CQI-IRCA Certified PR372: FSSC 22000 v 5.

1 Lead Auditor Training Course (Course ID: 2420)

Delegate Assessment Form

Adrian Njoroge
Delegate’s Name:

Course Dates: 26th Sept – 1st Oct 2022 Course Venue Online

Competence Day 1 Day 2 Day 3 Day 4 Day 5 Overall

Score*
E2,W1,W2 W3, W5 W8 E4, W9, W13, W14 W17
1. Interpreting the requirements of FSSC W11
22000 in the context of an audit. 6 7 7 8 8 8

E1,W1,W2 W3,W4,W6 W9,W10, W12,W13, W17

2. Planning and preparing an audit. W11 W14
6 6 7 8 8 8
E1, W1,W2 W3, W5 W8:W10, W13, W14, W15
3. Gathering objective evidence, through E4
effective interviewing, observation, 6 6 7 7 9 8
sampling & note taking.

E1,W1, W2 W5,W7:E3 W8:E4 W13, W14, W16

4. Analysing & interpreting information in
order to determine conformance with 6 7 7 8 8 8
requirements.

E1 W5 W8 W13,W14 W17
5. Reporting the audit, including writing
valid, factual and value adding non- 7 7 8 8 8 8
conformity reports.

E1 W3,W4,W5, W8, W11 W12,W13, W17

6. Personal attributes: manner, attitude W6 W14,
and suitability as an auditor 7 7 7 8 8 8
(to be assessed during the sessions)

7. Attendance, punctuality and

participation. 7 8 8 8 8 9

Performance in each area of competence is scored from 1-10 (1-3 = unacceptable, 4-5 = poor, >/=6 = acceptable, 7-8 = good and 9-10 =
excellent). To pass the course delegates must pass each section (i.e. score at least 6 in each section). Delegates may not be assessed
on every competence area every day (grayed areas show days when formal continuous assessment for particular learning objectives is
not time-tabled). The assessment results must be shared with delegates regularly and tutor comments and delegate’s comments filled up
on page 2 of this form. Tutors are required to obtain delegate’s overall comments and signature at the end of the assessment.

Competencies 1 to 5 are marked according to the results of the exercises and workshops (E1 = Exercise 1, W1 = Workshop 1 etc.).
Tutors may note the rating of each exercise separately and write an average figure everyday. Competency 6 is marked according to the 3
criteria listed that this delegate exhibits during the day. Competency 7 is marked according to a 100% attendance requirement and the
interaction of this delegate with others during the day.

* The overall score should be marked on the basis of competence judged for a delegate at the end of the course (This is not the average
of the marks scored on all days) ; this should be in a scale of 1 to 10.

Result of delegate Assessment: PASS FAIL

Tutor Name: Rajab Birya Signature: Rajab Birya

Tutor Name: Signature:

Overall comments about the assessment (to be written by the delegate):

Accepeted.
Signature of delegate

Apr’21 CQI-IRCA Certified PR 372: FSSC 22000 version 5.1 Lead Auditor Training Course (ID: 2420) page 1 of 3
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Delegate Assessment Form Comments
Compe- Day Tutor Comments Delegate Comments
tence

1 Fairly good

2 Acceptable
1
3 Improved

4 Well improved

1 Okay

2 Acceptable
2
3 Improved

4 Demonstrates more improvement

1 Improve on audit trails

2 Acceptable
3
3 Improved analysis skills

4 Able to collect data and follow trends

1 Okay

2 Fairly ok
4
3 Acceptable

4 Well done

1 acceptable

2 Generally okay
5
3 Well improved

4 Able to generate factual NC reports

1 Suitable as auditor

2 Suitable as auditor
6
3 Suitable as auditor

4 Suitable as auditor

1 Punctual and active in class

2 Punctual and active in class

7
3 Punctual and active in class

4 Punctual and active in class

Apr’21 CQI-IRCA Certified PR 372: FSSC 22000 version 5.1 Lead Auditor Training Course (ID: 2420) 3 of 3