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CHCCOM005 Communicate and work in the health

Assessment 2 – Workplace Reporting

Course:
Intake (month and year):
Student Name:
Email Address:
Mobile Number:
Unit code and title:
CHCCOM005 Communicate and work in the health or community services.
Assessment 2 Workplace Reporting and Improvements
Date submitted:
Submission mode:  Online  In-class submitted to assessor

Assessment conditions Assessment modality

Satisfactory rate – All questions must be answered in
accordance with the assessment guide and rules. If this
is not achieved the student has the opportunity to
resubmit work or re-sit exam as confirmed by their
trainer/assessor
Assessment location:
 In-class  online  simulated environment

 Assignment 2 Workplace Reporting
and Improvements [this assessment]
 Assignment 2 Workplace
Communication
 in – class presentation
Ref: as listed in the Course Unit Outline and
Assessment Due Dates List for the course

Assessor Instructions
The assessment is made when all of the short answer fields in the template are completed. These
are to be completed according to the assessment guide and decision making rules. Final decision
is to be made and recorded on Assessment result below and on the results template via the Course
Coordinator.
Ref: Assessment Guide for the Assessment & Mayfield Education Assessment Guide : Planning & Conducting Assessment Policy

CHCCOM005 Communicate and work in the health or community services
Assessment 2 Workplace Reporting and Improvement

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Communication\Assessments&Guides\CHCCOM005 Assessment 2 Workplace Reporting.docx
Version 2: 7/11/2016

Student Instructions
Read the instructions carefully. Please note, students enrolled in Certificate III courses are only
required to complete Part A of this assessment task. Students enrolled in Certificate IV or higher
qualifications are required to complete both Parts A and B. In order to be deemed Satisfactory in
this compulsory assessment task you must satisfactorily answer ALL questions as required. Type
answers in the fields provided. Short answers should consist of no more than three sentences. This
can be typed and dot points can be used. For those who have not been previously employed you
may wish to draw upon your experience as a student to list some recommended improvements.
This must be undertaken by yourself and you are able to use your study notes to assist you with
completing the answers. If you do not receive a ‘Satisfactory’ result (NYS) you will be provided with
an alternative supplementary assessment.
Ref: Student Information Handbook (5) & Student Assessment Policy and Procedure
Student Declaration
I, ……………………………………………… (Student to print name) state that the work I submit is
my own and I have not copied this in any form except where due reference has been made to this.
If you are completing this form electronically, please type your name as an acceptable form of your
signature.
Student Comments:
Ref: Student Information Handbook (5.6)
Student Signature:
If you are completing this form
electronically, please type your name as an
acceptable form of your signature.

Date:

Assessment Result (tick √):
 Satisfactory
 Unsatisfactory
 Resubmit
A Satisfactory Result determines that you will
receive the final result in the unit/subject
NB: The rating of Competency can only be provided as a
summative assessment at the end of a unit.

Outcome recorded on Results sheet (tick √):
 Yes
Date entered:
By whom:
Results are entered into the electronic Results Sheet
Ref: Student Information Handbook (5.6) Reassessment
Appeals
Assessor Feedback and Comments to Student:

Assessor Name (printed): Date received:

Assessor Signature (signed):
Ref: Trainer and Assessor requirements as listed in the Sessional Trainers and Assessors Policy and the Policy – Guidelines for
Planning and Conducting VET Assessment & Student Assessments Policy.

CHCCOM005 Communicate and work in the health or community services
Assessment 2 Workplace Reporting and Improvement

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Communication\Assessments&Guides\CHCCOM005 Assessment 2 Workplace Reporting.docx
Version 2: 7/11/2016

ACTION IMPROVEMENT REQUEST
(For fault reporting, repairs required, suggestions)

(We welcome your assistance and feedback toward the continual improvement

process)
PART A

To: Date: Ar #:
The Issue Is That…

An Improvement That Should Be Considered Is………

I Would Suggest The Following…………………………………

This Would Require ………………………………..

CHCCOM005 Communicate and work in the health or community services
Assessment 2 Workplace Reporting and Improvement

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Communication\Assessments&Guides\CHCCOM005 Assessment 2 Workplace Reporting.docx
Version 2: 7/11/2016

I Have Discussed this with the Following People …………………..

The Change In Procedures / Equipment That Would Be Needed Are……………………

The Training That Would Have To Occur Would Be………………….

System Reference:
Originator: Received For Actioning & Referred To:
SIGNATURE: __________________ DATE: __________

CHCCOM005 Communicate and work in the health or community services
Assessment 2 Workplace Reporting and Improvement

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Communication\Assessments&Guides\CHCCOM005 Assessment 2 Workplace Reporting.docx
Version 2: 7/11/2016

PART B (*** For Certificate IV and above qualifications only)

(Management use only)
INVESTIGATION FINDINGS

CONTAINMENT ACTION REQUIRED:

PROBABLE CAUSE:

CORRECTIVE ACTION TO DEAL WITH CAUSE:

TARGET
DATES

FOLLOW-UP AND CLOSE-OUT COMMENTS:

SIGNATURE: ___________________________



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