Rossette Evanne G.

Sancho BSESM4C

Sample Data Gathering Instrument for Trainee’s

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, Average grade in: Average grade in:

literacy and English Math
numeracy (LL&N)
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

Cultural and Ethnicity/culture:

language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify) bisaya(bukidnon

Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age: _____
Physical ability 1. Disabilities (if any)_____________________
 Characteristics of learners
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) ___________________

Previous
experience with
the topic a. NC Holder for Electrical Installation And
Maintenance NC II

Previous List down trainings related to EIM NC II

learning Training in eim nc 2
experience __________________________
__________________________
__________________________

National Certificates acquired and NC level

Training Level
completed
ELECTRICAL INSTALLATION AND
MAINTENANCE NC II

Special courses Other courses related to NC

a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________

Learning styles a. Visual

b. Kinesthetic
c. Auditory
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify) student
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.
CAN I? ... YES NO

BASIC COMPETENCIES
1. Participate in workplace communication

1.1 Obtain and convey workplace information

1.2 Complete relevant work related documents
1.3 Participate in workplace meeting and
discussion
2. Work in team environment
2.1 Describe and identify team role and responsibility
in a team

2.2 Describe work as a team member

3. Practice career professionalism

3.1 Integrate personal objectives with
organizational goals

3.2 Set and meet work priorities

3.3 Maintain professional growth and

development

4. Practice occupational health and safety procedures

4.1 Identify hazards and risks

4.2 Evaluate hazard and risks

4.3 Control hazards and risks

4.4 Maintain occupational health and safety

awareness

1. Use Hand Tools

1.1 Plan and prepare for tasks to be
undertaken
 1.2 Prepare hand tools

1.3 Use appropriate hand tools and test

equipment
1.4 Maintain hand tools
2. Perform Mensuration And Calculation
2.1 Select measuring instruments
2.2 Carry out measurements and calculation
2.3 Maintain measuring instruments
3. Prepare And Interpret Technical Drawing

1 Identify different kinds of technical drawings

2 Interpret technical drawing

3 Prepare/ make changes to electrical/

electronic schematics and drawings

4 Store technical drawings and equipment/

instruments
4. Apply Quality Standards
4.1 Assess quality of received materials or
components
4.2 Assess own work
4.3 Engage in quality improvement
5. Terminate And Connect Electrical Wiring And
Electronics Circuit

5.1 Plan and prepare for termination/

connection of electrical wiring/electronics circuits

5.2 Terminate/ connect electrical wiring/

electronic circuits

5.3 Test termination/ connections of

electrical wiring/ electronics circuits

1. Perform Roughing-In Activities, Wiring And Cabling

Works For Single-Phase Distribution, Power, Lighting
And Auxiliary Systems
1.1 Install electrical metallic/non- metallic (PVC
conduit)
1.2 Install wire ways and cable tray
 1.3 Install auxiliary terminal cabinet and
distribution panel
1.4 Prepare for cable pulling and installation
1.5 Perform wiring and cabling lay out
1.6 Notify completion of work

2. Install Electrical Protective Devices For Distribution,

Power, Lighting, Auxiliary, Lightning Protection and
Grounding systems
2.1 Plan and prepare work
2.2 Install electrical protective devices
2.3 Install lighting fixture and auxiliary outlet.
2.4 Notify completion of work.

3. Install Wiring Devices Of Floor And Wall Mounted

Outlets, Lighting Fixture/Switches And Auxilliary
Outlets
3.1 Select wiring devices
3.2 Install wiring devices
3.3 Install lighting fixture/switches
3.4 Notify completion of work

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)

Current
Proof/Evidence Means of validating
competencies
Install electrical Certificate of Training in
protective devices “Installing Electrical
for distribution, Protective Devices For
power, lighting, Distribution, Power, Certificate of training to
auxiliary, Lighting, Auxiliary, establishment
lightning Lighting Protection And
protection and Grounding Systems” at
grounding CEPALCO
systems
Install wiring Certificate of Training
devices of floor “Install Electrical
and wall mounted Protective Devices For
outlets, lighting Distribution, Power,
fixture/switches Lighting, Auxiliary,
and auxiliary Lighting Protection And
outlets Grounding Systems” at
CEPALCO Certificate of training to
establishment

Certificate of employment
as Electrical personnel to
install wiring devices of
floor and wall mounted
outlets, lighting
fixtures/switches, and
auxiliary outlets.
 Identifying Training Gaps

From the accomplished Self-Assessment Check and the evidences of

current competencies, the Trainer will be able to identify what the training
needs of the prospective trainee are.
Summary of Current Competencies Versus Required Competencies
(Sample)

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirement
Outcomes based on CBC s
1. Perform roughing-in activities, wiring and cabling works for single-
phase distribution, power, lighting and auxiliary systems
Install electrical Install electrical
metallic/non- metallic metallic/non-
(PVC conduit) metallic (PVC
conduit)
Install wire ways and cable Install wire ways and
tray cable tray
Install auxiliary terminal Install auxiliary
cabinet and distribution terminal cabinet and
panel distribution panel
Prepare for cable pulling Prepare for cable
and installation pulling and
installation
Perform wiring and
cabling lay out
Notify completion
of work
Required Units of Current Training
Competency/Learning Competencies Gaps/Requiremen
Outcomes based on CBC ts
2. Install electrical protective devices for distribution, power, lighting,
auxiliary, lightning protection and grounding systems
Plan and prepare work Plan and prepare
work
Install electrical protective Install electrical
devices protective devices
Install lighting fixture and Install lighting
auxiliary outlet. fixture and auxiliary
outlet.
Notify completion of work. Notify completion of
work.
3. Install Wiring Devices Of Floor And Wall Mounted Outlets, Lighting
Fixture/Switches And Auxiliary Outlets
Select wiring devices Select wiring devices

Install wiring devices Install wiring devices

Install lighting Install lighting
fixture/switches fixture/switches
Notify completion of work Notify completion of
work
Install auxiliary
terminal cabinet
and distribution
panel
Install electrical
protective devices

Training Needs (Sample)

Training Needs Module Title/Module of

Instruction
(Learning Outcomes)
Install electrical metallic/non- metallic
(PVC conduit) Perform roughing-in
Install wire ways and cable tray activities, wiring and cabling
works for single-phase
Install auxiliary terminal cabinet and
distribution, power, lighting
distribution panel and auxiliary systems
Prepare for cable pulling and
installation

Perform wiring and cabling lay out

Notify completion of work