TECHNICAL EDUCATION and SKILLS DEVELOPMENT AUTHORITY

Region IV-A
CHRISVILLE INSTITUTE OF TECHNOLOGY INC.
C & C Bldg., Maharlika Highway, Isabang, Lucena City
FORM 4.1
SELF-ASSESSMENT CHECKLIST
Trainees Name: _________________________________

Date: ________________

Training Period: _________________________________

INSTRUCTION:
This Self-Check Instrument will give your trainer a data that is essential in designing a Training
Plan for you. Please check the appropriate box of your answer to each of the questions below.

CAN I? . . . .
BASIC COMPETENCIES
1. Participate in workplace communication
a. Obtain and convey workplace communication
b. Participate in workplace meetings and discussions
c. Complete relevant work related documents
2. Work in team environment
a. Describe team role and scope
b. Identify own role and responsibility within team
c. Work as a team member
3. Practice career professionalism
a. Integrate personal objectives with organizational
goals
b. Set and meet work priorities
c. Maintain professional growth and development
4. Practice occupational health and safety
a. Identify hazards and risk
b. Evaluate hazards and risk
c. Control hazards and risks
d. Maintain occupational health and safety awareness

YES

CAN I? . . . .
COMMON COMPETENCIES
1. Apply Quality Standards

YES

Form 4.1 to Form

4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

Document
No.
Issued by:

NO

NO

Page 1 of 6

a. Assess quality receive materials

b. Assess on work.
c. Engage in quality improvement.
2. Perform Computer Operation
a. Plan and prepare for task to be taken undertaken.
b. Input data into computer.
c. Access information using computer.
d. Produce output/ data using computer system.
e. Use basic functions of a www-browser to locate
information.
f. Maintain computer equipment and systems.
3. Perform Mensuration and Calculation
a. Select measuring instruments.
b. Carry out measurement and calculation.
c. Maintain measuring instruments.
4. Prepare and Interpret Technical Drawings
a. Identify different kinds of technical drawings
b. Interpret technical drawing.
c. Prepare/make changes on electrical/electronic
schematic and drawings.
d. Store technical drawings and equipment/
instruments.
5. Use Hand Tools
a. Plan and prepare for task to be undertaken.
b. Prepare hand tools.
c. Use appropriate hand tools and equipment.
d. Maintain hand tools.
6. Terminate and Connect Electrical Wiring and
Electronic Circuit
a. Plan and prepare for termination/connection of
electrical wiring/electronic circuits.
b. Terminate/connect electrical wiring/electronic circuits
c. Test termination/ connection of electrical wiring
/electronics circuits.
7. Test electronic components
a. Determine criteria for testing electronics components
b. Plan an approach for component testing.
c. Test components.
d. Evaluate the testing process.
CAN I? . . . .
YES
CORE COMPETENCIES
1. Install and Configure Computer Systems
Form 4.1 to Form
4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

NO

Document
No.
Issued by:

Page 2 of 6

a. Assemble computer hardware

b. Install operating system and drivers for peripherals/
devices.
c. Install the computer application software
d. Conduct testing and documentation
2. Set-up Computer Networks
a. Install network cables
b. Set network configuration
c. Set router/Wi-Fi/ wireless access point/repeater
configuration
d. Inspect and test the configured computer networks.
3. Set-up Computer Servers
a. Set-up user access.
b. Configure network services.
c. Perform testing, documentation and pre-deployment
practices.
4. Maintain and Repair Computer Systems and
Networks
a. Plan and prepare for maintenance and repair.
b. Maintain computer systems and networks.
c. Diagnose faults of computer systems.
d. Rectify/correct defects in computer systems.
e. Inspect and test the computer systems and
networks.

EVIDENCES/ PROOF OF CURRENT COMPETENCIES

Form 4.1 to Form

4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

Document
No.
Issued by:

Page 3 of 6

Form 4.2. EVIDENCE OF CURRENT COMPETENCIES ACQUIRED RELATED TO JOB/

OCCUPATION

Current Competencies

Proof/ Evidence

Means of Validating

Set-up Computer Servers

Certificate of Completion from

Perkin Elmer Inc.

Submitted a copy of the

certificate

Maintain and Repair

Computer Systems and
Network

Certificate of Completion from

Creative Codes of Technology

Submitted a copy of the

certificate

Form 4.1 to Form

4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

Document
No.
Issued by:

Page 4 of 6

Form 4.3 SUMMARY OF CURRENT COMPETENCIES VERSUS REQUIRED

COMPETENCIES
Required Units of
Competency/ Learning
Outcomes based on CBC

Training Gaps/
Requirements

Current Competencies

a. Assemble computer
hardware
b. Install operating
system and drivers for
peripherals/ devices.
c. Install the computer
application software
d. Conduct testing and
documentation
a. Install network cables
b. Set network
configuration
c. Set router/Wi-Fi/
wireless access
point/repeater
configuration
d. Inspect and test the
configured computer
networks.
a. Set-up user access.
b. Configure network
services.
c. Perform testing,
documentation and
pre-deployment
practices.
a. Plan and prepare for
maintenance and
repair.
b. Maintain computer
systems and networks
c. Rectify/correct defects
in computer systems.
d. Rectify/correct defects
in computer systems.

Install and Configure

Computer Systems

Set-up Computer Networks

Set-up Computer Networks

Maintain and Repair

Computer Systems and
Network

Form 4.1 to Form

4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

Document
No.
Issued by:

Page 5 of 6

e. Inspect and test the

computer systems and
networks.
Form 4.4 TRAINING NEEDS
Training Needs
(Learning Outcomes)

Module Title/ Module of Instruction

1. 1 Assemble computer hardware

1. 2 Prepare installer
1. 3 Install operating system and drivers
for peripherals/devices
1. 4 Install application software
1. 5 Conduct testing and documentation

1. Install and configure computer systems

2. 1 Install network cables

2. 2 Set network configuration
2. 3 Set router Wi-Fi/wireless access
point/repeater configuration
2. 4 Inspect and test the configured
computer networks

2. Set-up computer networks

Form 4.1 to Form

4.4
Computer System
Servicing NCII

Date Developed:
Developed by:
Mr. Wilson P. Feolino Jr.

Document
No.
Issued by:

Page 6 of 6