Operational Excellence

Validation and Certification

To: The Mentor / Manager

Please ensure all the items below are completed and signed, before submitting with Criterion Test to
the Certifier.

NAME OF LEARNER: _________________________________ Co. No. ________________

LOCATION: ______________________________________________________________________

OI / TM NUMBER & NAME : TM / OI ___________________________________________________

Validation Item 1 * Circle appropriate

LEARNER
I am satisfied with the training given to me and feel confident to perform the job * YES / NO
and accept responsibility

SIGNATURE __________________________________ DATE : __________________________________

MENTOR/MANAGERS NAME
I accept that the above employee is fully competent to perform the job to the * YES / NO
required standard and accept responsibility for him/her

Planned Job Observation (PJO) completed for Process Training * YES / NO

NO. OF HOURS SPENT TRAINING

MENTOR/MANAGERS NAME _____________________________________

SIGNATURE __________________________________ DATE : __________________________________

Validation Item 2 (To be completed by Certifier)

The learner has completed the Criterion Test of this Training Module, and * YES / NO
achieved a mark of 80% or more and minimum of 100% accuracy for Process Training.
In doing so has demonstrated a competent level of understanding.

NB : If the Learner does not achieve competence, he/she needs to re-do the whole module again.
Indicate here which section in the module needs to be re-learnt.

Mr(s) …………………………………………………. Is hereby certificated / not certificated to

have successfully completed competency based training on the above mentioned Training
Module

CERTIFIER’S NAME : ………………………………………..

SIGNATURE : ………………………………………………... DATE : ………………………….