Observation of Competency Form

Observation Details

Employee Name

Job Role

Observer Name

Date of Observation

Competency Being Observed

Location

Length of Observation

Linked Standard / Training

Rate each competency criterion as Competent (C), Needs Improvement (NI), or Not Competent (NC). Record evidence and feedback.

Competency Criterion	Rating	Evidence Observed	Feedback / Development Needs
Followed correct procedure for the task
Demonstrated safe practice throughout
Communicated effectively with the individual
Obtained valid consent before proceeding
Maintained dignity, privacy, and respect
Used equipment correctly and safely
Completed required documentation accurately
Responded appropriately to unexpected situations
Applied infection prevention and control measures
Demonstrated person-centred approach

Describe what was observed from start to finish

What was done well?

What could be improved?

Any concerns or actions arising from this observation?

Agreed action plan and next steps

Re-observation Date (if applicable)

Supervision Required