INTERNATIONAL GENERAL

CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number

of _____

Student name ______________________________________

Student number __________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Observations
Hazards and consequences

Control measures
Immediate and longer term actions

Timescale

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number
Student name ______________________________________

of _____

Student number __________________

Place inspected _____________________________________

Observations
Hazards and consequences

Date of inspection ___ / _____ / _____

Control measures
Immediate and longer term actions

Timescale

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Sheet number

of _____

Student name ______________________________________

Student number __________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Observations
Hazards and consequences

Control measures
Immediate and longer term actions

Timescale

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number_________________________________
Location_______________________________________

Date of review

Introduction including overview of area inspected and activities taking place.

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number_________________________________
Location_______________________________________

Executive Summary

Date of review

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number_________________________________
Location_______________________________________

Main findings of the inspection

Date of review

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number_________________________________
Location_______________________________________

Main findings of the inspection

Date of review

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidate report template

UNIT IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number_________________________________
Location_______________________________________

Date of review

Recommendations:
Recommendation

Likely resource implications

Priority

Target date

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

:- 23 / 03 /2013

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 providers 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
candidates script. If this declaration is not submitted the candidates result may be
declared void.