nebosh igc 3 student declaration
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 i.e. the completed observation sheets and the report to management, is my own work. I recognize 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
______/______/________
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 recognize that contravention of this statement constitute malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.
Name (Print) _________________________________
Signature
_________________________________
Date
______/______/________
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 recognize 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
______/______/________
NB: This declaration must be completed in full, submitted and retained with the candidate’s script. If this declaration is not submitted the candidate’s result may be declared void.
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Candidate and course provider declarations:
For completion by the candidate:
I declare that the work submitted for this practical application assessment i.e. the completed observation sheets and the report to management, is my own work. I recognize 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
______/______/________
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 recognize that contravention of this statement constitute malpractice and may result in my being subject to the penalties set out in the NEBOSH Malpractice policy.
Name (Print) _________________________________
Signature
_________________________________
Date
______/______/________
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 recognize 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
______/______/________
NB: This declaration must be completed in full, submitted and retained with the candidate’s script. If this declaration is not submitted the candidate’s result may be declared void.
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