APPENDIX 1
                                                                     
PRACTICAL TASK FORM (40%)

(Evaluation by Industry or Training Organization)

INSTRUCTION: Please rate each item below to reflect student’s performance.

													RATING							
NAME							Excellent			Good			Average			Below average			Un satisfactory			
																								
REG.NO																					
																								
PROGRAMME																					
																								
	No			Item		CLO*		5			4			3			2		1			
			TECHNOLOGY LITERACY																				
	A		(Perform hands-on tasks, usage of tools and equipment, adopt a variety of		1																		
			technologies, apply the knowledge gained to perform task, show development in																				
																							
			knowledge and skills and/or think creatively and critically)																				
			EFFECTIVE COMMUNICATION																				
	B		(Ability to acquire and understand information, carry out instructions, analyze linear		2																		
			and non-linear information, show appropriate non-verbal communication,																				
																							
			communicate with employees at all levels and/or have basic negotiation skills)																				
			TEAMWORK																				
	C		(Show positive personality traits, participate actively as a member of the team, carry		3																		
			out tasks in appropriate situations and/or build and maintain good relationships																				
																							
			within the team)																				
			POLICIES, PROCEDURES AND REGULATIONS																				
	D		(Comply with the policies and rules of the organization, job procedures and/or safety		4																		
			and health regulations)																				
			PROFESSIONAL ETHICS																				
	E		(Report handed-in on time and verified by the supervisor, work independently with		4																		
			minimum supervision, attendance, punctuality and/or solve problems by taking the																				
																							
			right action)																				
	F		REPORTING		5																		
			(Present ideas and views and/or task reporting (Reflective Journal))																				
																							
					TOTAL																		
																								
*CLO = Course Learning Outcome. Kindly refer to Industrial Training Guideline (Industry Partner) for details.

Comments/recommendations

By 20th week of training, student must return the form (APPENDIX 1 & 2) to:

UNIT PERHUBUNGAN DAN LATIHAN INDUSTRI	Fax ;		
	05-8692061		
POLITEKNIK BALIK PULAU			
			
PINANG NIRAI MK6			
11000 BALIK PULAU, PULAU PINANG	e-mail ;		
TEL: 04-8689000			
	suntheren@pbu.edu.my		

To be completed by Student’s Supervisor

Name	:

Position	:

Date	:

Signature :

Company/organization stamp: