Derbyshire County Council ‘My Plan’: Work Experience Students
The performance objectives and identified support within this plan have been agreed and will be reviewed
quarterly.
Review dates: Enter dates below; (Please ensure next review date is agreed at each meeting).
1. Start of placement
2. Mid placement
3. Last day of placement
Placement details;
Name of student:
Name of School/College/University:
Title of College/University Course if applicable:
Name of Placement Manager:
Signature of student: _____________________________
Signature of manager: ____________________________
Date: _________________________
Objective:
What are personal objectives for this placement?
(To be completed by the student)
1.
2.
3.
4.
5.
Measures of Success:
How will you know if the objective has been achieved?
Timescales:
When do you
expect to achieve
these objectives?
PLACEMENT INDUCTION (To be completed by the
placement manager):
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1. Ensure that the student has a period of
induction to inform them of the workplaces
daily operational procedures.

2. Ensure that the student is aware of all
reporting procedures and the workplaces
Fire procedure.



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3. Ensure all work experience students are set
clear objectives linked to the work of the
team and are assigned a Mentor for the
duration of the placement
To welcome the student formally to the work
place and introduce them to the team.
To orientate the student around the workplace
in order to familiarise themselves with its
various resources such as the office equipment
and stores.
To inform the student about the workplaces
daily routine and various activities linked with
that routine e.g. protocol for answering the
telephone and message taking
To inform about Hazard spotting and reporting
procedures.
To inform about Accident reporting procedures
To inform about sickness reporting procedures.
To inform about regular fire testing procedures
and fire evacuation procedures.
Placement Objectives:
1
1 – 3 are general objectives relevant to all areas of work.
Specific objectives or a ‘Mini project’ to be set by placement
manager
To familiarise self with each member of the team in order to
develop a good working relationship during placement.
2
To find out about the organisation; who we are; what we do and
how and why we do it.
3
To find out about the organisations policies and procedures e.g.
health and safety, security, code of conduct, etc.
Objective No.
Agreed actions:
To practise under supervision via mentor…
4
5
To practise under supervision via mentor…
End of placement Review:
Objective:
Measures of success:
To gain and give feedback on the placement
Exit Interview
and Careers
Advice
Actions:
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
Complete Evaluation Forms
Complete ASDAN Workbook if
applicable
Give Statement of Placement
(Reference) if applicable