BTEC Record of Practical Activity *Observation Record *Witness Statement *please delete as applicable Learner name: Qualification: Unit or Component number & title: Name of *Observer/ *Witness: *please delete as applicable Date of Activity: Assessment criteria targeted : Description of activity undertaken: (what the learner did) the evidence provided/questions asked and answers given: Please write in this section ! Please state the evidence this record is in support of: I confirm this is an accurate record of the activity undertaken Learner signature: Date: *Assessor/*Witness signature: *please delete as applicable Role: Date: 2019/20 BTEC Record of Practical Activity Template Issue Date: 16 July 2019 Owner: BTEC Assessment DCL1 Public (Unclassified) Version 1.0