CPCSIL4001- Assessment Task 4 – Student Practical Observational – v2025.2 Step 1 of 8 12% EmailThis field is for validation purposes and should be left unchanged.STUDENT ASSESSMENT TASK 4 - PRACTICAL OBSERVATIONAL (RELEASE 2 - CPCSIL4001)📃ReminderThis assessment task requires you to supervise and monitor workers as they carry out work activities involving products or materials containing crystalline silica (CS). This assessment demonstrates your ability to oversee safe practices, verify compliance, and provide guidance to workers under your supervision. Please ensure your observations are: honest and reflect your professional opinion. Your own observations based on tasks you have witnessed. If you intend to complete their observational assessment based on previous observations (historical worksite inspections), please ensure they pertain only to tasks and behaviours observed within the past 12 months and that you have photographic evidence were required by this observational tool. Instructions (Remember): You are to observe the student demonstrating the correct use of PPE and RPE, including fit checking of disposable and re-usable devices on three different occasions. You are to observe the student on three occasions performing work related activities such as cutting, drilling, or grinding products or materials containing crystalline silica while applying all relevant work health and safety (WHS/OHS) considerations, including the compliant use of control measure such as dust capture and suppression measures while correct wearing PPE and/or RPE. You are to observe your worker(s) cleaning the work area and disposing of contaminated products in accordance with your workplace environmental procedures. 🖋️ PARTICIPANT TO COMPLETERecording your Observations Observations are to be recorded on the observational checklist below by placing a mark (🞇) in the appropriate box (example: 🞇 YES or 🞇 NO) Feedback / Comments are to be used when a student is deemed NO or NS to explain why. Where possible, you are to take photographic, or video recorded evidence of your worker performing each of the three tasks. As the worker is expected to wear the required PPE / RPE when performing their tasks, we understand it may not always be possible to identify the worker in the picture or video. If this is the case, we request that you take photographic, or video recorded evidence of the student conducting their RPE fit tests as these images will generally show more of the workers face. Example: Assessment Duration: When conducting on-site assessments within your workplace, the nature of their duties may not always provide opportunities to complete three distinct work activities (e.g., cutting, drilling, or grinding) within the designated assessment timeframe. In such cases, you may choose to observe the worker’s performance over multiple occasions or document their compliance with the assessment criteria based on prior performances you have directly witnessed. Please ensure that you inform your worker about the observational methods you intend to use in advance.PLEASE PROVIDE US WITH YOUR DETAILS HEREStudent Full Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Organisation / Company Name your represent(Required)Position held within the organisation(Required)Mobile Number(Required)Contact Email Address(Required) SUBJECT: CPCSIL4001 - Supervise and manage work with products and materials generating respirable crystalline silica Part 1You must supervise your worker in identifying and selecting appropriate PPE/RPE for the work activities. You must observe the worker perform a fit-checking procedures of disposable and/or reusable devices in accordance with manufacturer instructions: Did your worker consistently:Select the correct RPE for the work activity being performed.(Required) YES NO NOTE: Workers must select the appropriate RPE for the specific hazards present in the workplace. Things to watch out for: The worker ensures that the RPE is the correct size and fits their face shape. The worker selects the appropriate RPE (disposable or re-useable) for the work activity. Perform a fit check of the RPE. (Photographic evidence required)(Required) YES NO Steps: Your worker should start by inspecting the equipment for any visible signs of damage or wear. This may include checking the straps, face seals, and filters for any tears or deformities. Your worker should put on the RPE according to the manufacturer's instructions, ensuring that the straps are correctly positioned and tightened to provide a secure fit. Your worker should perform a fit check to confirm that the equipment is properly sealed. This will involve performing positive and negative pressure checks. If any air leakage is detected during the fit check, the student should readjust the position of the RPE on their face and repeat the process until a proper seal is achieved. Example of the photo's required: RPE Fit Test Photos Drop files here or Select files Max. file size: 64 MB. Report any damage that may be detected.(Required) YES NO N/A Your Notes & Observations (Optional) Part 2Pre-Work Activity Checks IMPORTANT NOTE: Unless specified, the observational performance criteria listed here need to be demonstrated consistently across all three work tasks. If the worker is unable to successfully demonstrate the requirements for one work task, a NO should be recorded for all three tasks!List the three work activities you have observed your worker performing. Remember: You will need to provide PHOTO evidence of, at minimum, one work activity.Work Activity #1(Required)Cutting – Using saws or grinders to cut materials such as concrete, stone, bricks, or tiles.Drilling – Drilling into concrete, stone, or masonry surfaces.Grinding – Smoothing or shaping materials containing silica using grinders or sanders.Sawing – Operating power saws or hand saws to cut through silica-containing materials.Polishing – Polishing stone surfaces such as granite or engineered stone countertops.Mixing – Combining silica-containing materials such as cement, grout, or mortar.Jackhammering – Breaking up concrete or masonry using jackhammers.Sanding – Smoothing silica-based surfaces using sanding tools.Demolition – Removing or dismantling structures made from concrete, bricks, or other silica-containing materials.Chiseling – Manually or mechanically chiseling stone, concrete, or masonry products.Tuckpointing – Removing and replacing mortar in brickwork.Shot Blasting – Cleaning or preparing surfaces by blasting silica-containing materials.Abrasive Blasting – Sandblasting materials to remove coatings or surface contaminants.Handling Raw Materials – Transporting, pouring, or handling silica-containing products such as sand, cement, or engineered stone slabs.Installing Countertops – Working with stone or engineered stone during fabrication or installation.Sweeping and Cleaning – Dry sweeping or using compressed air to clean up dust and debris containing silica.Casting and Molding – Pouring concrete or silica-based mixtures into molds.Bricklaying – Cutting and laying bricks or concrete blocks.Plastering – Applying or smoothing plaster and cement-based coatings.Tile Cutting and Installation – Cutting and setting tiles made from silica-based materials.OtherWork Activity #2(Required)Cutting – Using saws or grinders to cut materials such as concrete, stone, bricks, or tiles.Drilling – Drilling into concrete, stone, or masonry surfaces.Grinding – Smoothing or shaping materials containing silica using grinders or sanders.Sawing – Operating power saws or hand saws to cut through silica-containing materials.Polishing – Polishing stone surfaces such as granite or engineered stone countertops.Mixing – Combining silica-containing materials such as cement, grout, or mortar.Jackhammering – Breaking up concrete or masonry using jackhammers.Sanding – Smoothing silica-based surfaces using sanding tools.Demolition – Removing or dismantling structures made from concrete, bricks, or other silica-containing materials.Chiseling – Manually or mechanically chiseling stone, concrete, or masonry products.Tuckpointing – Removing and replacing mortar in brickwork.Shot Blasting – Cleaning or preparing surfaces by blasting silica-containing materials.Abrasive Blasting – Sandblasting materials to remove coatings or surface contaminants.Handling Raw Materials – Transporting, pouring, or handling silica-containing products such as sand, cement, or engineered stone slabs.Installing Countertops – Working with stone or engineered stone during fabrication or installation.Sweeping and Cleaning – Dry sweeping or using compressed air to clean up dust and debris containing silica.Casting and Molding – Pouring concrete or silica-based mixtures into molds.Bricklaying – Cutting and laying bricks or concrete blocks.Plastering – Applying or smoothing plaster and cement-based coatings.Tile Cutting and Installation – Cutting and setting tiles made from silica-based materials.OtherWork Activity #3(Required)Cutting – Using saws or grinders to cut materials such as concrete, stone, bricks, or tiles.Drilling – Drilling into concrete, stone, or masonry surfaces.Grinding – Smoothing or shaping materials containing silica using grinders or sanders.Sawing – Operating power saws or hand saws to cut through silica-containing materials.Polishing – Polishing stone surfaces such as granite or engineered stone countertops.Mixing – Combining silica-containing materials such as cement, grout, or mortar.Jackhammering – Breaking up concrete or masonry using jackhammers.Sanding – Smoothing silica-based surfaces using sanding tools.Demolition – Removing or dismantling structures made from concrete, bricks, or other silica-containing materials.Chiseling – Manually or mechanically chiseling stone, concrete, or masonry products.Tuckpointing – Removing and replacing mortar in brickwork.Shot Blasting – Cleaning or preparing surfaces by blasting silica-containing materials.Abrasive Blasting – Sandblasting materials to remove coatings or surface contaminants.Handling Raw Materials – Transporting, pouring, or handling silica-containing products such as sand, cement, or engineered stone slabs.Installing Countertops – Working with stone or engineered stone during fabrication or installation.Sweeping and Cleaning – Dry sweeping or using compressed air to clean up dust and debris containing silica.Casting and Molding – Pouring concrete or silica-based mixtures into molds.Bricklaying – Cutting and laying bricks or concrete blocks.Plastering – Applying or smoothing plaster and cement-based coatings.Tile Cutting and Installation – Cutting and setting tiles made from silica-based materials.OtherPart 2.1Preparing to handle products and materials containing crystalline silica. Did your worker consistently:Review and interpret the work requirements and instructions required to handle products containing CS.(Required) YES NO Example: This can be achieved by holding a conversation about the SDS, reviewing the Silica Risk Control Plan or SWMS. Read and interpret the technical specifications for the products or materials containing crystalline silica to identify the nature of the product and the risk level, risk controls, and personal exposure reduction requirements.(Required) YES NO Example: This can be achieved by holding a conversation about the SDS, SWMS, or equivalent safety briefing. Participate in consultations on matters affecting health and safety with respect to exposure to RCS.