Workplace Supervisor and Facility Checklist
 
 
ACM40118 Certificate IV in Veterinary Nursing
 
To successfully complete the practical component of this course students need to undertake weekly work placement throughout their course to a minimum of 480 hours work placement in an appropriate workplace under the supervision of qualified and experienced supervisor. Note: this course is companion animal based, you might be requested to provide additional evidence if undertaking placement with equine or large animals.
 
This form provides TAFE specific information about the resources, facilities and supervisor at the proposed workplace. We may seek further clarification from you before approving the work placement and the student's enrolment.
 
Some units in the course require students to demonstrate skills with several different types of animals or use specific equipment. If the workplace only has one species or cannot cover all the tasks in the unit, the student may be required to do further work placement at another facility. They will need to take video of themselves in the workplace completing a range of animal care tasks for their practical assessments.
 
You can download the Host workplace and supervisor guide here which will give you more information about hosting a student. 

 



















SECTION C: Workplace Resources Checklist
This section outlines the facility equipment and resource requirements the student needs access to in the workplace to successfully complete their practical assessment tasks. 
Will the student have access to the following resources in the workplace? Please see the Work placement guide for host employers and supervisors for the full list of equipment in each category.
Office and Pharmacy
General Animal Care equipment and resources for;
  Yes No
Equipment and resources for;
  Yes No
  Yes No
SECTION D: Permission to collect documentation, film videos and/or record audio and/or take photos in the workplace

As part of the assessment evidence for the Certificate IV in Veterinary Nursing, the student is required to collect documentation, and/or film videos, and/or record audio, and/or take photos during work placement. These materials are required for the assessments. The student is also required to complete a training logbook.
These materials could involve the student, staff members of the workplace, clients, clients’ animals, and other relevant people involved in the activities of the workplace.

In some cases a TAFE NSW assessor may be available to come to the workplace and directly observe the student's practical skills.
Please note:
These materials will only be used for the purposes of assessment in the Certificate IV in Veterinary Nursing at TAFE NSW.  
The student is required to maintain confidentiality of the workplace and client details as provided in Student Code of Conduct. The student will retain these materials for study purposes only. 
TAFE NSW will retain these materials for audit purposes only. 

SECTION E: WHS risk assessment
Work health and safety management
Induction and training
Please list risks to the student:
Risk level How will these be controlled?  
Low Medium High if Medium or High
 
 
 
 
 
 
 
 
 
 
WHS risks have been assessed and managed in conformity with the Work Health and Safety Act 2011 (NSW)
Sign Here
clear