Assessor Pack: Practical Assessment for HLTINF001

The Assessor Pack is a benchmarking document that defines the skills and knowledge required for the students to demonstrate competence in a unit of competency. This document outlines the evidence criteria used to judge the quality of performance. It includes trainer/assessor evaluation and link to other unit documents. The document is for HLTINF001 Comply with infection prevention and control policies and procedures. It contains assessment tasks, gathering third-party evidence, instructions for selected supervisors or observers, feedback to students, and practical assessments.

Assessor Pack: Practical Assessment

Practical Assessment Workbook
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Version No. 3.2 Produced 08 June 2021
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What is the purpose of this document?
The Assessor Pack is a benchmarking document that defines the skills and knowledge
required for the students to demonstrate competence in a unit of competency. This document
outlines the evidence criteria used to judge the quality of performance (i.e., the assessment
decision-making rules).
The document includes the following:
 Information related to the unit of competency
 Benchmark answers and guidelines to assess the student’s competency
Trainer/Assessor Evaluation
These documents are designed after conducting thorough industry consultation. Trainers are
encouraged to evaluate this document and provide constructive feedback to their training
organisation if they feel that this document can be improved.
Link to other unit documents
 The Student Pack is a document for students to complete to demonstrate their
competence. This document includes context and conditions of assessment, tasks to
be administered to the student, and an outline of the evidence to be gathered from the
student.
 The Unit Mapping is a document that contains information and comprehensive
mapping with the training package requirements.
 The Unit Requirements is a document that contains information related to the unit of
competency for the Training Organisation staff and students.
Document Usage
Assessor Pack © 2019 CAQA Resources, CAQA and RTO Training Resources
This template and all its associated content are copyrighted works under Australian and other
copyright laws. Do not submit copies or modifications of this template to any website or any
third parties. Please review the following license agreement to learn how you may or may not
use this template.
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reviews and certain other non-commercial uses permitted by Copyright Act 1968 (Cth). For
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Qualification and Unit of Competency
Qualification/Course/Program Details
Code:
Name:
Unit of competency
Code: HLTINF001
Name: Comply with infection prevention and control policies and procedures
Releases: 1.0
Release date: 06 August 2015
Assessment Tasks
The student must be assessed as satisfactory in each of the following assessment tasks in
order to demonstrate competence.
Evidence Number Assessment Method Type of Evidence
Assessment Task 1 Simulated workplace
tasks
Observation checklist
Assessment Task 2 Risk Management Observation checklist
Assessment Task 3 Environmental
Cleaning
Observation checklist
Gathering Third-party Evidence
Students must request the participation of workplace supervisors or qualified third-party
observers who are in a position to make valid comments on their performance. These
supervisors or observers must be informed about their role in gathering evidence that meets
the rules of evidence for validity, sufficiency, currency and authenticity.
Sufficient instructions are provided to guide the selected supervisors or observers on what
they need to look for to make a judgement on the students’ performance. A
Supervisor/Observer Declaration is included in the practical assessment tasks to allow the
knowledge or skill to be verified by at least one (1) third-party signatory.
To ensure compliance and consistency, tasks for observation of practical skills are detailed
and include a breakdown of observable behaviours to assist RTOs assess the students’
competence. Assessors must use their experience and background knowledge of assessing
theory to make judgements on the sufficiency and credibility of the evidence provided.

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Instructions for Selected Supervisors or Observers
Observation Checklists and Supervisor/Observer Declaration
You are required to complete each Observation Checklist and Supervisor/Observer
Declaration in the Student Pack when:
• The student has completed all requirements for the assessment tasks for this unit of
competency.
• The student’s work has been observed and reviewed by you.
• You have decided whether the student was able to demonstrate the critical aspects of
evidence for each assessment task within this unit of competency.
• Relevant and detailed feedback has been provided to the student.
Every item on the checklist has a column for comments and feedback to document your
observation of the student’s performance. You must ensure that each section is completed
with:
• Result of the student’s competency in demonstrating the critical aspects of evidence (Yes/No)
• Relevant and detailed comment and feedback
Complete the Supervisor/Observer Declaration with the following information:
• Your name
• Your workplace/organisation
• Your position/title/designation
• Your mobile number
• Your email
• Your signature
• Assessment date

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Giving Feedback to Students
Feedback on the student’s assessment performance is a vital element of learning. Its purpose
is to justify to students how their competency was assessed, as well as to identify and reward
specific qualities in their work, to recommend aspects needing improvement, and to guide
students on what steps to take.
Feedback defines for students what their trainer/assessor think is important for the student to
know with regards to a topic or a subject. At its best, feedback must:
• Be provided for each Assessment Task
• Guide students to adapt and adjust their learning strategies
• Guide trainers/assessors to adapt and adjust their teaching to accommodate the student’s
learning needs
• Be a pivotal feature of learning and assessment design, not an add-on ritual
• Focus on course and unit learning outcomes
• Guide students to become independent and self-reflective learners and their own critics
• Acknowledge the developmental nature of learning
Feedback must not provide short/one-word comments, such as “Fantastic” or “Great work!” Feedback
must be:
• Constructive - highlighting the strengths and weaknesses of a given piece of work,
it must set out ways in which the student can improve the work.
• Timely – must be given while the assessed work is still fresh in a student's mind
before the student moves on to subsequent tasks.
• Meaningful- must target individual needs, be linked to specific assessment criteria,
and be received by a student in time to benefit subsequent work.
If students have not received proper feedback, they may speak to the Compliance or
Administration Department responsible for looking after the quality and compliance services
of the Training Organisation. For more information, please refer to the Training
Organisation’s Student Handbook.

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Practical Assessments
Assessor Instructions
The following forms the basis of the evidence that you need to collect from students for
assessment in the assessment tasks. The tasks and specific assessment requirements that are
given to students are also outlined.
 Refer to all the blue and italic text for a guide to suggested answers and benchmarking
for assessments and also for instructions on how to use the assessment tools.
 Ensure all outlined conditions of assessment requirements are met.
 The Unit Mapping identifies what aspects of the Unit of Competency are being
addressed in each assessment task.
 Once all assessment tasks allocated to this Unit of Competency have been undertaken,
the Record of Assessment is completed to record the unit outcome. The outcome will
be either Competent (C) or Not Yet Competent (NYC).
 When all assessment tasks are deemed Satisfactory (S), the unit outcome is Competent (C).
 If at least one of the assessment tasks is deemed Not Satisfactory (NS), the unit
outcome is Not Yet Competent (NYC).
 The following Information is attached to each assessment task:
o Assessment type
o Assessment task description
o Applicable conditions
o Location
o Resources required
o Instructions for completion of the assessment task
o Task-specific instructions for the Supervisor/Observer
o Task-specific instructions for the Student
o How Assessors will assess the work
General Instructions
 This is an individual assessment.
 The purpose of the Practical Assessment to follow organisational infection prevention
and control procedures, including implementing standard and transmission-based
precautions and responding to infection risks.
 To ensure your responses are satisfactory, consult a range of learning resources and
other information such as handouts, textbooks, learner resources etc.
 All questions must be answered in order to gain competency for this assessment.

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Assessment Task 1: Simulated Tasks
Instructions for the Student
The assessment tasks must be completed in a workplace environment. You must use suitable
facilities, equipment, and resources that are compliant with relevant professional standards,
codes, and organisational guidelines.
Before starting the assessment, ensure that you have access to all of the following:
 Suitable facilities, equipment and resources
o Ensure that you secure necessary permissions and that your demonstration/s
is/are conducted at a time and location which does not disrupt or
inconvenience operations.
 Professional practice standards, codes and guidelines
o You may use the following resources if you do not have existing access to
professional practice standards, codes and guidelines to complete this
assessment activity:
 The principles of infection prevention and control (hand hygiene) and
standard and transmission-based precautions
https://www.racgp.org.au/running-a-
practice/practice-standards/standards-for-other-health-care-settings/view-
all-health- care-standards/infection-prevention-and-control
 Infection prevention and control workbook
https://www.safetyandquality.gov.au/sites/default/files/2019-
09/infection_prevention_and_control_workbook_final_version_sept
_2019.pdf
 Infection Control office practices and other community-based services
https://www.health.act.gov.au/sites/default/files/2018-
09/Infection_control_guidelines_for_office_practices_and_other_commun
ity_based_ services_2006.pdf
 relevant policies and procedures
http://www.cec.health.nsw.gov.au/keep-patients- safe/infection-
prevention-and-control/healthcare-associated-infections/policies,-
guidelines-and-handbook
This task will require the participation of a qualified workplace supervisor/observer. An
individual may participate as on observer if they satisfy at least one (1) of the following
requirements:
 They possess academic credentials such as:
o HLTINF001 certification
o Educational achievements or current certifications with units relevant to

