ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Module no and title
Module 1 Recognise people
Grade
Introductory
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days recognise a different familiar person
2.
Recognise one person that is unfamiliar
3.
Take part in recording:
a)
the two familiar people and how you indicated your recognition
b)
the person that was unfamiliar and how you indicated your
recognition
c)
when you recognised each person

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 1 Demonstrate agreed codes of behaviour
Evidence Record
Evidence must show that you can:
First
Evidence location
1.
On four different days demonstrate agreed codes of behaviour when
taking part in activities with others
2.
Contribute to recording:
a)
the behaviour code/s that you demonstrated on each of the four
days
b)
the activity you took part in with others on each of the four days
c)
when you took part in each activity

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Module no and title
Module 2 Recognise routine events
Grade
Evidence Record
Evidence must show that you can:
Introductory
Evidence location
1.
On three different days recognise a different routine event
2.
Take part in recording:
a)
the three different routine events you recognised
b)
how you recognised the different routine events
c)
when you recognised the routine events

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 2 Organise your environment to complete a task
Evidence Record
Evidence must show that you can:
First
Evidence location
1.
On four different days organise your environment to complete a task
2.
Contribute to recording:
a)
what you did to organise your environment
b)
the task/s you completed on each of the four days
c)
when you organised your environment and completed the task

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 3 Recognise and communicate basic personal needs
Evidence Record
Evidence must show that you can:
Introductory
Evidence location
1.
On three different days recognise and communicate your basic
personal need/s
2.
Take part in recording:
a)
the basic personal need/s you recognised
b)
how you communicated your basic personal need/s
c)
when you recognised and communicated the need/s

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 3 Identify and follow through personal needs
Evidence Record
Evidence must show that you can:
First
Evidence location
1.
Identify different personal needs
2.
On four different days follow through a different personal need
3.
Contribute to recording:
a)
the personal needs you identified
b)
the four different personal needs you followed through
c)
how you followed through each personal need
d)
when you followed through each personal need

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 4 Recognise your achievements
Evidence Record
Evidence must show that you can:
Introductory
Evidence location
1.
On three different days recognise a different achievement
2.
Take part in recording:
a)
the three different achievements you recognised
b)
how you recognised each achievement
c)
when you recognised each achievement

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 4 Identify your personal strengths
Evidence Record
Evidence must show that you can:
First
Evidence location
1.
Identify at least three personal strengths
2.
Give an example of each personal strength
3.
Contribute to recording:
a)
the personal strengths that you identified
b)
an example of each personal strength

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 5 Respond to warnings, hazards or dangers
Evidence Record
Evidence must show that you can:
Introductory
Evidence location
1.
On three different days respond to a warning, a hazard or a danger
2.
Take part in recording:
a)
the three different hazards/warnings/dangers that you
responded to
b)
how you responded to the hazards/warnings/dangers
c)
when you responded to the hazards/warnings/dangers

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
ACCREDITATION FOR LIFE AND LIVING
ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Personal Skills
Grade
Module no and title
Module 5 Recognise safety signs, symbols
Evidence Record
Evidence must show that you can:
First
Evidence location
1.
On four different days recognise a different safety sign or symbol
2.
Contribute to recording:
a)
b)
the four different safety signs/symbols you recognised
the meaning of each safety sign/symbol you recognised
c)
where you recognised each safety sign/symbol
d)
when you recognised each safety sign/symbol

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date