Pass or Referral Section comments (optional): Verification comments (optional): / 100 TOTAL MARKS Quality Assurance Use Assessor’s Decision Signature of Assessor: Signature of QA: Outcome (delete as applicable): Outcome (delete as applicable): PASS / REFERRAL PASS / REFERRAL Date: Date of QA check:
Pass or Referral Section comments (optional): Verification comments (optional): / 100 TOTAL MARKS Assessor’s Decision Quality Assurance Use Outcome (delete as applicable): PASS / REFERRAL Signature of Assessor: Date: Outcome (delete as applicable): PASS / REFERRAL Signature of QA: Date of QA check: