Name of candidate: _______________________________________ Course Ref.

: _____________

As part of the requirements for the NEBOSH International General Certificate (IGC), candidates are
required to undertake a health and safety inspection of part of a workplace and to write a report to
management detailing the findings and recommendations. Full details of the procedures, including the
selection of a suitable area, will be provided during the course but, in brief, the requirements are that:

 the health and safety practical application takes place within 7 days before and after of the
date of the written papers;

 The practical is to be completed at the students own workplace. Those without a workplace
will be assisted by the Training Provider.

 the time allowed to complete the assessment is not restricted but candidates should aim to
complete the inspection and the report in two hours.

 the practical application may be submitted in the candidate’s own handwriting or be word
processed;

 candidates do not require supervision when carrying out the practical application but the
candidate must sign a declaration that the submission is their own work. (Page 2 of this
document). If this declaration is not submitted the candidate’s result may be declared void. A
signature can be electronic or can be faxed.

The submission must include:

 completed observation sheets covering a number and range of hazards and good practice ,
identifying suitable control measures and timescales;

 an introduction and executive summary;

 main findings of the complete inspection;

 conclusions which summaries the main issues identified in the candidate’s workplace

 completed recommendations table

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.
INTERNATIONAL GENERAL
CERTIFICATE Assessor’s marking sheet
(2011 specification)

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Date of practical application Name of assessor

Course provider Course provider

number name

Student number Student name

NEBOSH
Maximum
Assessor’s moderated
marks
Criteria available
marks awarded marks
(if different)

1 Completion of observation sheets

1.1 Range and number of hazards/good practice 15

Identification of suitable control measures and

1.2 timescales
15

2 Report - Introduction and Executive Summary

Introduction providing an overview of the chosen

2.1 area
5

2.2 Executive summary 5

3 Report - Main findings of the inspection

Quality of interpretation of findings and clear

3.1 references to strengths and weaknesses
15

Identification of possible breaches of international

3.2 standards
5

3.3 Persuasiveness / conciseness / technical content 10

4 Report - Conclusions and Recommendations

Clear and concise conclusions which are clearly

4.1 related to report findings and are effective in 15
convincing management to take action

Recommendations which present realistic actions to

4.2 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:

INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions

Hazard : House Keeping Immediate : All the waste material from

the site walkways, stairs should be One day
Risk : The risk of SlipTrip&Fall removed immediately. Make one place
because of not proper housekeeping in where the workers can store the waste
the construction area like walkways, material
stairs, access egress. poor
housekeeping increase the risk of Medium : make one team who weekly
injury to the workers, visitors check and Clean the site, and arrange One week
training for the employee on
Consequence : housekeeping
Poor Housekeeping can increase the
risk of trip & fall & injury to the Long Term : Provide the dust bin in all
Employer, Employee, and visitors. areas of the building. and provide one big
storage area where they can store and One week
weekly remove the garbage and waste
material. And Should make weekly site
inspection for house keeping

Hazard : Work on Height Immediate : Provide the all Employee

the proper PPE which need to work on
Risk : Some workers are working at height & give them a instruction for
heights without wearing Safety belt if wearing and right use of it
they wear belt but they didn’t hook up
the belt clamp with any rigid point. It can Medium : Arrange the regular Training
risk employee life or serious injury classes for the employees on work at
height. And give them the Instruction
Consequence : before the work start.
Work on height without wearing proper
PPE can increase the risk of fall from Long Term : Make regular inspection &
the height which can cause the serious supervision for the site. Make risk
Injury or death. assessment before work start.
Hazard : Electrical Hazard Immediate :

Risk : Electrical Equipment with poor

maintenance were found in the site. Medium : Arrange the regular Training
Some Electrical Equipment found with classes for the employees on work at
frayed wires, distribution board without height. And give them the Instruction
door, loose connections which can before the work start.
increase the risk of fire, Electric current,
and short circuit to the workers. Also the
cables are trail on the floor which can
produce risk of trip & fall Long Term : Make regular inspection &
supervision for the site. Make risk
Consequence : assessment before work start.
Electrical equipments with poor
maintenance will produce the risk of
fire, Burn, Electric current to the
employees and trailing cables produce
the risk of trip & fall which can injure the
workers.
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate’s observation
(2011 specification) sheet

IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number of _____

Student name ______________________________________ Student number __________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
INTERNATIONAL GENERAL
CERTIFICATE Candidate report template
(2011 specification)

UNIT IGC3 – THE HEALTH AND

SAFETY PRACTICAL APPLICAITON

Student number_________________________________

Location_______________________________________ Date of review / /

Structure report under the following headings:

Introduction including overview of area inspected and activities taking place

Executive Summary

Main findings of the inspection

Observation 1 (Weakness):
One worker were found working on height without wearing safety harness. actually he is
fixing the suspended platform support on the roof. There is no proper supervision from the
safety officer. This type of unsafe act can risk the life of worker.

Strength:
When safety officer saw this worker he stop the work. Give him warning with fine. And
give all of worker safety induction on working on heights. And guide them to right use of
safety belt.

Observation 2 (Weakness) :
4 worker were found while removing the scaffold in bulding stairs. They were droping the
scaffold components plywood and pipes in the stairs. There is no supervision for this unsafe
act no warning sign area was not barricaded. this type of unsafe act can produce the risk of
trip and fall & and injured the person.

Strength :
This staircase should be closed for the people barricade with warning tape & should
place the warning signs after removing scaffold should be remove all scaffold material from
the stairs

Observation 3 (Weakness):
Electrical Cables were found tray led on the floor and in some area the cables were
trayed with the roof but not properly fix with roof. And Electrical distribution boards were
found open with no warning sign Electrical Equipment & machine were found without Earth
line (like, Tower Crane, generator & steel cutting and bending machine, ElCB, MCB) which is
very dangerous act which can risk the employees life.

Strength:
Electrical cables should be trayeld with roof and Should arrange the Electrician who
should check the Electrical Equipment & and should remove the faulty Equipment from the
site conduct safety induction for the workers on working with Electrical Equipments.

Observation 4(Weakness):

Conclusions

Recommendations – include as a table in the following format:

Recommendation Likely resource implications Priority Target date

 MANAGEMENT REPORT

Location:
Date of Review:

Executive Summary:
The inspection report shows that there are some high risk hazards are in
the site which required immediate actions. In which the Electricity is major hazard
which have significant risk to the employees if not properly use. Poorly maintained
Electrical machines & power tools can produce the risk of electrocution, over loaded
Electrical Equipment can produce fire hazard. So should be check the all electrical
equipment by a competent person. Repair all the faulty equipments.
Another major issue I have discussed is working on height. Many people’s are
seriously injured or kill as the result of falling from heights. So all platform scaffolding
Should be provided with guardrail system
 MANAGEMENT REPORT

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