ArrowXL – DSE Test

ArrowXL – DSE Test

Training Validation

Name(Required)

RASSOW012/WIGAN

In order to confirm your understanding of training, please answer the following questions on the subject Safe System of Work. There may be more than one answer to a question

What must your screen be able to do?(Required)
You are having problems using the programmes who can you speak to about it?(Required)
The keyboard has worn or missing keys, who do you report it too?(Required)
Who is responsible for your work area?(Required)
What issues could a poorly positioned mouse cause?(Required)
What is an indication that you may need a footrest?(Required)

Colleague understands when he / she needs to escalate any concerns to a manager
Colleague feels confident to conduct this task and has completed a practical demonstration of the task correctly

Colleagues Instruction Confirmation

I was given the opportunity to ask questions about the tasks and I fully understand the requirements of the safe system of work (SSOW).

I will perform the tasks in accordance with the requirements of the SSOW

Colleagues' Name
Clear Signature
MM slash DD slash YYYY

Appointed Competent Person Instruction Confirmation

I confirm that the named colleague has been instructed in all aspects relating to the SSOW and fully understands the need to comply with the requirements of the SSOW when performing the tasks.

Competent Person’s Name
Clear Signature
MM slash DD slash YYYY

Refresher / Review of Training

Colleague conducts work in accordance with the SSOW.
Colleague works in a safe and tidy manner.
Colleague is confident completing this SSOW and has no questions/ queries.
Is re-test required?
Competent Person’s Name
Clear Signature
MM slash DD slash YYYY