
Question
No.
INDUSTRY PARTNER 1 2 3 4 5 N/A
Was (industry partner)
1 appropriate for your type of
training required and/or desired?
Has (industry partner) designed
2 the training to meet your
objectives and expectations?
Has (industry partner) showed
coordination with (your institution)
3 in the design and supervision of
the SIT/OJT?
Has (industry partner) and its staff
4 welcomed you and treated you
with respect and understanding?
Has (industry partner) facilitated
the training, including the
provision of the necessary
5 resources such as facilities and
equipment needed to achieve your
OJT objectives?
Has (industry partner) assigned a
6 supervisor to oversee your work or
training?
7 Was the supervisor effective in
supervising you through regular
meetings, consultations and
May 2018 Issued by:
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Developed by:
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Revision #
advise?
Has the training provided you with
the necessary technical and
8 administrative exposure of real
world problems and practices?
Has the training program allowed
you to develop self-confidence,
9 self-motivation and positive
attitude towards work?
Has the experience improved your
10 personal skills and human
relations?
Are you satisfied with your
11 training in the industry?
FILL UP
Signature: ________________ Qualification: ________________________

Printed Name: __________________ Supervisor: _______________________
Host Industry Partner: Instructor:
_________________________________ ___________________________________
Period of Training: _______________________________________________

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
Program Evaluation Interpretation and Analysis
How to compute the average or the mean:
1. Add the points per item per rater
2. Divide the sum by the total number of raters
Example:
RATER Rating for Rating for

Item 1 Item 2
Rater A 3
Rater B 4
Rater C 5
Rater D 2
Rater E 4
Total points = 18
Number of Raters = 5
Computing for the Average or Mean

Total Points
Average =
Number of Rater
18
Average = ______________
5
Average = 3.6
Range:
0.00 - 1.49 = Poor/Unsatisfactory
1.50 – 2.49 = Fair/ Adequate
2.50 – 3.49 = Good/Satisfactory
3.50 – 4.49 = Very Good/Very Satisfactory
4.50 – 5.00 = Outstanding

May 2018 Issued by:
Qualification
Developed by:
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Revision #
Rater A
X
of a CBT workshop
2. Number of CBLM is sufficient X
X
explained
4. Expected activities/outputs are clarified X
Rater B
X
of a CBT workshop
X
explained
Rater C
X
of a CBT workshop
X
explained
Rater D
X
of a CBT workshop
X
explained
May 2018 Issued by:
Qualification
Developed by:
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Revision #
Rater E
X
of a CBT workshop
X
explained
Summary of Ratings
RATER Rating for Rating for Rating for Rating for

Item 1 Item 2 Item 3 Item 4
Rater A 4 4 4 4
Rater B 4 4 4 4
Rater C 5 5 4 5
Rater D 5 5 4 5
Rater E 4 4 4 4
TOTAL 22 22 20 22
Average Rating
PREPARATION Average
1. Workshop layout conforms with the
4.4
components of a CBT workshop
2. Number of CBLM is sufficient 4.4
3. Objectives of every training session is
4
well explained
4. Expected activities/outputs are
4.4
clarified
General Average 4.3
Range:
0.00 - 1.49 = Poor/Unsatisfactory
1.50 – 2.49 = Fair/ Adequate
2.50 – 3.49 = Good/Satisfactory
May 2018 Issued by:
Qualification
Developed by:
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Revision #
3.50 – 4.49 = Very Good/Very Satisfactory
4.50 – 5.00 = Outstanding
General Interpretation:
Based on the results, the supervised-industry training was very good/very

satisfactory having attained a 4.3 average on the preparation aspect. It is
evident that the program was well-prepared and that the trainees were
equipped with the necessary information and guidance on how to go about
with the program.
Recommendation/s:
Though it is clear that the preparation was done well, there is still a room
for improvement especially on the aspects that were not outstanding. I is
still recommended that the institution through the trainer conduct further
enhancement on how to prepare the trainees for on-the-job training. It may
also be good to review the methodologies of the preparation and institute
some changes in order to achieve an outstanding rating.