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infection prevention and control
 Current knowledge, industry skills and experience directly relevant to this subject
(HLTINF001)
 To ensure currency, evidence of the observer’s knowledge, skills, and experience must be
from within
twelve (12) months before the observation of the candidate.
 Examples of evidence of current knowledge, industry skills, and experience include the
following:
o Involvement in industry projects (e.g., reports, publications) relevant to
infection prevention and control
o Participation in networking or mentoring activities relevant to infection prevention and
control
o Current or previously held responsibilities relevant to infection prevention and control
o Training and seminars attended which are relevant to infection prevention and control

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Suitable Facilities, Equipment, and Resources
 organisational infection prevention and control guidelines
 personal protective equipment
 hand hygiene facilities and equipment
 medical or client care equipment relevant to the workplace
 clinical and other waste and waste disposal equipment
 areas for cleaning
 equipment for cleaning, including sterilised sharps if relevant to the role
 modelling of industry operating conditions, including the integration of problem-solving
activities

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Simulated Task 1.1: Following Hand Hygiene Practices
This simulated task must be completed at a workplace’s handwashing facility. The
handwashing facility must be the location where individuals wash their hands prior to
handling goods or merchandise or the handwashing facility which is closest to the candidate’s
designated work area.
In accordance with Safe Work Australia, the design of hand washing facilities should:
 be accessible at all times to work areas, eating areas, and the toilets
 be separate from troughs or sinks used in connection with the work process
 contain both hot and cold water taps or temperature mixers
 be protected from the weather
 be supplied with non-irritating soap (preferably from a soap dispenser)
 contain hygienic paper towels.
Competency in this assessment is based on the requirements set by:
 WHO
o Hand Hygiene Technique with Soap and Water
 https://apps.who.int/iris/bitstream/handle/
10665/44102/9789241597906_eng.pdf;jses
sionid=0A3CE000EF1242A32A5071005AFD96D4?sequence=1
 https://youtu.be/ZnSjFr6J9HI
o Hand Hygiene Technique with Alcohol-Based Formulation
 https://apps.who.int/iris/bitstream/handle/
10665/44102/9789241597906_eng.pdf;jses
sionid=0A3CE000EF1242A32A5071005AFD96D4?sequence=1
 https://youtu.be/3PmVJQUCm4E
 Hand Hygiene Australia (HHA)
o https://www.hha.org.au/
Instructions for the Workplace Supervisor/Observer
You are required to observe and testify that the candidate has completed the tasks outlined in
the Task 1.1. Observation Checklist. Before you complete the checklist, ensure that you:
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation checklist.
3. Review the assessment requirements with the candidate.
a. Ensure that the student has access to the following resources:
i. Hand washing facilities

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ii. Non-irritating soap (preferably from a soap dispenser)
iii. Warm running water
iv. Paper towels
v. Alcohol-based hand rub
vi. Protective hand cream or lotion
b. Discuss any concerns. The student may approach Inspire Education for
assistance if they are unable to answer one of your queries.

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Observe the student as they complete their tasks. You must add comments and provide
feedback on the student’s performance based on the observable behaviours outlined in the
Simulated Task 1.1 Observation Checklist. Return the form to the candidate once it is
complete.
Instructions for the Student
1. Familiarise yourself with the assessment requirements for this task and prepare accordingly.
a. Gather all of the resources required.
b. Verify the qualification of your participating observer.
c. Secure necessary permissions and ensure that you have discussed the assessment
requirements (i.e., qualifications, observation tasks) with your workplace
supervisor/observer.
2. Perform your demonstration. Ensure that you:
a. Use the hand washing facilities according to the “Hand Hygiene Technique with Soap
and Water.”
b. Implement hand care procedures.
c. Clean your hands according to the “Hand Hygiene Technique with Alcohol-Based
Formulation.”
3. Collect and check the documentation for this task. Ensure that it is completed
correctly and prepare it for submission.

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Simulated Task 1.1 Observation Checklist
(To be completed by a workplace supervisor or a qualified
third-party observer)
Name of Candidate:
Part A. World Health Organisation – Hand Hygiene (Soap and Water)
Observation Date:
Supervisor’s Handwritten Signature:
Did the student
demonstrate competency
in the following critical
aspects of evidence?
Ye
s
No Supervisor/Observer must comment and provide feedback on the student’s
performance below:
a) Completed steps 0 to
11 in the Hand
Hygiene Technique
with Soap and Water
☐ ☐
In this, student follow all the proper guidelines which help to free from the microbes. This is
appropriate practice in workplace.
b) Washed hands for the
recommended duration ☐ ☐
In this, the student follows the washed hand in which duration are used to optimized and this
performance is appreciable.
c) Used warm water and
avoided using hot
water when rinsing
their hands
☐ ☐
As per this, this is helpful for the avoiding of hot water because warm water is not much hot
which can make the condition worst in case of rinsing.

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d) Avoided washing
hands with soap and
water immediately
before using an
alcohol-based hand
rub
☐ ☐
In this, they are used to show the unnecessary factor which may cause the harm the skin and
cause irritation on skin which may damage the endodermis layer of layer.
Part B. World Health Organisation – Hand Hygiene (Alcohol-Based Formulation)
Observation Date:
Supervisor’s Handwritten Signature:
Did the student
demonstrate
competency in the
following critical
aspects of evidence?
Ye
s
No Supervisor/Observer must comment and provide feedback on the student’s performance
below:
a) Completed Steps 1a to
8 in the Hand
Hygiene Technique
with Alcohol- Based
Formulation
☐ ☐
In this, they are used to manage the 1 to 8 step which show the negative impact when the use of
alcohol for longer time.
b) Cleaned hands for the
recommended duration ☐ ☐
This is essential for the student to make a seclude in order to maintain the hygiene.
c) Avoided washing
hands with soap and
water immediately ☐ ☐
In this, longer use may damage the skin and other kind of rashes which is managed.

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after applying an
alcohol-based hand
rub

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d) Applied protective hand
cream or lotion. ☐ ☐
Use a procurement which may help to manage the harm of skin.
Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the required tasks, and the evidence of their performance
provided above reflect that of the organisation.
Supervisor/Observer Name:
Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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Simulated Task 1.2: Covering Non-intact Skin
This simulated task must be completed at a workplace’s handwashing facility. The
handwashing facility must be the location where individuals wash their hands prior to
handling goods or merchandise or the handwashing facility which is closest to the candidate’s
designated work area.
Competency in this assessment is based on the requirements set by:
 The World Health Organisation (WHO)
https://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf;jsessioni
d=0A3CE000 EF1242A32A5071005AFD96D4?sequence=1
 Hand Hygiene Australia (HHA) https://www.hha.org.au/
Instructions for the Workplace Supervisor/Observer
You are required to observe and testify that the candidate has completed the tasks
outlined in the Task 1.2. Observation Checklist. Before you complete the checklist,
ensure that you:
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation
checklist.
3. Review the assessment requirements with the candidate.
a. Ensure that the student has access to the following resources:
i. Hand washing facilities
ii. Non-irritating soap (preferably from a soap dispenser)
iii. Warm running water
iv. Paper towels
v. Single-use, non-sterile gloves
vi. Closed waste bin
b. Discuss any concerns. The student may approach Inspire Education for
assistance if they are unable to answer one of your queries.
Observe the student as they complete their tasks. You must add comments and provide
feedback on the student’s performance based on the observable behaviours outlined in the
Simulated Task 1.2 Observation Checklist. Return the form to the candidate once it is
complete.
Instructions for the Student
1. Familiarise yourself with the assessment requirements for this task and prepare

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accordingly.
a. Gather all of the resources required.
b. Verify the qualification of your participating observer.
c. Secure necessary permissions and ensure that you have discussed the assessment
requirements (i.e., qualifications, observation tasks) with your workplace
supervisor/observer.
2. Perform your demonstration. Ensure that you:
d. Use the hand washing facilities according to the “Hand Hygiene Technique with
Soap and Water.”
e. Implement hand care procedures.

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f. Clean your hands according to the “Hand Hygiene Technique with Alcohol-Based
Formulation.”
3. Collect and check the documentation for this task. Ensure that it is completed
correctly and prepare it for submission.
Instructions for the Student:
For this scenario, assume that the palms of your hands have minor cuts and abrasions that
you sustained due to a workplace incident. Use the image below as reference for where the
cuts and abrasions are located:
1. Familiarise yourself with the assessment requirements for this task and prepare
accordingly.
a. Choose how you must cover your non-intact skin in accordance with the
requirements set by WHO and HHA.
b. Gather all of the resources required.
c. Secure necessary permissions and ensure that you have discussed the
assessment requirements with your workplace supervisor/observer.
2. Follow hand hygiene practices.
3. Implement hand care procedures.
4. Cover the cuts and abrasions on your hands.
5. Follow organisational procedures for choice and use of PPE.
6. Once you have properly put on the PPE, remove it.
7. Assume that the used PPE is soiled and contaminated.
8. Dispose of contaminated waste accordingly.
Your workplace supervisor/observer will base your competency on the observation checklist
items below. Collect the completed checklist from your participant. Ensure that it was filled
out accurately and prepare it for submission.

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Simulated Task 1.2 Observation Checklist
(To be completed by workplace supervisor or qualified
third-party observer)
Name of Candidate:
Observation Date:
Did the student demonstrate
competency in the following
critical aspects of evidence?
Ye
s
No Supervisor/Observer must comment
and provide feedback on the student’s
performance below:
a) Performed hand hygiene
by washing with soap
and water.
☐ ☐
Necessary to prevent the spread of
microbes and external foreign material.
b) Washed hands for
the recommended
duration
☐ ☐
This help to maintain the proper time for
the removal of 100 percent of antibiotics.
c) Used warm water and
avoided using hot water
when rinsing their hands
☐ ☐
This shows the proper use of warm water.
d) Let hands dry completely
before putting on the correct
PPE.
☐ ☐
Adhere and hindrance in putting the PPE
kits.
e) Disposed of used paper
towels into a closed
waste bin
☐ ☐
Help to remove the waste and it is
considered as safe for the paper towels into
a close waste bin.
f) Chose the correct PPE ☐ ☐
The correct PPE help to prevent and
protect from injury which may be physical,
chemical and biological.
g) Completed each step in
wearing the correct PPE ☐ ☐
It helps to show the impact regarding
various process which is beneficial.
h) Covered non-intact skin by
using the correct PPE. ☐ ☐
In this, the proper adoption of PPE kit
must be used to show the non-intact skin.
i) Completed the steps in
removing PPE ☐ ☐
Necessary to prevent the damage of PPE
kit.

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j) Discarded single-use PPE
for safe disposal ☐ ☐
PPE help to know the basic
k) Disposed of single-use PPE
into a closed waste bin ☐ ☐
Proper and show the appropriate factor in
order to dispose the PPE.
l) Performed hand hygiene
immediately after PPE
removal
☐ ☐
They some type of chemical which may
harm the skin and cause number of
infections which is related skin and others.
Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the
required tasks, and the evidence of their performance provided above reflect that of the
organization.
Supervisor/Observer Name:
Workplace/Organization:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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Simulation Scenario 1.3: Following Respiratory Hygiene Practices
Instructions for the Workplace Supervisor/Observer
You are required to observe and testify that the candidate has completed the tasks
outlined in the Task 1.3. Observation Checklist. Before you complete the checklist,
ensure that you:
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation
checklist.
3. Review the assessment requirements with the candidate.
4. Ensure that the student has access to the following resources:
a. Hand washing facilities
b. Non-irritating soap (preferably from a soap dispenser)
c. Warm running water
d. Paper towels or single-use tissues
e. Medical or non-medical mask
5. Discuss any concerns. The student may approach Inspire Education for assistance if
they are unable to answer one of your queries.
Observe the student as they complete their tasks. You must add comments and provide
feedback on the student’s performance based on the observable behaviours outlined in the
Simulated Task 1.3 Observation Checklist. Return the form to the candidate once it is
complete.
Instructions for the Student
Ensure that you familiarise yourself with the assessment requirements for this task and prepare
accordingly.
1. Gather all of the resources required.
2. Verify the qualification of your participating observer.
3. Secure necessary permissions and ensure that you have discussed the assessment
requirements (i.e., qualifications, observation tasks) with your workplace
supervisor/observer.
For this scenario, assume that you are starting to show signs and symptoms of a respiratory
infection. The signs and symptoms are listed below:
1. Signs – coughing, sneezing
2. Symptoms – fatigue, sinus pain

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Identify two (2) types of additional precautions required to prevent transmission of infection
based on this scenario. Write your responses in the spaces below:
 PPE kits
 Use antiseptic and disinfectant
Complete the following tasks while observing procedures for respiratory hygiene and cough
etiquette.
1. Demonstrate cough etiquette:
a. without a disposable tissue available.
use cloths and hanky
b. with a single-use tissue available.
Use one time and throw into the dry waste bin.
c. with a mask available.
Protect from airborne virus. E.g., rhino virus
2. While demonstrating proper cough etiquette, take additional precautions to prevent
transmission of infection as a response to the following situations:
a. You are starting to show signs and symptoms of respiratory infection
Respiration rate become slow. Shortness of breath is started
b. You are interacting face-to-face with another person (your workplace supervisor
or observer).
Must be mask and face mask to avoid the spread of virus and pathogen which is
communicable in workplace.
Your workplace supervisor or observer will base your competency on the observation checklist
items below.
Ensure that you’ve completed all of the items listed.

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Simulated Task 1.3 Observation Checklist
(To be completed by workplace supervisor or qualified
third-party observer)
Name of Candidate:
Part A. Cough Etiquette – Without Tissues
Observation Date:
Supervisor’s Handwritten Signature:
Did the student demonstrate competency in the
following critical aspects of evidence? Yes No Supervisor/Observer must comment and provide feedback on
the student’s
performance below:
i. Turning their face away from other people ☐ ☐
Prevent spread, moderate
ii. Coughing into their upper sleeve or the bend of
their elbow ☐ ☐
Inhibit spread of infection, high

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Part B. Cough Etiquette – Tissues Available
Observation Date:
Supervisor’s Handwritten Signature:
Did the student demonstrate competency in the
following critical aspects of evidence? Yes No
Supervisor/Observer must comment and provide feedback on
the student’s
performance below:
I. Turning their face away from other people ☐ ☐
Prevent physical virus spread which may be prohibited, moderated
ii. Using the tissue to cover their mouth while
coughing ☐ ☐
High sense of control and prevention of disease.
iii. Disposing of the tissue immediately after use ☐ ☐
Precaution to resist infection.

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Part C. Mask Wearing Procedure
Observation Date:
Supervisor’s Handwritten Signature:
Did the student demonstrate competency in the
following critical aspects of evidence? Ye
s
No
Supervisor/Observer must comment and provide feedback on
the student’s
performance below:
i. Inspecting the mask for damage and for
cleanliness before putting it on ☐ ☐
Safety measure taken by student, high
ii. Adjusting the mask to cover their face
without leaving gaps on the sides ☐ ☐
Precaution, moderate.
iii. Covering their mouth, nose, and chin with the
mask
☐ ☐
Guideline to use mask. High.
iv. Avoiding instances of touching the mask after
putting it on properly ☐
☐
For proper safeguard, low

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Part D. Additional Precautions (Prevention of Transmission of Infection)
Observation Date:
Supervisor’s Handwritten Signature:
Did the student demonstrate competency in the
following critical aspects of evidence? Ye
s
No
Supervisor/Observer must comment and provide feedback on
the student’s
performance below:
I. Avoiding close face-to-face contact with others ☐ ☐
To prevent spread of pathogen. High.
ii. Avoiding physical contact with others ☐ ☐
To follow the guidelines of workplace to maintain physical
distancing.

