Templates

Sector

AGRICULTURE AND FISHERY

Qualification Title:

Unit of Competency:

Module Title:

ANIMAL PRODUCTION NC II

RAISE POULTRY

RAISING POULTRY

Technical Education & Skills Development Authority

NATIONAL TVET TRAINERS ACADEMY
Marikina City

[Type text]

Plan
Training
Session

Sample Data Gathering Instrument for Trainees

Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that best
describes you as a learner. Blank spaces are provided for some data that
need your response.
Characteristics of learners
Language, literacy
and numeracy
(LL&N)

Cultural and
language
background

Average grade in:

Average grade in:

English

Math

a. 95 and above

a. 95 and above

b. 90 to 94

b. 90 to 94

c. 85 to 89

c. 85 to 89

d. 80 to 84

d. 80 to 84

a. 75 to 79

e. 75 to 79

Ethnicity/culture:
a. Ifugao
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________

Education &
general
knowledge

Highest Educational Attainment:

a. High School Level
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Masters degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate

Sex

a. Male

Characteristics of learners
b. Female
Age
Physical ability

Previous
experience with
the topic

Your age: _____

1. Disabilities(if any)_____________________
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) ___________________
TM Certificates
a. TQ certified
b. TM graduate
c. TM trainer
d. TM lead trainer
Number of years as a competency trainer ______

Previous
learning
experience

List down trainings related to TM

___________________________
___________________________
___________________________

Training Level
completed

National Certificates acquired and NC level

___________________________
___________________________

Special courses

Other courses related to TM

a. Units in education
b. Masters degree units in education
c. Others(please specify)
_________________________

Learning styles

a. Visual - The visual learner takes mental

pictures of information given, so in order for
this kind of learner to retain information,
oral or written, presentations of new
information must contain diagrams and
drawings, preferably in color. The visual
learner can't concentrate with a lot of activity
around him and will focus better and learn
faster in a quiet study environment.

Characteristics of learners
b. Kinesthetic - described as the students in
the classroom, who have problems sitting
still and who often bounce their legs while
tapping their fingers on the desks. They are
often referred to as hyperactive students with
concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text. Having
to read long texts is pointless and will not be
retained by the auditory learner unless it is
read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities where
they can watch, listen and then review what
has happened.
f. Theorist - Learns most when ideas are linked
to existing theories and concepts.
g. Pragmatist - Learns most from learning
activities that are directly relevant to their

situation.
Other needs

a.
b.
c.
d.

Financially challenged
Working student
Solo parent
Others(please specify)
___________________________

FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
1. RAISE POULTRY
CAN I?
1.

YES NO

Select the Stock purchased from a reliable source?

2.

3.

4.

5.

Note: In making the Self-Check for your Qualification, all required

competencies should be specified. It is therefore required
of a Trainer to be well- versed of the CBC or TR of the
program qualification he is teaching.

Evidences/Proof of Current Competencies(Sample)

Form 1.2:
Evidence of Current Competencies acquired related to
Job/Occupation
Current
competencies

Proof/Evidence

Means of validating

Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the
evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.
Form

1.3

Summary of Current
Competencies (Sample)

Required Units of
Competency/Learning
Outcomes based on CBC

Competencies

Versus

Required

Current
Competencies

Training
Gaps/Requirements

Current
Competencies

Training
Gaps/Requirements

1.

Required Units of
Competency/Learning
Outcomes based on CBC
2.

3.

4.

Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.
Form No. 1.4: Training Needs (Sample)
Training Needs
(Learning Outcomes)

Module Title/Module of
Instruction
1.
2.

3.

6.
7.