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
May 2018 Issued by:
Qualification
Developed by:
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Revision #
Maintain
Training
Facilities
May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
WORKSHOP LAYOUT

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
OPERATIONAL PROCEDURE
Equipment Type
Equipment Code
Location
Operation Procedure:

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
HOUSEKEEPING SCHEDULE
Qualification Station/Bldg Welding (WAF)
Area/Section
In-Charge
ACTIVITIES Schedule for the 2nd Semester, 2011

Responsible Daily Ever Weekly Every Month Remarks
(Based on your Person y 15th ly
qualification) other Day
Day
1. Clean and check welding
equipment/ accessories
from dust and oil; dry and
properly laid-out/
secured/stable
2. Clean and free welding
booths and welding
positioners from
dust/rust /gums, used
Mig wire stubs and metal
scraps
3. Clean and arrange
working tables according
to floor plan/lay-out;
check stability
4. Clean and check floor,
walls, windows, ceilings
• graffiti/dust/rust
• cobwebs and
outdated/unnecessary
objects/items
• obstructions
• any used
materials/scraps
(slugs, stubs) spilled
liquid
• open cracks (floor)
5. Clean and check work
shop ventilation and
illumination by dusting
lamps/bulbs, replacing
non-functional lamps and
keeping exhaust clean

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
6. Clean and check computer
set -monitor, CPU,
keyboards, mouse – free,
unnecessary markings,
dust; cables and plugs are
in order; well-arranged; all
items functional
7. Clean, inspect air
conditioning equipment:
• keep screen and filter
free from dust/rust
• Check selector knobs
if in normal positions
and are functional
• Check if drainage is
OK
8. Clean, check and maintain
Tool Room
• Free of dust, not damp
• Tools in appropriate
positions/locations
• With visible
labels/signage
• Logbook and forms are
complete, in order and
updated
• Lights, ventilation –
OK
10. Clean and check Rest
Room
• Urinals, bowls, wash
basins, walls and
partitions are free
from stains, dirt, oils,
graffiti and
unnecessary objects;
• Ceilings free from
cobwebs and dangling
items
• Floor is kept dry; no
broken tiles or
protruding objects
• Equipped with dipper
and pails; properly
located after use
• Water systems is
functional: no
dripping/damaged
faucets or pipes
• Drainage system is
working, no water-
clogged areas
• No offensive odor
• Lights /Ventilation –
OK
9. Clean and check wash
area:
• Walls/Floors- –free

May 2018 Issued by:
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Developed by:
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Your name
Revision #
from oils, molds,
broken tiles, gums,
stains or graffiti
• Drainage system is
functional
• Water system
functional; no dripping
faucets or leaking
pipes
• Free from unnecessary
objects (mops, rags)
10. Clean and maintain work

shop surroundings by
sweeping/ removing fallen
leaves, branches, debris
and other refuse,
impounded water, clearing
pathways of obstructions
11. Disposal of waste

materials
(Follow waste segregation
system)

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
__________ WORKSHOP HOUSEKEEPING SCHEDULE (Based on your
qualification)
DAILY TASK YES NO
Dispose segregated waste; clean garbage cans
Sweep floors; if wet, wipe dry
Wipe and clean whiteboards
Clean and arrange working tables
Clean and check mounting of machines/equipment
Before leaving, collect stubs and other welding wastes.
WEEKLY TASK YES NO

Clean posters, visual aids and update accomplishment/Progress Charts
Clean bulbs/lamps/ceilings/walls
Clean/Wash of windows/glasses/mirrors
Clean and check tools, machines, supplies, materials
Sanitize garbage receptacles
Empty water collector; clean body of Water Dispenser
MONTHLY TASK YES NO

Conduct inventory
Clean and arrange tool room
Inspect electrical system; clean cables, wires
Clean instructional materials & modules; arrange and put in order
Inspect and clean air-conditioning equipment filter; clean body

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
____________ EQUIPMENT MAINTENANCE SCHEDULE*
8 HOURS 50 Hours 100 HOURS
•  •


