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| DOE-HDBK-1201-97
APPENDIX A
EXAMPLE 3
Simulator Instructor Observation
LESSON TITLE:
DATE:
INSTRUCTOR:
LENGTH OF OBSERVATION:
OBSERVED BY:
DATE:
REVIEWED BY:
DATE:
Instructions: Below is a list of competency statements that simulator instructors should use
to contribute to the learning process. Read each statement and evaluate the instructor's
performance by circling the appropriate rating next to the statement. Written comments for
all ratings are encouraged. Comments are required for "unsatisfactory" and "needs
improvement" ratings. Space is available to the right of each rating.
EXPLANATION OF RATINGS
0
Not Observed
Activity not observed by the evaluator
1
Unsatisfactory
Failed to perform the required activity
2
Needs Improvement
Performed most essential activities properly
3
Satisfactory
Performed all essential activities properly
4
Above Average
Performed all requirements and exceeds on several
5
Outstanding
Consistently exceeded requirements
CONDUCT OF TRAINING
COMMENTS
1.
The objectives were clearly stated.
0
1
2
3
4
5
2.
The simulator was set up properly.
0
1
2
3
4
5
A-17
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