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Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the required tasks, and the evidence of their performance
provided above reflect that of the organisation.
Supervisor/Observer Name:
Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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Assessment Task 2: Risk Management
Instructions for the Student
The assessment tasks must be completed in a workplace environment. You must use suitable
facilities, equipment, and resources that are compliant with relevant professional practice
standards, codes, and organisational guidelines.
Before starting the assessment, ensure that you have access to all of the following:
 Suitable facilities, equipment and resources
o Ensure that you secure necessary permissions and that your demonstration/s
is/are conducted at a time and location which does not disrupt or
inconvenience operations.
 Professional practice standards, codes and guidelines
o You may use the following resources if you do not have existing access to
professional practice standards, codes and guidelines to complete this
assessment activity:
 The principles of infection prevention and control (hand hygiene) and
standard and transmission-based precautions
https://www.racgp.org.au/running-a-
practice/practice-standards/standards-for-other-health-care-settings/view-
all-health- care-standards/infection-prevention-and-control
 Infection prevention and control workbook
https://www.safetyandquality.gov.au/sites/default/files/2019-
09/infection_prevention_and_control_workbook_final_version_sept
_2019.pdf
 Infection Control office practices and other community-based services
https://www.health.act.gov.au/sites/default/files/2018-
09/Infection_control_guidelines_for_office_practices_and_other_commun
ity_based_ services_2006.pdf
 relevant policies and procedures
http://www.cec.health.nsw.gov.au/keep-patients- safe/infection-
prevention-and-control/healthcare-associated-infections/policies,-
guidelines-and-handbook
This task will require the participation of a qualified workplace supervisor/observer. An
individual may participate as on observer if they satisfy at least one (1) of the following
requirements:
 They possess academic credentials such as:
o HLTINF001 certification

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o Educational achievements or current certifications with units relevant to
infection prevention and control
 Current knowledge, industry skills and experience directly relevant to this subject
(HLTINF001)
 To ensure currency, evidence of the observer’s knowledge, skills, and experience must
be from within
twelve (12) months before the observation of the candidate.
 Examples of evidence of current knowledge, industry skills, and experience include the
following:
o Involvement in industry projects (e.g., reports, publications) relevant to
infection prevention and control
o Participation in networking or mentoring activities relevant to infection
prevention and control
o Current or previously held responsibilities relevant to infection prevention and
control

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o Training and seminars attended which are relevant to infection prevention and
control
Suitable Facilities, Equipment, and Resources
 organisational infection prevention and control guidelines
 personal protective equipment
 hand hygiene facilities and equipment
 medical or client care equipment relevant to the workplace
 clinical and other waste and waste disposal equipment
 areas for cleaning
 equipment for cleaning, including sterilised sharps if relevant to the role
 modelling of industry operating conditions, including the integration of problem-
solving activities
Resources required to complete the assessment task
 computer/laptop with access to:
o the internet, including web browsers (e.g. Google Chrome, Mozilla)
o word processing software such as Microsoft Word
o a printer
 paper
 marker
 tape
 scissors
 camera
 hand washing facilities
 non-irritating soap (preferably from a soap dispenser)
 warm running water
 hand sanitiser of with at least 60% ethanol or 70% isopropanol as the active ingredient
 paper towels
 gloves
 medical or non-medical mask
 apron
 eye or face protection
 detergent
 bucket or container
 kitchen towel, dishcloth, or sponge

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 disinfectant
 leak-proof rubbish waste bag
 mop

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Simulated Scenario 2.1: Signage and Posters
Instructions for the Workplace Supervisor/Observer
You are required to observe and testify that the candidate has completed the tasks
outlined in the Task 2.1. Observation Checklist. Before you complete the checklist,
ensure that you:
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation
checklist.
3. Review the assessment requirements with the candidate.
a. Ensure that the student has access to the required task resources and has
secured necessary permissions for performing this task.
b. Discuss any concerns. The student may approach Inspire Education for
assistance if they are unable to answer one of your queries.
Observe the student as they complete their tasks. You must add comments and provide
feedback on the student’s performance based on the observable behaviours outlined in
observation checklist. Return the form to the candidate once it is complete.
Instructions for the Student:
1. Familiarise yourself with the assessment requirements for this task and prepare
accordingly.
a. Gather all of the resources required.
b. Verify the qualification of your participating observer.
c. Secure necessary permissions and ensure that you have discussed the
assessment requirements (i.e., qualifications, observation tasks) with your
workplace supervisor/observer.
2. Provide your workplace supervisor or observer with a copy of the Task 2.1
Observation Checklist. Your participant must observe and verify that you have
placed the posters at the appropriate locations and at an appropriate time.
3. Store records, cleaning materials/equipment and medicaments (medicine) in the
workplace in its designated clean zone.
4. Ensure that there are designated contaminated zones for washing used tableware and
used cleaning materials/equipment and for disposing infectious waste.
5. Create and prepare the placement of three (3) signage or posters related to clean zones.
a. The signage must remind personnel that a particular area is a clean zone and
contribute to managing risks associated with hazards in that area. Examples of
content relevant to risk management are the following:
i. Indicate that specific actions are not permitted in that location

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ii. Specify location requirements (e.g., mandatory mask wearing)
iii. Warn of dangers (e.g., hazards or hazardous conditions)
iv. Advise the locations of safety features (e.g., fire alarms) or safety
equipment
v. Direct individuals to the location of emergency facilities or equipment
vi. Provide safety information such as general safety rules or housekeeping
practices
b. Place one signage in each of the following areas:
i. One (1) area where records are kept
ii. One (1) area where cleaning materials and equipment are stored

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iii. One (1) area where medicaments (medicine) are stored
6. Create and prepare the placement of three (3) signage or posters related to
contaminated zones.
a. The signage must remind personnel that a particular area is a clean zone and
contribute to managing risks associated with hazards in that area. Examples of
content relevant to risk management are the following:
i. Indicate that specific actions are not permitted in that location
ii. Specify location requirements (e.g., mandatory mask wearing)
iii. Warn of dangers (e.g., hazards or hazardous conditions)
iv. Advise the locations of safety features (e.g., fire alarms) or safety
equipment
v. Direct individuals to the location of emergency facilities or equipment
vi. Provide safety information such as general safety rules or housekeeping
practices
b. Place one signage in each of the following areas:
i. One (1) area designated for washing tableware
ii. One (1) area designated for washing cleaning materials/equipment
iii. One (1) area designated for the disposal of infectious wastes
7. Collect the completed checklist and prepare copies of your six (6) signage for
submission. Follow these naming conventions for the submissions of your signs or
posters:
a. Clean zone posters:
i. Part B_Record Poster
ii. Part B_Cleaning Poster
iii. Part B_Medic Poster
b. Contaminated zone posters:
i. Part C_Tableware Poster
ii. Part C_Cleaning Poster
iii. Part C_Disposal Poster

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Simulated Task 2.1 Observation Checklist
(To be completed by a workplace supervisor or a qualified
third-party observer)
Name of Candidate:
Part A. Storage and Confinement
Did the student demonstrate competency in
the following critical aspects of evidence?
Yes No Supervisor/Observer must comment and provide feedback below:
☐
1st Type of Record: The place is must hygiene and wash with proper
disinfectant.
Observation Date:
a) Store records in the workplace’s
designated
clean zone?
Guidance: You must cite two (2)
different records that the candidate
stored correctly.
☐
Handwritten Signature:
2nd Type of Record: In this, the digital storage of documentation is also taken.
Observation Date:
Handwritten Signature:
☐
1st Type of Cleaning Material:
Observation Date:
b) Store cleaning materials in the workplace’s
designated clean zone?
☐
Handwritten Signature:
2nd Type of Cleaning Material:

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Guidance: You must cite two (2)
different cleaning materials or
equipment.
Observation Date:
Handwritten Signature:

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c) Store medicamentsin the workplace’s
designated clean zone?
Guidance: You must cite two (2) different
medicaments (medicine).
☐ ☐
1st Type of
Medicament:
Appropriate and
functional medication
such as paracetamol
and aspirin.
Observation Date:
Handwritten
Signature:
2nd Type of
Medicament:
Antibiotics and
penicillin
Observation Date:
Handwritten

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Signature:
d) Check that the workplace has a
designated contaminated zone for
washing used tableware? ☐ ☐
Observation Date:
Handwritten
Signature:
e) Check that the workplace has a
designated contaminated zone for
washing used cleaning materials? ☐ ☐
Observation Date:
Handwritten
Signature:
f) Check that the workplace has a
designated contaminated zone for
washing used cleaning equipment? ☐ ☐
Observation Date:
Handwritten
Signature:

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Part B. Signage/Posters for Clean Zones
Did the student demonstrate competency in
the following critical aspects of evidence? Ye
s
No
Supervisor/Observer must comment and provide feedback on the
student’s performance
below:
Guidance: Provide details on where the signage was placed. You must cite the
workplace location (e.g., administrative office, hand washing facility) and the
exact area in the room (e.g., above the sink, beside the emergency cabinet).
a) Prepare and place relevant signage in
an area where records are kept?
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
o The sign is placed at eye-level
and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
☐ ☐
Details: Administration office is suitable for record keeping.
Observation Date:
Handwritten
Signature:

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b) Prepare and place relevant signage in
an area where cleaning materials and
equipment are stored??
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
o The sign is placed at eye-level
and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
☐ ☐
Details: Health and safety act
Observation Date:
Handwritten
Signature:
c) Prepare and place relevant signage in
an area where medicaments are
stored?
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
o The sign is placed at eye-level
☐ ☐
Details: In this, the emergency department is ready for first aid kit.
Observation Date:

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and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
Handwritten
Signature:

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Part C. Signage/Posters for Contaminated Zones
Did the student demonstrate competency in
the following critical aspects of evidence? Ye
s
No
Supervisor/Observer must comment and provide feedback on the
student’s performance
below:
Guidance: Provide details on where the signage was placed. You must cite the
workplace location (e.g., administrative office, hand washing facility) and the
exact area in the room (e.g., above the sink, beside the emergency cabinet).
a) Prepare and place relevant signage in
an area for washing tableware?
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
o The sign is placed at eye-level
and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
☐ ☐
Details: Washing department is suitable for used.
Observation Date:
Handwritten
Signature:

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b) Prepare and place relevant signage in
an area for washing cleaning
materials and equipment?
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
o The sign is placed at eye-level
and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
☐ ☐
Details: In washing cleaning department
Observation Date:
Handwritten
Signature:
c) Prepare and place relevant signage in
an area for disposing infectious
waste?
Guidance: Use the criteria below to
verify that the sign is placed correctly.
To gain a “Yes” result, the candidate’s
actions must satisfy all items:
o The candidate placed the
posters at an appropriate time
(i.e., during work hours and
during an occasion which is not
disruptive to staff or to clients).
☐ ☐
Details: health and safety department.

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o The sign is placed at eye-level
and clearly visible (i.e., not
obstructed by other objects).
o The placement of the sign does
not create a workplace hazard.
Observation Date:
Handwritten
Signature:

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Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the required tasks, and the evidence of their performance
provided above reflect that of the organisation.
Supervisor/Observer name:
Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date signed:

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An elderly resident was eating snacks in the dining room when he started feeling sick and then vomited. Upon
seeing this, you and a co-worker quickly approached the resident for assistance. Your co-worker offered to
accompany him to the toilet and asked if you could clean the area.
On the table, you saw there was leftover food on the plate. There was vomit all over it, and the vomit contained
some blood. The utensils, a fork and a knife, were also contaminated. A glass was tipped over which caused a
water spill. There was also a bit of vomit on the floor.
Additional precautions must be observed since the resident might have an infectious disease.
Simulated Scenario 2.2: Managing Risks
Instructions for the Workplace Supervisor/Observer
You are required to observe and testify that the candidate has completed the tasks outlined in the
Task 2.2. Observation Checklist. Before you complete the checklist, ensure that you:
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation checklist.
3. Review the assessment requirements with the candidate.
a. Ensure that the student has access to all of the resources required by the assessment.
b. Verify that the candidate has set up the demonstration area according to the Task
2.2 Simulated Scenario.
4. Discuss any concerns. The student may approach Inspire Education for assistance if they
are unable to answer one of your queries.
Observe the student as they complete their tasks. You must add comments and provide feedback
on the student’s performance based on the observable behaviours outlined in the Simulated Task
2.2 Observation Checklist. Return the form to the candidate once it is complete.
Instructions for the Student
1. Familiarise yourself with the assessment requirements for this task and prepare accordingly.
a. Gather all of the resources required and ensure that you have access to the following:
i. Hand washing facilities
ii. Washing facilities for contaminated items
iii. Warm running water
iv. Non-irritating soap (preferably from a soap dispenser)
v. Detergent

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vi. Disinfectant
vii. Mop
viii. Buckets or containers
ix. Paper towels or disposable cloths

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x. Kitchen towels, dishcloths, or sponges
xi. Yellow contaminated waste disposal bags (at least 2)
xii. Gloves
xiii. Apron
xiv. Eye or face protection
xv. Protective shoes or boots
xvi. Medical or non-medical mask
xvii. Materials for area isolation (e.g., signs, tapes, markers)
b. Ensure that the materials, equipment, and instruments are in good condition and
report resources in poor condition to your supervisor.
c. Set up the designated work area for the demonstration. The room will ideally be
in the dining area and must:
i. Have a table and a chair. A plate, fork, knife, and glass must be set on the
table.
ii. Have simulation setups for the leftover food, vomit, and water spill
d. Verify the qualification of your participating observer.
e. Secure necessary permissions and ensure that you have discussed the assessment
requirements (i.e., qualifications, observation tasks) with your workplace
supervisor/observer.
2. Provide your workplace supervisor or observer with a copy of the Task 2.2 Observation
Checklist.
3. Follow protocols for care after exposure to the resident’s blood and body fluid.
a. Refer to WHO’s protocols for Accidental exposure to blood or other body fluids:
https://www.who.int/ith/ITH2009Chapter8.pdf.
b. The area exposed were your hands.
c. Follow the procedures under, “After a splash of blood or body fluids onto unbroken
skin.”
4. Follow hand hygiene practices upon entering contaminated zones (in accordance with
Simulated Task 1.1 of this Assessment workbook).
5. Confine materials to a well-designated clean zone. Only take out the exact amount or the
exact materials you need from their storage facilities for cleaning contaminated zones.
6. Wear the required PPE:
a. chemical and liquid resistant gloves
b. mask or respiratory protection
c. eyewear and apron for preventing the risk of splashing
d. shoes that cover the entire feet

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7. Identify, separate, and maintain the clean zone from the contaminated zone.
a. The contaminated area to be disinfected must be marked clearly to notify all staff
and must be separated from the clean zone.
b. If your workplace does not have signs for these zones, use the paper and marker
to create them for the sake of this assessment.
8. Clean the contaminated surfaces of the dining area in accordance with organisational
policies and procedures.

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a. Wipe the vomit on the table in accordance with organisational procedures; for
example, using disposable paper towels or disposable cloth and disposing of them
along with the leftover food in a yellow contaminated waste disposal bag.
b. Place the contaminated instruments such as the plate, fork, knife and glass in a
yellow contaminated waste disposal bag separate from the disposable materials or
in accordance with workplace procedures.
c. Wipe the vomit and spilled water off the floor in accordance with organisational
procedures; for example, using paper towels or disposable cloth and discarding
the materials you used in the appropriate bag.
d. Clean the surfaces using warm water and detergent in accordance with workplace
procedures. For example, use a kitchen towel, dishcloth, or sponge for the table. A
different towel, cloth or sponge must be used on the floor. Alternatively, a mop
may also be used.
e. Disinfect the contaminated surfaces in accordance with workplace procedures.
For example, apply disinfectant on disposable paper towels or disposable cloth to
wipe the table and the floor and place them in the appropriate bag. Allow the
disinfectant to remain on the surface for the period of time required to kill the
virus as specified by its manufacturer. If there is no time specified, leave it on the
surface for 10 minutes. Certain chlorine-based disinfectants may need to be rinsed
off with water after its contact time has been achieved.
9. Minimise the contamination of the cleaning materials and equipment, non-disposable
PPE, and tableware by aerosol and splatter.
a. Use bottles with flip top caps and apply the cleaning agent directly to the cleaning
cloth. Do not use spray bottles to apply cleaning agents to surfaces. These create
aerosols which can be breathed in.
b. When washing cleaning materials and equipment, non-disposable PPE and
tableware, keep the running water on low pressure to reduce splatter. Splatter may
cause further spreading of harmful germs and infection on clean surfaces.
c. Avoid the ‘double dipping’ of used cloths into clean solution.
10. Confine contaminated materials, instruments and equipment to a well-designated
contaminated zone.
a. Ensure that you do not enter designated clean zones when transporting contaminated
items.
b. Ensure that you discarded contaminated disposable items for safe removal in the
proper garbage bin.
c. Close the waste bag with discarded items. Collect it by handling the bag from the
top. Do not compress the bag with your hands.
d. Ensure that the cleaning materials and equipment, non-disposable PPE and
tableware are kept, washed and disinfected within the well-designated

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contaminated zone you previously labelled in Simulated Scenario 2.1.
e. They must be cleaned and dried after use.
11. Remove and discard the used disposable PPE.
12. Follow hand hygiene practices upon leaving the contaminated zone (in accordance with
Simulated Task 1.1 of this Assessment workbook).