(Required) YES NO Example: This can be achieved by holding a conversation about the SDS. Classify the level of exposure risk to airborne RCS for identified products and materials, including likely duration of exposure.(Required) YES NO Example: This can be achieved by holding a conversation about the SDS. Seek feedback from a supervisor when the CS content of a product or material is unknown or unclear.(Required) YES NO NOTE: If this criterion cannot be observed, the following question must be asked. Question: What would you do if you were unable to find the level of silica content of a product? Select plant, tools, equipment, PPE and RPE required to perform specified tasks in accordance with the hierarchy of controls and regulatory requirements. Did they check to ensure they have an extraction system in place, and that they have all the correct tools?(Required) YES NO Review the relevant safety documentation for planned work activity and work environment and contribute where required.(Required) YES NO Example: You should be able to observe this criterion through the SWMS & SDS. Check operation and serviceability of relevant plant, tools, equipment, PPE, and RPE to perform the work activity in accordance with WHS procedures and manufacturer instructions.(Required) YES NO Report any faults and damage to relevant plant, tools, equipment, PPE, and RPE in accordance with WHS procedures.(Required) YES NO Notes & Observations (Optional) Part 2.2 - Performing work activities (Photographic Evidence Required)Course Requirement: You must supervise your worker completing three different work activities (for example: cutting, drilling, grinding) using products or materials containing crystalline silica while applying all relevant work health and safety considerations. This may include control measures such as dust capture and suppression measures. Your worker must also demonstrate the safe use of their PPE and RPE in accordance with manufacturer instructions. Reminder: You may observe the worker's performance over multiple occasions OR document their compliance with the assessment criteria based on prior performances you have witnessed. IMPORTANT NOTE: Unless specified, the observational performance criteria listed here need to be demonstrated consistently across all three work tasks. If the worker is unable to successfully demonstrate the requirements for one work task, a NO should be recorded for all three tasks! Did your worker consistently:Inspect worksite, locate services, assess hazards, and apply risk controls, including required signage and barricades.(Required) YES NO Perform fit checking of RPE in accordance with manufacturer instructions and WHS procedures.(Required) YES NO Confirm risk control measures for planned work are in place, in accordance with WHS procedures and manufacturer instructions.(Required) YES NO Use plant, tools, equipment, PPE and RPE required to perform specified tasks in accordance with WHS procedures and manufacturer instructions.(Required) YES NO Perform work activities and continual monitoring of risk control measures in accordance with WHS procedures.(Required) YES NO (Photographic or Video Evidence is required of at least one work task being completed by your worker. The images must show that the worker is wearing the correct RPE and PPE and is using the appropriate equipment for the task.) Photo Required of your worker performing, at minimum, one of the work activities you listed above. Drop files here or Select files Max. file size: 64 MB. Notes & Observations (Optional) Part 3 - MaintenanceYour worker must demonstrate how they performed maintenance activities, and cleaned the work area, including disposing of contaminated products and waste materials in the work area in accordance with your workplace environmental procedures. IMPORTANT NOTE: Unless specified, the observational performance criteria listed here need to be demonstrated consistently across all three work tasks. If your worker is unable to successfully demonstrate the requirements for one work task, a NO should be recorded for all three tasks! Please state whether you have observed the worker performing the following to an acceptable level or standard within your organisation. Does your worker consistently:Identify or demonstrate knowledge of the PPE and RPE maintenance requirements, the correct storage methods, and on the correct waste disposal requirements for the contaminated materials, in accordance with manufacturer instructions and WHS procedures.(Required) YES NO Example: You should observe the worker cleaning their equipment, by wiping down or vacuuming up dust. Clean up and dispose of dust and slurry from the work area.(Required) YES NO Clean, inspect, and determine serviceability of PPE, RPE, tools and equipment.(Required) YES NO Example: Your worker should be observed wiping down equipment. Apply maintenance requirements and record and report findings of serviceability inspections in accordance with WHS procedures and manufacturer instructions.(Required) YES NO Example: Your worker should be observed appropriately checking/swapping/adding/removing mask filters. Store and secure relevant tools and equipment.(Required) YES NO Notes & Observations (Optional) IF THE STUDENT (WORKER) IS WITH YOU, PLEASE ASK THE STUDENT TO SIGN THIS SECTION. IF NOT, PLEASE MOVE TO THE LAST SECTION.Worker Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last WORKER Signature STUDENT (COURSE PARTICIPANT) TO SIGN THIS SECTION!Student Declaration(Required) I agree to the following statements.I declare that the information contained in this Assessment Task is accurate and is a true reflection of my observations, thoughts, opinions, and responses.Student Signature(Required)