SESSION PLAN
Sector

: AGRICULTURE AND FISHERY

Qualification Title

: ANIMAL PRODUCTION NC II

Unit of Competency

: RAISE POULTRY

Module Title

: RAISING POULTRY

Learning Outcomes:
A. INTRODUCTION
B. LEARNING ACTIVITIES
LO 1:
Learning Content

Methods

LO 2:
C. ASSESSMENT PLAN
Written Test
Performance Test
D. TEACHERS SELF-REFLECTION OF THE SESSION

Presentation

Practice

Feedback

Resources

Time

PARTS OF A COMPETENCY-BASED LEARNING MATERIAL

References/Further Reading
Performance Criteria Checklist
Operation/Task/Job Sheet
Self Check Answer Key
Self Check
Information Sheet
Learning Experiences
Learning Outcome Summary

Module Content
Module Content
Module
List of Competencies
Content
Module Content

Module Content
Front Page
In our efforts to standardize CBLM,
the above parts are recommended for
use in Competency Based Training
(CBT) in Technical Education and
Skills Development Authority (TESDA)
Technology Institutions.
The next
sections
will
show
you
the
components and features of each part.

(Qualification Title)
COMPETENCY-BASED LEARNING MATERIALS
List of Competencies
No.
1.
2.
3.
4.
5.
6.

Unit of Competency

Module Title

Code

MODULE CONTENT
UNIT OF COMPETENCY
MODULE TITLE

MODULE DESCRIPTOR:

NOMINAL DURATION:

LEARNING OUTCOMES:
At the end of this module you MUST be able to:
1.
2.
3.
4.

ASSESSMENT CRITERIA:
1.
2.
3.
4.
5.
6.

LEARNING OUTCOME NO. 4

(LO Title)
Contents:
1.
2.
3.
4.
5.
Assessment Criteria
1.
2.
3.
4.

Conditions
The participants will have access to:
1.
2.
3.
Assessment Method:
1.
2.
3.

Learning Experiences
Learning Outcome 1

(LO TITLE)
Learning Activities

Special Instructions

Information Sheet _______

(Title)
Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to:
1.
2.
(Introductory Paragraph)
(Body)

Self- Check ______

(Type of Test) : (Instruction)

ANSWER KEY ____

1.
2.
3.
4.

TASK SHEET _____

Title:
Performance Objective:
Given (condition), ,you should be able to
(performance) following (standard).
Supplies/Materials

Equipment

Steps/Procedure:
1.
2.
3.
4.

Assessment Method:

Performance Criteria Checklist ______

Did you.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

CRITERIA

YES

NO

JOB SHEET _____

Title:
Performance Objective:
Given (condition), ,you should be able to
(performance) following (standard).
Supplies/Materials

Equipment

Steps/Procedure:
5.
6.
7.
8.

Assessment Method:

Performance Criteria Checklist ______

Did you.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

CRITERIA

YES

NO

Evidence Plan
Competency
standard:

The evidence must show that the trainee

NOTE: *Critical aspects of competency

Written

Portfolio

Third party Report

Demonstration & Questioning

Ways in which evidence will be collected:

[tick the column]

Observation & Questioning

Unit of
competency:

TABLE OF SPECIFICATION

Objectives/Content
area/Topics

TOTAL

Knowledge

Comprehension

Application

# of
items/
% of test

Performance Test

SPECIFIC INSTRUCTION FOR THE CANDIDATE

Qualification
Unit of Competency
General Instruction:

Specific Instruction:

QUESTIONING TOOL
Questions to probe the candidates underpinning knowledge

Satisfactory
respon
se

Extension/Reflection Questions

Yes

No

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Job Role/Environment Questions

13.

14.

15.

16.

Rules and Regulations

17.

18.

19.

20.

Safety Questions

Contingency Questions

The
candidates
knowledge was:

underpinning Satisfactory

Not
Satisfactory

Templates for Inventory of Training Resources

Resources for presenting instruction

Print Resources

As per TR

As per
Inventory

Remarks

Non Print Resources

As per TR

As per
Inventory

Remarks

Resources
for
Skills
______________________________

practice

of

Competency

#1

Supplies and Materials

As per TR

As per
Inventory

Remarks

Tools

As per TR

As per
Inventory

Remarks

Equipment

As per TR

As per
Inventory

Remarks

Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.

