Xuseen Evaluation Form 2013

UNIVERSITI SELANGOR
Industrial Training Unit

Faculty of Engineering
UNISEL Bestari Jaya Campus
Jalan Timur Tambahan, Batang Berjuntai
45600 Kuala Selangor, Selangor Darul Ehsan
FK/KFS3236/LI-A
INDUSTRIAL TRAINING INFORMATION FORM (Report on Duty)

To be completed by Student & Company Supervisor, and submitted to BCI on the first week of LI.
Student Information
Name :
Programme:
Matric No. :
Commencement Date of LI :
Completion Date of LI:
Corresponding Address While Undergoing LI:

Tel. No.:
E-mail :
Company/Organization Information
Company/Organization Name :
Company/Organization Address :
C
Companys Nature of Business:
Manufacturing/ Production
Sales & Marketing
Construction
Research and Development (R&D)
Consultancy
Services & Maintenance
Others (please specify) ______________________________________
Company Supervisor :
Designation of Supervisor :
E-mail :
Tel. No. :
Fax No. :
Training Information
Department (in which the student is placed):
Name and Description of Project/ Task (enclose attachment if necessary) :

Allowance (if any) :
Company Supervisors Signature and Official Stamp:
________________________________________
Date:__________________
Center for Business, Consultancy & Industrial Linkages (BCI), Universiti Selangor
Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor Darul Ehsan
Tel: 03-5522 3511 Fax: 03-5522 3441 Email: bci@unisel.edu.my
UNIVERSITI SELANGOR
FK/KFS3236/LI-B
ACADEMIC SUPERVISORS PROGRESS CHECKLIST (Academic Semester ________________)

To be completed by the Academic Supervisor and submitted to the Division LI Representative at the end of the semester.
Academic Supervisor Information

Name:
Division :
Student Information
Name :
Programme :
Company :
Date of Commencement :
Date of Completion :
No.
Subject
Note
1.
Ensure that you receive a copy of Student LI Information Form

(Report on Duty) from Divisions Representative
First 3 weeks of
LI
2.
Contact the student under your supervision to confirm the

details regarding the LI (company name, address, company
First 3 weeks of
LI
Date
supervisor, contact details, commencement date, completion date, etc.)
3.
Contact the company and set up the date for LI visit
4.
The required forms while visiting:
5.
6.
7.
8.
4 weeks prior
to completion
of LI
Date of Visit:
i) Presentation Evaluation Form (for academic and company

supervisor)
ii) Company Supervisors Evaluation Form (to be handed to
Company Supervisor)
While visiting
Ensure that you receive Company Supervisor Evaluation Form

from the Company Supervisor
1 week after
completion of
LI
Ensure that the student submits the Log Book and LI Final
Report
2 weeks after
completion of
LI
______________
2 weeks after
completion of
LI
Date of
Submission:
Complete the following forms and submit to the Divisions LI

Representative:
i) Company Supervisors Evaluation Form - FK/KFS3236/LI-D
ii) Training Report Evaluation Form - FK/KFS3236/LI-E
iii) Log Book Evaluation Form - FK/KFS3236/LI-F
iv) Visit Presentation Evaluation Form FK/KFS3236/LI-G
v) Mark Summary of LI Evaluation - FK/KFS3236/LI-H
Submit this form (FK/KFS3236/LI-B) to the Divisions
Representatives
______________
While visiting
Date Received:
______________
Date Received:
2 weeks after
completion of
LI
UNIVERSITI SELANGOR
FK/KFS3236/LI-C
STUDENTS PROGRESS CHECKLIST

Student Information
Name:
Programme:
Company :
No.
Subject
Note
1.
Hand over the Report on Duty Form (FK/KFS3236/LI-A) to

Company Supervisor.
First day of LI
Date
First Day of LI:
______________
2.
Contact your Academic Supervisor to confirm the company

name, address, company supervisor, contact details,
commencement date, completion date, etc.
Second week of
LI
3.
Update Log Book on daily basis
Throughout LI
4.
Have your Log Book checked and verified by Company

Supervisor on weekly basis
Throughout LI
5.
Contact your Academic Supervisor to ensure that a date is

fixed for Academic Supervisors LI Visit & