Form – Competency Assessment
Competency assessment watches someone do the job and scores it – the bridge between ‘trained’ and ‘can actually do it’. Essential for CCP monitors and anyone whose mistakes reach the consumer.
Be specific and honest in every field; vague records help nobody during an investigation. If a field doesn’t apply, write N/A rather than leaving it blank.
1. Document control
| Field | Details |
|---|---|
| Document title | Form – Competency Assessment |
| Document no. | [QA-FORM-015] |
| Version | [1.0] |
| Effective date | [YYYY-MM-DD] |
| Prepared by | [Name / Title / Date] |
| Approved by | [Name / Title / Date] |
| Review date | [YYYY-MM-DD] |
1. Assessment details
- Name: | Role: | Task assessed:
- Assessor: [Name] | Date: [YYYY-MM-DD]
- Type: [Initial / periodic / post-incident / post-training]
2. Assessment criteria
Score honestly: ‘competent with supervision’ is a valid outcome, not a failure. It tells you exactly what to do next.
| # | Criterion | C / NYC (not yet competent) | Evidence / observation |
|---|---|---|---|
| 1 | [Follows the procedure in correct sequence] | ||
| 2 | [Uses equipment correctly (e.g., probe technique)] | ||
| 3 | [Knows the critical limits / action criteria] | ||
| 4 | [Knows what to do on deviation and who to tell] | ||
| 5 | [Completes records accurately and promptly] | ||
| 6 | [Applies hygiene/GMP during the task] |
3. Outcome
- Overall: [Competent / Competent with supervision / Not yet competent]
- Development actions: | Review date: [YYYY-MM-DD]
- Next assessment due: [YYYY-MM-DD]
- Assessee signature: | Assessor signature:
Approval and control
| Role | Name | Signature | Date |
|---|---|---|---|
| Prepared by | [Name] | [Signature] | [Date] |
| Reviewed by (QA) | [Name] | [Signature] | [Date] |
| Approved by | [Name] | [Signature] | [Date] |
Keep completed forms for Retain for employment plus [3 years]. at [defined location] – and make sure someone besides you knows where that is.