Supervise
Work-Based
Learning

FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
CORE COMPETENCIES
CAN I?
6.

7.

YES NO

CORE COMPETENCIES
CAN I?

YES NO

8.

9.

10.

Note: In making the Self-Check for your Qualification, all required

competencies should be specified. It is therefore required
of a Trainer to be well- versed of the CBC or TR of the
program qualification he is teaching.

Evidences/Proof of Current Competencies(Sample)

Form 1.2:
Evidence of Current Competencies acquired related to
Job/Occupation
Current
competencies

Proof/Evidence

Means of validating

Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the
evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.
Form

1.3

Summary of Current
Competencies (Sample)

Required Units of
Competency/Learning
Outcomes based on CBC

Competencies

Versus

Required

Current
Competencies

Training
Gaps/Requirements

Current
Competencies

Training
Gaps/Requirements

1.

Required Units of
Competency/Learning
Outcomes based on CBC
2.

3.

4.

Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.
Form No. 1.4: Training Needs (Sample)

Gaps

Module
Title/Module of
Instruction

Duration (hours)

TRAINING PLAN

Qualification: ____________________________
Trainees Training
Requirements

Training
Activity/Task

Mode of
Training

Staf

Facilities/Tools
and Equipment

Assessment
Venue
Method

Date
and
Time

Technical Education and Skills Development Authority

___(your institution)___

TRAINEES RECORD BOOK

I.D.
Trainees No._______________

NAME: ___________________________________________________
QUALIFICATION:

PLUMBING NC II_______

TRAINING DURATION :____________________________

TRAINER: __________________________________________________

Instructions:
This Trainees Record Book (TRB) is intended to serve as record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence that can be submitted for portfolio assessment and for whatever
purpose it will serve you. It is therefore important that all its contents are viably entered by both the trainees and instructor.
The Trainees Record Book contains all the required competencies in your chosen qualification. All you have to do is to fill in
the column Task Required and Date Accomplished with all the activities in accordance with the training program and to be
taken up in the school and with the guidance of the instructor. The instructor will likewise indicate his/her remarks on the
Instructors Remarks column regarding the outcome of the task accomplished by the trainees. Be sure that the trainee will
personally accomplish the task and confirmed by the instructor.
It is of great importance that the content should be written legibly on ink. Avoid any corrections or erasures and maintain
the cleanliness of this record.
This will be collected by your trainer and submit the same to the Vocational Instruction Supervisor (VIS) and shall form part
of the permanent trainees document on file.
THANK YOU.

NOTES:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

Unit of Competency: 1 PREPARE PIPES FOR INSTALLATION

NC Level I
Learning
Outcome

Task/Activity
Required

Date
Instructors
Accomplished
Remarks

Lay out
measurements
Cut pipe
within the
required
length and
according to
job
requirements
Thread pipes
in accordance
with standard
thread
engagement
__________________

___________________

Trainees Signature

Trainers Signature

Unit of Competency: 2 PERFORM MINOR CONSTRUCTION WORKS

NC Level I
Learning
Outcome

Task/Activity
Required

Date
Instructors
Accomplished
Remarks

Perform
piping lay
outs
Cut pipes
through walls
and floors
____________________
Trainees Signature

______________________
Trainers Signature

Unit of Competency: 3 MAKE PIPING JOINTS AND CONECTIONS

NC Level I
Learning
Outcome

Task/Activity
Required

Fit-up joints
and fittings
for PVC pipe
Perform
threaded pipe
joints and
connections
Caulk
joints\
_____________________
Trainees Signature

