TESDA-OP-QSO-02-F08

Rev.No.00-03/01/17

REFERENCE NUMBER ROH 2 0 1 7 5 2 0 0 0

COMPETENCY ASSESSMENT RESULTS SUMMARY

Candidate’s Name:
Assessor’s Name:
Title of Qualification /
HEAVY EQUIPMENT OPERATION NC II
Cluster of Units of
Competency (RIGID ON-HIGHWAY DUMP TRUCK)
Assessment Center: Date:
The performance of the candidate in the following unit(s) of
competency and corresponding methods Not
Satisfactory
Satisfactory
Unit of Competency Assessment Method
Operate and Maintain A. Observation / Demonstration
Rigid On-Highway Dump with Oral Questioning
Truck B. Written Test
Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the
competencies identified in the above-named Qualification/Cluster of Units of Competency

Recommendation:  For issuance of NC/COC  For submission of  For re-assessment

(Indicate title of COC, if full additional documents (pls. specify)
Qualification is not met) Specify: _______________
______________________

Did the candidate overall performance meet the required evidences/standards?

 YES  NO
OVERALL EVALUATION
 Competent  Not Yet Competent

General Comments [Strengths/Improvements needed]

Candidate’s signature: Date:

Assessor’s signature: Date:
Assessment Center Manager
Date:
Signature:

CANDIDATE’S COPY (Please present this form when you claim your NC/COC)
COMPETENCY ASSESSMENT RESULTS SUMMARY
Name of Candidate: Date:
Name of Assessment Center: Date:
Assessment Results:  Competent  Not Yet Competent

Recommendation:  For issuance of NC/COC  For submission of  For re-assessment

(Indicate title of COC, if full additional documents (pls. specify)
Qualification is not met) Specify:

Assessed by: _____________________ Attested by: __________________________

Name and Signature Name and Signature
Date: Date:
REFERENCE NUMBER ROH 1 1 7 5 2 0 0 0

CONROH207-0609
Heavy Equipment Operation NC II (Rigid On-Highway Dump Truck)