May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
EQUIPMENT MAINTENANCE SCHEDULE
EQUIPMENT TYPE
EQUIPMENT CODE
LOCATION
Schedule for the Month of _______
MANPOWER Daily Every Weekly Every Monthly Remarks
ACTIVITIES Other 15th
Day Day
(Based on your
qualification)
1. Check panel board,
and circuit breakers’
electrical connections,
cables and outlets
 Clean and kept dry
 Parts are well-
secured/attached
 Properly labeled
2. Check Mig gun (nozzle,
contact tip, diffuser)
and ground cable:
 Clean and kept dry
 Parts are well-
secured/ attached
 Inspect for
damages and
replace parts if
necessary
3. Check adjustment
lever’s if functional
(amperages/speed); if
not, calibrate
4. Check Gas cylinder

outfit for any
abnormality
 Gate valve
 Co2 regulator
 Gas hose Fittings
 Fittings
5. Check/Clean wire
feeder (rollers, wire
speed/spool
adjustment); remove
used oil, dust; keep
dry.
6. Run the equipment for

5 minutes and observe
for unusual noise or
abnormal operation; if
repair is necessary,
send to technician.

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
WORKSHOP INSPECTION CHECKLIST
Qualification
Area/
In-Charge
Section
YES NO INSPECTION ITEMS

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Remarks:
Inspected by: Date:

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
EQUIPMENT MAINTENANCE INSPECTION CHECKLIST
Equipment Type :
Property Code/Number :
Location :
YES NO INSPECTION ITEMS
Remarks:
Inspected by: Date:

May 2018 Issued by:
Qualification
Developed by:
Your school
Your name
Revision #
Purchase Request
Indicate the amount and purpose

May 2018 Issued by:
Qualification
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Your name
Revision #
UTILIZE
ELECTRONIC
MEDIA

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #
Powerpoint presentation
Trainee’s Orientation
Qualification: description
Basic, common, core competencies
Number of hours
A person who has achieved this qualification is qualified to

be: ________________-
What is CBT
CBT Principles ( 1-10)
Roles of the trainer and the trainee
Monitoring Tools ( achievement chart, progress chart,

trainee’s record book)
Assessment methods: oral questioning, portfolio, written

exam, demonstration
9 Areas in the CBT workshop

May 2018 Issued by:
Qualification
Developed by:
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Your name
Revision #

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Sector : TVET ( your sector)

Qualification Title: ( your qualification)

Unit of Competency: ( your gap)

Logo of your school, name of your school and address

Date Developed: Document No.

Language, Average grade in: Average grade in:

Cultural and Ethnicity/culture:

Education & Highest Educational Attainment:

Previous Work experience – related to your

Previous List down trainings related to (your

Special courses Other courses related to qualification

Learning styles a. Visual - The visual learner takes mental

b. Kinesthetic - described as the students in

Date Developed: Document No.

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

2. Work in a team environment

3. Practice career professionalism

4. Practice occupational health and safety procedures

Date Developed: Document No.

Date Developed: Document No.

Date Developed: Document No.

Form 1.2: Evidence of Current Competencies acquired related to

Basic = basic to all qualifications

Date Developed: Document No.

Date Developed: Document No.

From the accomplished Self-Assessment Check (Form 1.1) and the

Form 1.3 Summary of Current Competencies Versus Required

BASIC/ COMMON /CORE

Required Units of Current Training Gaps/

Date Developed: Document No.

Core - do not fill up the CURRENT COMPETENCIES of your gap;

Date Developed: Document No.

Date Developed: Document No.

Date Developed: Document No.

Date Developed: Document No.

Picture related to your Qualification

Footer: Institution quality assurance logo (TESDA)

Date Developed: Document No.

The core unit of competency, "_________________________", is one of the

The module, _______________________________________, contains

In this module, you are required to go through a series of learning

The goal of this module is the development of practical skills. You

This will be the source of information for you to acquire knowledge

You will be given plenty of opportunity to ask questions and practice

Date Developed: Document No.

 Read Information Sheet, perform Task Sheet, Job Sheet or Operation

You must pass the Institutional Competency Assessment for this

Date Developed: Document No.

Performance Criteria Checklist

Self Check Answer Key

Learning Outcome Summary

In our efforts to standardize CBLM,

Date Developed: Document No.

Get from TRAINING REGULATIONS (BASIC, COMMON, CORE)

No. Unit of Competency Module Title Code

Date Developed: Document No.

MODULE DESCRIPTOR: CBC

NOMINAL DURATION: T.R/CBC

LEARNING OUTCOMES: CBC

ASSESSMENT CRITERIA: CBC, all the assessment criteria of all the

Date Developed: Document No.

The participants will have access to:

Signature: Qualification: ________