Date
Instructors
Accomplished
Remarks

______________________
Trainers Signature

Unit of Competency: 4 PERFORM SINGLE UNIT PLUMBING

INSTALLATION AND ASSEMBLES
NC Level I
Learning
Outcome

Task/Activity
Required

Date
Accomplishe
d

Instructor
s Remarks

Prepare for
plumbing works
Install pipe and
fittings
Install hot and
cold water supply
Install/assemble
plumbing fixtures
_____________________
Trainees Signature

____________________
Trainers Signature

Unit of Competency: 5 PERFORM PLUMBING REPAIR AND

MAINTENANCE WORKS
NC Level I
Learning
Outcome

Task/Activity
Required

Clear
clogged
pipes
clear
clogged
fixtures
______________________
Trainees Signature

Date
Instructors
Accomplished
Remarks

____________________
Trainers Signature

TRAINEES PROGRESS SHEET

Name

: JUAN DELA CRUZ

Trainer

Qualification

: Machining NC I

Nominal
Duration

Units of Competency

Training
Activity

Training
Duration

Date
Started

Date
Finished

Rating

Trainees
Initial

Supervisors
Initial

Total
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for the
performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings

Average Ratings
PREPARATION
1. Workshop layout conforms
with the components of a
CBT workshop
2. Number of CBLM is
sufficient
3. Objectives of every training
session is well explained
4. Expected activities/outputs
are clarified
General Average

Average

Facilitate
Learning
Session

Training Activity Matrix

Training Activity

Trainee

Facilities/Tools
and Equipment

Venue
(Workstation/
Area)

Date &
Time

Remarks

Prayer
8:00 AM
to 8:30
AM

Recap of Activities
Unfreezing Activities

All
trainees

Feedback of Training
Rejoinder/Motivation

(Specific Activities of
each Trainee for the
day here)

(Specific Activities of
each Trainee here)

(Specific Activities of
each Trainee for the
day here)

(Specific Activities of
each Trainee for the
day here)

(List down all

Facilities/Tools
and Equipment
needed for the
workstation and
activities here)

Name of
Workstation1

(List down all

Facilities/Tools
and Equipment
needed for the
workstation and
activities here)

Name of
Workstation 2

(List down all

Facilities/Tools
and Equipment
needed for the
workstation and
activities here)

Name of
Workstation 3

(List down all

Facilities/Tools
and Equipment
needed for the

Name of
Workstation 4

observations
on the
progress of
each trainee
for the day
will be written
here
observations
on the
progress of
each trainee
for the day
will be written
here
observations
on the
progress of
each trainee
for the day
will be written
here
observations
on the
progress of
each trainee

workstation and
activities here)

for the day

will be written
here

Minutes of the Meeting Template

Minutes of the Meeting
Focus Group Discussion
Date: ________________________
Agenda:
Competency-based Training Delivery
Present:
1.
2.
3.
4.

____________
____________
____________
____________
CBT Concerns

1. CBT Layout
2. Monitoring of
Attendance
3. Utilization of work
area
4. Orientation
a. CBT
b. Roles
c. TR
d. CBLM
e. Facilities
f. Evaluation system
5. RPL

Discussions

Resolutions/Agreement

6. Teaching methods
and technique
7. Monitoring of
learning activities
a. Achievement
chart
b. Progress chart
8. Feedback
9. Slow learners
10.
Other
concerns

Training Evaluation Report

1. Title of the Report
2. Executive summary
3. Rationale
4. Objectives
5. Methodology
6. Results and discussion
This is the body of the report.
parts:
Data interpretation
Data analysis
Conclusion

It should contain the following

7. Recommendation

Maintain
Training
Facilities

Template #1
OPERATIONAL PROCEDURE
Equipment Type
Equipment Code
Location
Operation Procedure:

Template #2

HOUSEKEEPING SCHEDULE
Qualification

Station/Bldg

Welding (WAF)