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Simulated Scenario 2.2 Observation Checklist
(To be completed by workplace supervisor or qualified
third-party observer)
Name of Candidate:
Observation Date:
Did the student demonstrate
competency in the following
critical aspects of evidence?
Ye
s
No Supervisor/Observer must comment
and provide feedback on the
student’s performance below:
a) Followed protocols for care
after exposure to blood or other
body fluids
by:
i. washing their hands
immediately with
running water.
☐ ☐
High safety measure.
ii. avoiding using alcohol-
based antiseptics. ☐ ☐
Moderate safety measure
b) Followed hand hygiene practices
upon entering the contaminated
zone:
i. following steps 0 to 11 in
accordance with:
https://www.who.int/gpsc/
5may
/
How_To_HandWash_Poster.
p df?ua=1
☐ ☐
Medium safety measure
ii. following the
recommended duration
of the entire procedure:
40-60 seconds
☐ ☐
High safety measure
c) Wore appropriate PPE:
i. chemical and liquid
resistant gloves ☐ ☐
Low safety measure
ii. mask or respiratory protection ☐ ☐
Proper safety measure

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iii. eyewear and apron for
preventing the risk of
splashing
☐ ☐
Low safety measure

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iv. shoes that cover their entire
feet
☐ ☐
Significant safety measure
d) Gathered materials, equipment,
and instruments for cleaning. ☐ ☐
Moderate safety measure
e) Ensured that the materials,
equipment, and instruments are
clean and in good condition.
☐ ☐
Low safety measure
f) Confined clean materials to a
well- designated clean zone
i. only took out the exact
amount of materials
needed
☐ ☐
Moderate safety measure
ii. only took out the
materials needed ☐ ☐
Low safety measure
g) Identified and separated clean
zone from the contaminated
zone by labelling them.
☐ ☐
High safety measure
h) Maintained clean zone from the
contaminated zone
Moderate safety measure
i. keeping the contaminated
items out of the clean
zone
☐ ☐
Low safety measure
i) Cleaned the contaminated
surface of the designated
work area
High safety measure
i. wiping the spills using
paper towels or
disposable cloth
☐ ☐
High safety measure
ii. discarding the used
paper towels or
disposable cloth in a
yellow contaminated
waste disposal bag
☐ ☐
Low safety measure

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iii. placing the contaminated
plate, fork, knife and glass
in a yellow contaminated
waste disposal
bag different from
disposable items
☐ ☐
High safety measure
iv. cleaning the surfaces with
warm water and detergent
using a kitchen towel,
dishcloth, or sponge
☐ ☐
Moderate safety measure
v. applied the detergent
on the cleaning cloth
and not the surface
being cleaned
☐ ☐
Low safety measure
vi. Applied disinfectant on
the paper towels or
disposable cloths to
wipe on the surface
☐ ☐
Low safety measure
vii. allowed disinfectant to
remain on the surface for
a period of time as
specified by its
manufacturer
☐ ☐
Medium safety measure
j) Minimised contamination by:
i. aerosol by avoiding the use
of spray bottles to apply
cleaning agents to
surfaces
☐ ☐
Medium safety measure
ii. splatter by keeping the
running water on low
pressure when washing
cleaning tools
☐ ☐
Moderate safety measure
iii. avoiding double dipping
used cloths into clean
solution
☐ ☐
Low safety measure
k) Cleaned the floor of the
contaminated zone by:
i. wiping the vomit and
spill off the floor using
paper towels or
☐ ☐
Significant safety measure

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disposable cloths
ii. discarding used paper
towels or disposable
cloths in a yellow
contaminated waste
disposal bag
☐ ☐
High safety measure

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iii. using warm water,
detergent, and a damp
mop to clean the floor
☐ ☐
Low safety measure
l) Confined contaminated cleaning
tools
in a well-designated
contaminated zone by:
i. securing the waste bag
with discarded items
for safe disposal
☐ ☐
High safety measure
ii. handling and disposing of
waste safely
Low safety measure
iii. keeping contaminated
items in the designated
contaminated zone
☐ ☐
Moderate safety measure
iv. washing and
drying the cleaning
tools after use
☐ ☐
High safety measure
m) Removed and discarded
used disposable PPE (e.g.
disposable gloves, masks)
☐ ☐
Moderate safety measure
n) Followed hand hygiene practices
upon leaving the contaminated
zone:
i. following steps 0 to 11 in
accordance with:
https://www.who.int/gpsc/
5may
/
How_To_HandWash_Poster.
p df?ua=1
☐ ☐
ii. following the
recommended duration
of the entire procedure:
40-60 seconds
☐ ☐
Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)

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By signing in the spaces below, you are confirming that the student has completed the required
tasks, and the evidence of their performance provided above reflect that of the organisation.
Supervisor/Observer Name:

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Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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Assessment Task 3: Environmental Cleaning
This assessment task must be completed in your workplace environment. You will be required to
use suitable workplace facilities, equipment, and resources and complete work in line with all the
applicable professional standards, codes, and organisational guidelines.
Before starting the assessment, ensure that you have access to all of the following:
 Suitable facilities, equipment and resources
o Ensure that you secure necessary permissions and that your demonstration/s is/are
conducted at a time and location which does not disrupt or inconvenience
operations.
 Professional practice standards, codes and guidelines
o You may use the following resources if you do not have existing access to
professional practice standards, codes and guidelines to complete this assessment
activity:
 The principles of infection prevention and control (hand hygiene) and
standard and transmission-based precautions
https://www.racgp.org.au/running-a-practice/practice-
standards/standards-for-other-health-care-settings/view-all-health-care-
standards/infection-prevention-and-control
 Infection prevention and control workbook
https://www.safetyandquality.gov.au/sites/default/files/2019-
09/infection_prevention_and_control_workbook_final_version_sept
_2019.pdf
 Infection Control office practices and other community-based services
https://www.health.act.gov.au/sites/default/files/2018-
09/Infection_control_guidelines_for_office_practices_and_other_community_
based_serv ices_2006.pdf
 relevant policies and procedures
http://www.cec.health.nsw.gov.au/keep-patients- safe/infection-
prevention-and-control/healthcare-associated-infections/policies,-
guidelines-and-handbook
 organisational infection prevention and control guidelines
 modelling of industry operating conditions
 hand washing facilities
 non-irritating soap (preferably from a soap dispenser)
 warm running water
 hand sanitiser of with at least 60% ethanol or 70% isopropanol as the active ingredient

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 paper towels, single-use tissues, or disposable cloth
 gloves
 medical or non-medical mask
 vest or apron
 eye or face protection
 detergent

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 disinfectant
 client equipment (e.g. lifting aids, mobility aids, disability aids)
 linen (e.g. clothing, uniforms, bedsheets, tablecloths, pillowcases, blankets, curtains)
This task will require the participation of a qualified workplace supervisor/observer. An
individual may participate as on observer if they satisfy at least one (1) of the following
requirements:
 They possess academic credentials such as:
o HLTINF001 certification
o Educational achievements or current certifications with units relevant to infection
prevention and control
 Current knowledge, industry skills and experience directly relevant to this subject
(HLTINF001)
 To ensure currency, evidence of the observer’s knowledge, skills, and experience must be
from within twelve
(12) months before the observation of the candidate.
 Examples of evidence of current knowledge, industry skills, and experience include the
following:
o Involvement in industry projects (e.g., reports, publications) relevant to infection
prevention and control
o Participation in networking or mentoring activities relevant to infection prevention
and control
o Current or previously held responsibilities relevant to infection prevention and
control
o Training and seminars attended which are relevant to infection prevention and
control
Environmental Cleaning
This task requires you to participate in the environmental cleaning of the workplace
environment. This includes the handling, transporting and processing of linen. You must
demonstrate infection prevention and control procedures in the context of a simulated influenza
outbreak.
Refer to the infection prevention and control cleaning procedures of your organisation prior to
commencing this task. You may also refer to the following resource:
 Respiratory illness management in aged care facilities
Your workplace supervisor/observer must observe you during two (2) separate shifts/occasions to

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meet the frequency requirements.

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Instructions for the Workplace Supervisor/Observer
1. Possess at least one (1) of the required qualifications for a participating workplace
supervisor/observer.
2. Familiarise yourself with the assessment requirements found in the observation checklist.
3. Review the assessment requirements with the candidate.
a. Ensure that the student has access to the necessary resources for this task.
b. Assign the student to cleaning duties that must include:
i. cleaning frequently touched surfaces
ii. cleaning minimally touched surfaces
iii. handling, transporting and processing linen
iv. handling and cleaning client equipment
c. Discuss any concerns. The student may approach Inspire Education for
assistance if they are unable to answer one of your queries.
Observe the student as they complete their tasks on two (2) separate shifts/occasions. You must
add comments and provide feedback on the student’s performance based on the observable
behaviours outlined in the Assessment Task 3 Observation Checklist.
You are required to complete Observation Checklist #1 (for the first demonstration) and
Observation Checklist #2
(for the second demonstration). Return the forms to the candidate once it is complete.
Instructions for the Student:
1. Familiarise yourself with the assessment requirements for this task and prepare accordingly.
a. Gather all of the resources required.
b. Verify the qualification of your participating observer.
c. Secure necessary permissions and ensure that you have discussed the assessment
requirements (i.e., qualifications, observation tasks) with your workplace
supervisor/observer.
2. Complete two (2) types of routine environmental cleaning on two (2) separate days or shifts:
a. Clean frequently touched surfaces, which may include, but are not limited to:
 door handles
 over bed tables
 mobility aids
 light switches
 bedside rails

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b. Clean minimally touched surfaces, which may include, but are not limited to:
 shelves
 cabinets
 floors
 walls

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 blinds
3. Follow procedures when dealing with linen to control the spread of infection, including:
a. handling linen
b. transporting linen
c. processing linen
4. Follow procedures for handling and cleaning client equipment to prevent the following:
a. skin and mucous membrane exposures (e.g., touching your face, rubbing
your nose or eyes, coughing or sneezing without covering your nose)
b. contamination of clothing
c. transfer of pathogens

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Assessment Task 3 Observation Checklist #1
(To be completed by workplace supervisor or qualified
third-party observer)
Name of Candidate:
Observation Date:
Did the student demonstrate
competency in the following
critical aspects of evidence?
Ye
s
No Supervisor/Observer must comment
and provide feedback on the student’s
performance below:
a) Cleaned frequently touched
surfaces by:
i. wearing gloves
when
cleaning
☐ ☐
Prevent chemical use, high safety.
ii. frequently
cleaning surfaces
mechanically
☐ ☐
Moderate precautions.
iii. using detergent solution or
using detergent or
disinfectant wipes
☐ ☐
For high safety.
iv. cleaning the surface first
using detergent then
applying a disinfectant
or use a combined
detergent
and disinfectant
☐ ☐
High precaution.
v. applying disinfectant
using disposable paper
towel or disposable
cloth
☐ ☐
Moderate safety procedure.
vi. allowing disinfectant to
remain on surfaces for
the period of time
required to kill the
virus
☐ ☐
High safety measure.
vii. cleaning from the cleanest
surfaces to the dirtiest
surfaces
☐ ☐
Moderate safety.
b) Cleaned minimally touched
surfaces by:

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I. using detergent
solution or using
detergent or
disinfectant wipes on
surfaces
☐ ☐
Low hygiene measure.
ii. damp mopping instead
of dry mopping floors ☐ ☐
Moderate condition.
iii. cleaning walls and
window fixtures when
visibly dusty or soiled
☐ ☐
High precaution.
iv. cleaning hand
washing
basins on a regular
basis
☐ ☐
Moderate safety measure.
c) Handled linen by:
I. following hand hygiene
practices before
handling linen
☐ ☐
High moderate value.
ii. wearing PPE (e.g.,
gloves, mask, vests,
apron) before
handling linen
☐ ☐
Significant value for safety measure.
iii. handling linen as if
hazards are present ☐ ☐
Priorities which has been set the condition.
d) Transported linen by:
i. ensuring that clean
linen did not come in
contact of any soiled
linen
☐ ☐
High
ii. ensuring that their
clothing did not come
in contact of any
soiled linen
☐ ☐
High
iii. ensuring that furniture or
other equipment did ☐
Moderate safety are used to taken.

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not come in contact of
any soiled linen
☐

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e) Processed linen by:
I. storing linen in the
designated area for
soiled linen provided
by the laundry service
or
personnel
☐ ☐
Low safety measure needs more clearance
ii. checked linen for
tears, fraying, and
damages
☐ ☐
High safety measure needs more clearance
iii. reported or requested the
replacement of heavily
soiled or damaged
linen
☐ ☐
Significant safety measure needs more
clearance
iv. isolated heavily soiled or
damaged linen for safe
disposal
☐ ☐
High safety measure needs more clearance
f) Prevented skin and
mucous membrane
exposures by:
i. wearing liquid
resistant
gloves
☐ ☐
High safety measure needs more clearance
ii. wearing a mask
or
respiratory protection
☐ ☐
Low safety measure needs more clearance
iii. wearing glasses,
goggles, or face-
shields
☐ ☐
High safety measure needs more clearance
iv. wearing shoes that
covers their entire feet ☐ ☐
Moderate safety measure needs more
clearance
g) Prevented contamination of
clothing by:
i. wearing a vest or apron ☐ ☐
High safety measure needs more clearance
ii. ensuring that clothing
is firmly secured to
the body
☐ ☐
Low safety measure needs more clearance

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iii. tucking in all the loose
clothing ☐ ☐
Medium safety measure needs more
clearance

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iv. removing jewellery
or
accessories
☐ ☐
Moderate safety measure needs more
clearance
h) Prevented transfer of
pathogens:
i. practicing hand hygiene ☐ ☐
Medium safety measure needs more
clearance
ii. practicing
respiratory hygiene
☐ ☐
Proper safety measure needs more clearance
iii. avoiding shaking
hands with others
☐ ☐
Moderate safety measure needs more
clearance
iv. avoiding exchange of
physical greetings with
others ☐ ☐
High safety measure needs more clearance
v. maintaining
physical distance from
others as much as
possible
☐ ☐
Moderate safety measure needs more
clearance
vi. avoiding touching
their nose ☐ ☐
High safety measure needs more clearance.
vii. avoiding touching
their eyes ☐ ☐
Moderate safety measure needs more
clearance.
viii. avoiding touching
their mouth ☐ ☐
Low safety measure needs more clearance.

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Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the required
tasks, and the evidence of their performance provided above reflect that of the organisation.
Supervisor/Observer Name:
Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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Assessment Task 3 Observation Checklist #2
(To be completed by workplace supervisor or qualified
third-party observer)
Name of Candidate:
Observation Date:
Did the student demonstrate
competency in the following
critical aspects of evidence?
Ye
s
No Supervisor/Observer must comment
and provide feedback on the student’s
performance below:
a) Cleaned frequently touched
surfaces by:
i. wearing gloves
when
cleaning
☐ ☐
Reduce contact with chemical.
ii. frequently
cleaning surfaces
mechanically
☐ ☐
Reduce the factor of hazards.
iii. using detergent solution or
using detergent or
disinfectant wipes
☐ ☐
Minimize the impact of pathogen and
foreign particle.
iv. Cleaning the surface first
using detergent then
applying a disinfectant
or use a combined
detergent
and disinfectant
☐ ☐
Remove the microbes’ 100 percent.
v. applying disinfectant
using disposable paper
towel or disposable
cloth
☐ ☐
To reduce the impact and clear the particle
which may be harmful but reduce the impact
of microbes.
vi. allowing disinfectant to
remain on surfaces for
the period of time
required to kill the
virus
☐ ☐
It depends of amount and quantity.
vii. cleaning from the cleanest
surfaces to the dirtiest
surfaces
☐ ☐
Reduce the overall factor and maintain the
factor of cleanliness.
b) Cleaned minimally touched
surfaces by:

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v. using detergent
solution or using
detergent or
disinfectant wipes on
surfaces
☐ ☐
Follow the guidelines of disinfectant use.
vi. damp mopping instead
of dry mopping floors ☐ ☐
Useful to run and free from microbes.
vii. cleaning walls and
window fixtures when
visibly dusty or soiled
☐ ☐
Helpful to remove the dust particle.
viii. cleaning hand
washing
basins on a regular
basis
☐ ☐
Prevent spread of virus.
c) Handled linen by:
I. following hand hygiene
practices before
handling linen
☐ ☐
In this, they used to create positive anti-
antigen free area.
ii. wearing PPE (e.g.,
gloves, mask, vests,
apron) before
handling linen
☐ ☐
Prevent injury.
iii. handling linen as if
hazards are present ☐ ☐
Inappropriate.
d) Transported linen by:
iv. ensuring that clean linen
did not come in
contact of any soiled
linen
☐ ☐
Proper packaging with cloth
v. ensuring that their
clothing did not come
in contact of any
soiled linen
☐ ☐
Must use high quality packaging material.
vi. Ensuring that furniture or
other equipment did ☐
They are carrying with proper focus.

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not come in contact of
any soiled linen
☐

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e) Processed linen by:
I. storing linen in the
designated area for
soiled linen provided
by the laundry service
or
personnel
☐ ☐
Need safe and sterilized area
ii. checked linen for
tears, fraying, and
damages
☐ ☐
Inspection needed to avoid damage product.
iii. Reported or requested
the replacement of
heavily soiled or
damaged linen
☐ ☐
Must be replace by proper monitoring.
iv. isolated heavily soiled or
damaged linen for safe
disposal
☐ ☐
Necessary and take a proper monitoring in
order to replace some items.
f) Prevented skin and
mucous membrane
exposures by:
I. wearing liquid
resistant
gloves
☐ ☐
In order to prevent skin and other organ
which may harmfully effect.
ii. wearing a mask
or
respiratory protection
☐ ☐
Wearing mask can resist the entry of dust.
iii. wearing glasses,
goggles, or face-
shields
☐ ☐
Prevention of dust and dirtiness of eyes.
iv. wearing shoes that
covers their entire feet ☐ ☐
Prevent the contact of naked feet to the
surface.
g) Prevented contamination of
clothing by:
i. wearing a vest or apron ☐ ☐
Prevent the virus and chemical drops.
ii. ensuring that clothing
is firmly secured to
the body
☐ ☐
Need proper clothing with tight phase.

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iii. tucking in all the loose
clothing ☐ ☐
Prevent the spores of contamination.

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iv. removing jeweler
or
accessories
☐ ☐
To reduce the risk contamination.
h) Prevented transfer of
pathogens:
I. practicing hand hygiene ☐ ☐
Inhibited the communicable.
ii. practicing
respiratory hygiene
☐ ☐
Use face mask
iii. avoiding shaking
hands with others
☐ ☐
To avoid the spread which is transfer due to
the physical contact.
iv. avoiding exchange of
physical greetings with
others ☐ ☐
To prevent communicable.
v. maintaining
physical distance from
others as much as
possible
☐ ☐
To avoid unnecessary interaction also.
vi. avoiding touching
their nose ☐ ☐
To spread mucus which act as career.
vii. avoiding touching
their eyes ☐ ☐
In order to minimize the risk
viii. avoiding touching
their mouth ☐ ☐
Use mask

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Supervisor/Observer Declaration
(To be completed by workplace supervisor or qualified
third-party observer)
By signing in the spaces below, you are confirming that the student has completed the required
tasks, and the evidence of their performance provided above reflect that of the organisation.
Supervisor/Observer Name:
Workplace/Organisation:
Position/Title/Designation:
Mobile Number:
Email:
Handwritten Signature:
Date Signed:

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THIRD PARTY TESTIMONIAL
Instructions for the Student
As part of your responsibility as a candidate seeking a nationally accredited Unit of Competency,
you must secure the participation of a qualified individual for the observation roles required by
this assessment.
An individual is considered qualified if they possess at least one (1) of the following:
1. Academic credentials such as:
a. HLTINF001 certification
b. Educational achievements or current certifications with units relevant to infection
prevention and control
2. Current knowledge, industry skills and experience directly relevant to this subject
(HLTINF001).
a. To ensure currency, evidence of the observer’s knowledge, skills, and experience
must be from
within twelve (12) months before the observation of the candidate.
b. Examples of evidence of current knowledge, industry skills, and experience include the
following:
i. Involvement in industry projects (e.g., reports, publications) relevant to
infection prevention and control
ii. Participation in networking or mentoring activities relevant to infection
prevention and control
iii. Current or previously held responsibilities relevant to infection prevention and
control
iv. Training and seminars attended which are relevant to infection prevention and
control
To demonstrate fulfilment of this responsibility, you must:
1. Verify that any individual (i.e. workplace supervisor/observer) who observes you for
assessment activities possesses academic credentials or current knowledge, industry
skills and experience relevant to this subject (HLTINF001).
2. Ensure that your participating observer completely and accurately completes the Third
Party Testimonial. If multiple observers participated in this assessment, each
individual must fill out a copy of the document.
a. For example, if you had different observers for Assessment Task 1 and
Assessment Task 2-3, you must submit two (2) completed Third Party
Testimonials – one (1) from the observer for Assessment Task 1 and the other

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from the observer for Assessment Tasks 2-3.
For any questions regarding the eligibility of a workplace observer, you may consult with an
assessor from Inspire Education.
Instructions for the Workplace Supervisor/Observer
As part of your responsibility as a Workplace Supervisor/Observer, you are required to disclose
your qualifications and complete the testimonial found in the next page. The document must be
completed and will require you to:
1. Disclose your qualifications

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2. Provide further information on the candidate’s completion of assessment requirements
Guidelines for completing the section on qualifications have been listed below. Ensure that you
state at least one (1) of the following:
1. Academic credentials such as:
a. HLTINF001 certification
b. Educational achievements or current certifications with units relevant to infection
prevention and control
2. Current knowledge, industry skills and experience directly relevant to this subject
(HLTINF001).
a. To ensure currency, evidence of the observer’s knowledge, skills, and experience
must be from
within twelve (12) months before the observation of the candidate.
b. Examples of evidence of current knowledge, industry skills, and experience include the
following:
i. Involvement in industry projects (e.g., reports, publications) relevant to
infection prevention and control
ii. Participation in networking or mentoring activities relevant to infection
prevention and control
iii. Current or previously held responsibilities relevant to infection prevention and
control
iv. Training and seminars attended which are relevant to infection prevention and
control

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[Print this page and ask your supervisor to sign this by hand]
Third Party Testimonial
A. Workplace Supervisor/Observer Qualifications
I am qualified to observe the candidate, , due to the following
academic credentials/industry knowledge, skills, and experience:
☐ I understand the importance of the information I have provided above as it affects the candidate’s
process of acquiring a nationally accredited Unit of Competency.
☐ I do solemnly swear that I have provided true and accurate information regarding my
qualifications.
☐ I understand that an Inspire Education assessor may contact me to verify or elaborate on
information provided.
B. Workplace Supervisor/Observer Declaration
☐ I hereby certify that the relevant documents submitted and described in this evidence guide
have been created by .
☐ I testify that I have witnessed the candidate:
 Follow standard and additional precautions for infection prevention and control
 Identify infection hazards and assess risks
 Follow procedures for managing risks associated with specific hazards
☐ I understand that Inspire Education is committed to comply with Australian privacy legislation
and will not use any evidence submitted in this assessment for any purposes other than academic.

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Any contact information found in the evidence will not be used or contacted unless specifically
stated.
☐ I understand that I may be contacted by an Inspire Education assessor and agree to verify or
elaborate on the information supplied regarding the candidate.
☐ I do solemnly swear that the declaration made on this report is true, and I am in the position to
make this statement.
Name:
Organisation:
Job Title:
Contact
Number:
Best Time to
Contact:
Handwritten
Signature:
Date Signed:

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EVIDENCE CHECKLIST
Make sure that you have everything listed below. You may use the tick boxes to help you mark
files ready for submission.
# Evidence Document Completed
1 Completed Workbook
2 Task 1.1. Observation Checklist
3 Task 1.2 Observation Checklist
4 Task 1.3 Observation Checklist
5 Three (3) Signage for Clean Zones
6 Three (3) Signage for Contaminated Zones
7 Task 2.1 Observation Checklist
8 Task 2.2 Observation Checklist
9 Task 3 Observation Checklists 1 and 2
10 Third Party Testimonial
Reminder:
Submit all of the files in a compressed folder (.zip). Follow this filename format:

Review the candidate’s assessment against the checklist below:
The candidate has completed all the assessments in the workbook:
Practical Assessment
The candidate has submitted all of the following evidence:
Completed Workbook
Task 1.1 Observation Checklist
Task 1.2 Observation Checklist
Task 1.3 Observation Checklist
Task 2.1 Three (3) Signage for Clean Zones
Task 2.1 Three (3) Signage for Contaminated Zones
Task 2.1 Observation Checklist
Task 2.2 Observation Checklist
Task 3 Observation Checklists 1 and 2
Third Party Testimonial
IMPORTANT REMINDER
Candidates must achieve a satisfactory result in ALL assessment tasks to be awarded
COMPETENT for the units relevant to this cluster.
To award the candidate competent in the units relevant to this subject, the candidate must
successfully complete all the requirements listed above according to the prescribed
benchmarks.
Practical Assessment Workbook
© CAQA Resources
Version No. 3.2 Produced 08 June 2021
Page 77
[last name]_[first name]_HLTINF001_Practical Files.zip
WORKBOOK CHECKLIST
(For Assessor’s Use ONLY)

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