Nebosh Igc3

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NEBOSH International General Certificate in Occupational Health and Safety

UNIT IGC3: HEALTH AND SAFETY PRACTICAL APPLICATION

Student Name: Student Number: Date of Submission:

APPENDIX 1

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 provider’s 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 candidate’s script. If this declaration is not submitted the candidate’s result may be declared void.

APPENDIX 3

INTERNATIONAL GENERAL

CERTIFICATEAssessor’s marking sheet
(2010 specification)

IGC3 – THE HEALTH AND
SAFETY PRACTICAL APPLICATION

Date of practical application Name of assessor

Course provider number

Course provider name

Student numberStudent name

| Criteria| Maximum marks available| Assessor’s marks awarded| NEBOSH moderated marks(if different)| 1| Completion of observation sheets| | | |
1.1| Range and number of hazards/good practice| 15| | | 1.2| Identification of suitable control measures and timescales| 15| | | 2| Report - Introduction and Executive Summary| | | |

2.1| Introduction providing an overview of the chosen area| 5| | | 2.2| Executive summary| 5| | |
3| Report - Main findings of the inspection| | | |
3.1| Quality of interpretation of findings and clear references to strengths and weaknesses| 15| | | 3.2| Identification of possible breaches of international standards| 5| | | 3.3| Persuasiveness / conciseness / technical content| 10| | | 4| Report - Conclusions and Recommendations| | | |

4.1| Clear and concise conclusions which are clearly related to report findings and are effective in convincing management to take action| 15| | | 4.2| Recommendations which present realistic actions to improve health and safety in the chosen area| 15| | | | TOTAL MARKS| 100| | |

Outcome: PASS (60% or more)REFER (less than 60%)

Date assessed / /

Assessor’s signature

Date received by course provider / /

Date received by NEBOSH

(if applicable) / /

Assessor’s additional comments on the practical application:

ASSESSED BY (name in block letters)

The mark sheet must be retained by the Course Provider and sent to NEBOSH only if requested.

NEBOSH USE ONLY

NEBOSH Moderator’s comments:

APPENDIX 4

INTERNATIONAL GENERAL

CERTIFICATECandidate’s observation
(2010 specification)sheet

IGC3 – THE HEALTH AND
SAFETY PRACTICAL APPLICATION

Sheet number of

Student name

Student number

Place inspected

Date of inspection / /

ObservationsHazards / Good practice| Control measuresImmediate,...
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