Area/Section
In-Charge

ACTIVITIES
1. Clean and check welding
equipment/ accessories
from dust and oil; dry and
properly laid-out/
secured/stable
2. Clean and free welding
booths and welding
positioners from
dust/rust /gums, used Mig
wire stubs and metal
scraps
3. Clean and arrange working
tables according to floor
plan/lay-out; check
stability
4. Clean and check floor,
walls, windows, ceilings

graffiti/dust/rust

cobwebs and
outdated/unnecessary
objects/items

obstructions

any used
materials/scraps
(slugs, stubs) spilled
liquid

open cracks (floor)

5. Clean and check work shop

ventilation and
illumination by dusting
lamps/bulbs, replacing
non-functional lamps and
keeping exhaust clean
6. Clean and check computer
set -monitor, CPU,
keyboards, mouse free,
unnecessary markings,
dust; cables and plugs are
in order; well-arranged; all
items functional
7. Clean, inspect air
conditioning equipment:

keep screen and filter

free from dust/rust

Check selector knobs if

in normal positions and
are functional

Check if drainage is OK

8. Clean, check and maintain

Tool Room

Free of dust, not damp

Tools in appropriate
positions/locations

With visible
labels/signage

Logbook and forms are

complete, in order and
updated

Responsible
Person

Schedule for the 2nd Semester, 2011

Daily

Every
other
Day

Weekly

Every
15th
Day

Month
ly

Remarks

Template #3
GMAW WORKSHOP HOUSEKEEPING SCHEDULE
DAILY TASK

YES

NO

YES

NO

YES

NO

Dispose segregated waste; clean garbage cans

Sweep floors; if wet, wipe dry
Wipe and clean whiteboards
Clean and arrange working tables
Clean and check mounting of machines/equipment
Before leaving, collect stubs and other welding wastes.

WEEKLY TASK
Clean posters, visual aids and update accomplishment/Progress Charts
Clean bulbs/lamps/ceilings/walls
Clean/Wash of windows/glasses/mirrors
Clean and check tools, machines, supplies, materials
Sanitize garbage receptacles
Empty water collector; clean body of Water Dispenser

MONTHLY TASK
Conduct inventory
Clean and arrange tool room
Inspect electrical system; clean cables, wires
Clean instructional materials & modules; arrange and put in order
Inspect and clean air-conditioning equipment filter; clean body

Template #4
WELDING EQUIPMENT MAINTENANCE SCHEDULE*
8 HOURS

50 Hours

100 HOURS

Template #5
EQUIPMENT MAINTENANCE SCHEDULE
EQUIPMENT TYPE
EQUIPMENT CODE
LOCATION
Schedule for the Month of March

ACTIVITIES
1. Check panel board, and
circuit breakers
electrical connections,
cables and outlets

Clean and kept dry

Parts are wellsecured/attached
Properly labeled

2. Check Mig gun (nozzle,

contact tip, diffuser)
and ground cable:

Clean and kept dry

Parts are wellsecured/ attached
Inspect for damages
and replace parts if
necessary

3. Check adjustment
levers if functional
(amperages/speed); if
not, calibrate
4. Check Gas cylinder
outfit for any
abnormality

Gate valve
Co2 regulator
Gas hose Fittings
Fittings

5. Check/Clean wire
feeder (rollers, wire
speed/spool
adjustment); remove
used oil, dust; keep
dry.
6. Run the equipment for
5 minutes and observe
for unusual noise or
abnormal operation; if
repair is necessary,
send to technician.

MANPOWER

Daily

Every
Other
Day

Weekly

Every
15th
Day

Monthly

Remarks

Template #6

WORKSHOP INSPECTION CHECKLIST

Qualification
Area/Section
YES

In-Charge

NO

INSPECTION ITEMS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

11.
12.

Remarks:
Inspected by:

Date:

Template #7
EQUIPMENT MAINTENANCE INSPECTION CHECKLIST
Equipment Type

Property Code/Number

Location

YES

NO

INSPECTION ITEMS

Remarks:
Inspected by:

Date: