NEBOSH International General Certificate in Occupational Health and Safety

NEBOSH International General Certificate
in Occupational Health and Safety
UNIT IGC3: HEALTH AND SAFETY PRACTICAL

APPLICATION
Student Name :
Student Number :
Date of Submission :
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 i.e. 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 outline of hazards and consequences 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
3.1 Quality of interpretation of findings 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:
APPENDIX 4
IGC3 – THE HEALTH AND Candidate’s observation

SAFETY PRACTICAL APPLICATION sheet
Sheet number of _____
Student name ______________________________________
Student number ____________________________________
Place inspected _____________________________________ Date of inspection ___ / _____ / _____
Observations Control measures Timescale

Hazards and consequences Immediate and longer term actions
APPENDIX 5
UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________
Student number_________________________________
Location_______________________________________ Date of review / /
Introduction including overview of area inspected and activities taking place

APPENDIX 5

Student name __________________________________
Student number_________________________________
Executive Summary
APPENDIX 5

Student name __________________________________
Student number_________________________________
Main findings of the inspection

APPENDIX 5

Student name __________________________________
Student number_________________________________
Conclusions
APPENDIX 5

Student name __________________________________
Student number_________________________________
Recommendations – include as a table in the following format:
Recommendation Likely resource implications Priority Target date

Signed _______________________________ Dated ______________________________

NEBOSH International General Certificate in Occupational Health and Safety

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NEBOSH International General Certificate in Occupational Health and Safety

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NEBOSH International General Certificate

in Occupational Health and Safety

UNIT IGC3: HEALTH AND SAFETY PRACTICAL

Candidate and course provider declarations:

For completion by the candidate:

For completion by a course provider representative (e.g. internal practical assessor):

Name (Print) _________________________________

For completion by the course provider’s internal practical assessor:

Name (Print) _________________________________

Course provider Course provider

Student number Student name

1 Completion of observation sheets

1.1 Range and outline of hazards and consequences 15

Identification of suitable control measures and

2 Report - Introduction and Executive Summary

Introduction providing an overview of the chosen

2.2 Executive summary 5

3 Report - Main findings of the inspection

3.1 Quality of interpretation of findings 15

Identification of possible breaches of international

3.3 Persuasiveness / conciseness / technical content 10

4 Report - Conclusions and Recommendations

Clear and concise conclusions which are clearly

Recommendations which present realistic actions to

TOTAL MARKS 100

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) _________________________________________________

NEBOSH USE ONLY

IGC3 – THE HEALTH AND Candidate’s observation

Sheet number of _____

Student name ______________________________________

Student number ____________________________________

Place inspected _____________________________________ Date of inspection ___ / _____ / _____

Observations Control measures Timescale

UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________

Location_______________________________________ Date of review / /

Introduction including overview of area inspected and activities taking place

UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________

Location_______________________________________ Date of review / /

UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________

Location_______________________________________ Date of review / /

Main findings of the inspection

UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________

Location_______________________________________ Date of review / /

UNIT IGC3 – THE HEALTH AND Candidate report template

Student name __________________________________

Location_______________________________________ Date of review / /

Recommendations – include as a table in the following format:

Recommendation Likely resource implications Priority Target date

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Date assessed / /

Date received by course provider / /

(if applicable) ___ / _ / ___

Place inspected ___________________________________ Date of inspection _ / _ / _