Its Up On You

GC3 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)
Steven Dsouza
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 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.
Unit GC3- Health and Safety Practical Application (Aug 2013)
GC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION
Date of practical application
Assessors marking sheet

Name of assessor
Course provider
number
Course provider
name
Student number
Student name
Steven Dsouza
Maximum
marks
available
Criteria
1
Completion of observation sheets
1.1
Range and number of hazards/good practice
15
1.2
Identification of suitable control measures and

timescales
15
Report - Introduction and Executive Summary
2.1
Introduction providing an overview of the chosen

area
2.2
Executive summary
Report - Main findings of the inspection
3.1
Quality of interpretation of findings and clear

references to strengths and weaknesses
3.2
Identification of possible breaches of international

standards
3.3
Persuasiveness / conciseness / technical content
Report - Conclusions and Recommendations
4.1
Clear and concise conclusions which are clearly

related to report findings and are effective in
convincing management to take action
15
4.2
Recommendations which present realistic actions to

improve health and safety in the chosen area
15
TOTAL MARKS
Grades:
15
5
10
100
Assessors
marks awarded
NEBOSH
moderated
marks
(if different)
Outcome: PASS (60% or more)
REFER (less than 60%)
Date assessed ____ / ____ / ____

Assessors signature ______________________
Date received by course provider ____ / ____ / ____
Date received by NEBOSH
(if applicable) _____ / _____ / _____
Assessors 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 Moderators comments:
GC3 THE HEALTH AND

Candidates observation
sheet
Sheet number
Student name : Steven Dsouza
Student number ______________________
Place inspected Patel Constructions

Observations
Hazards and Consequences
of _____
Date of inspection 15/12/2014

Control measures
Timescale
Immediate, and longer-term actions
3-5 days.
1. Electrocution: Can be caused
due to non-standard electric
connections
and
improper
insulation from electric cables
coming from the mail lines.
Cables to be changed and new cables to

be installed with proper ground
connection, also cables to be double
insulated with proper insulation at main
joints. Supervisor to be notified and
given proper training and timely
inspection be done.
2. Excavation
work
exposes
equipment operators to whole
body
vibration
from
earthmoving equipment and
ergonomic problems from poor
seat and cabin design.
Workers be allowed sufficient rest inbetween jobs, short shifts to

implemented. Sufficient monitoring and
new equipment be provided that will
eliminate ergonomic issues. Survey to
be conducted. Health Plan be put in
place for workers encountering
ergonomic problems.
3. Objects and tools used by

workers at height not restrained
and could cause injury to
workers and visitors working on
ground.
Stack materials to prevent sliding,

falling, or collapse. Use protective
measures such as toe boards and debris
nets. Restrain work equipments with the
help of strings or ropes or cables
depending on the tools used and the
nature of work. Provide sufficient
training, inspection and monitoring for
workers working at height.
4. Fire: as mentioned earlier, non

standard electric connections
with no insulation could cause
sparks,
also
storage
of
fuel(kerosene) next to the
electric board could lead to a
major fire in case of a electric
malfunction or electric spark.
Cables to be insulated at joints, rewiring

to be done, store of kerosene to be
moved to an isolated area, fuel should
be kept away from sources of ignition
and in certified fuel storage containers,
Warning Signs to be placed on the
containers.
5-7 days.
2 days.
Fuel
to
be
moved
immediately and
with
high
priority.
5. First Aid boxes are not

available at the site in case of
any accident or incident no first
aid would be available, this
resulting in the person affected
not getting any first aid
treatment and could result
temporary
or
permanent
damage to the person affected
and even causing death.
Considering that the nearest
nursing home facility available
is about 20 kms away.
6. Trash
from
materials
packaging,
employee
lunch/meal breaks, etc. Has
been properly maintained,
Recycle bins and garbage bins
have been provided at the site.
First aid boxes be made available at

designated work sites and should be
accessible in event of an accident or
incident. On site doctor should be made
available considering that there are no
near by hospitals.
To
Continued.
Good Practice.
GC3 THE HEALTH AND

3 days.
be
sheet
Sheet number
of _____
Student name _______________________________________
Student number _________________
Place inspected _____________________________________
Date of inspection ___ / _____ / _____
Observations
Control measures
Timescale
7.
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
of _____
Student name _______________________________________
Place inspected _____________________________________
Observations
Control measures
Timescale
GC3 THE HEALTH AND

sheet
Sheet number
Student name _______________________________________

of _____
Place inspected _____________________________________

Observations
Control measures
Timescale
UNIT GC3 THE HEALTH AND

SAFETY PRACTICAL APPLICAITON
Student number ________________________________

Candidate report template
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
Conclusions
Recommendations include as a table in the following format:

Recommendation
Likely resource implications
Candidate Name__________________
Priority
Target date
Candidate Number______________

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GC3 The Health and Safety Practical Application

Candidate and course provider declarations:

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

For completion by the course providers internal practical assessor:

Unit GC3- Health and Safety Practical Application (Aug 2013)

GC3 THE HEALTH AND

Assessors marking sheet

Completion of observation sheets

Range and number of hazards/good practice

Identification of suitable control measures and

Report - Introduction and Executive Summary

Introduction providing an overview of the chosen

Report - Main findings of the inspection

Quality of interpretation of findings and clear

Identification of possible breaches of international

Persuasiveness / conciseness / technical content

Report - Conclusions and Recommendations

Clear and concise conclusions which are clearly

Recommendations which present realistic actions to

Unit GC3- Health and Safety Practical Application (Aug 2013)

Outcome: PASS (60% or more)

REFER (less than 60%)

Date assessed ____ / ____ / ____

Assessors additional comments on the practical application:

ASSESSED BY (name in block letters) ________________________________________________

NEBOSH USE ONLY

Unit GC3- Health and Safety Practical Application (Aug 2013)

GC3 THE HEALTH AND

Student name : Steven Dsouza

Student number ______________________

Place inspected Patel Constructions

Date of inspection 15/12/2014

Immediate, and longer-term actions

Cables to be changed and new cables to

Workers be allowed sufficient rest inbetween jobs, short shifts to

3. Objects and tools used by

Stack materials to prevent sliding,

4. Fire: as mentioned earlier, non

Cables to be insulated at joints, rewiring

Unit GC3- Health and Safety Practical Application (Aug 2013)

5. First Aid boxes are not

First aid boxes be made available at

GC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Unit GC3- Health and Safety Practical Application (Aug 2013)

Hazards and Consequences

Immediate, and longer-term actions

GC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Unit GC3- Health and Safety Practical Application (Aug 2013)

Immediate, and longer-term actions

GC3 THE HEALTH AND

Student name _______________________________________

Student number _________________

Place inspected _____________________________________

Date of inspection ___ / _____ / _____

Unit GC3- Health and Safety Practical Application (Aug 2013)

Date assessed / /

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___

Date of inspection _ / _ / ___