NEBOSH International General Certificate in Occupational Health and Safety

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UNIT IGC3: HEALTH AND SAFETY PRACTICAL APPLICATION

IGC3 – The Health and Safety Practical Application

Candidate and course provider declarations: For completion by the candidate: I declare that the work submitted for this practical application assessment ie. the completed observation sheets and the report to management, is my own work. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print)

Signature

Date 15/06/2014

For completion by a course provider representative (e.g. internal practical assessor):

I declare that the work marked is identical to that received from the candidate. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

Name (Print) Maitha Hassan Abdulla

Signature

Date 15/06/2014

For completion by the course provider’s internal practical assessor:

I declare that I have marked this work and am both qualified and approved by NEBOSH to do so. I recognise that contravention of this statement constitutes malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.

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|Date |15/06/2014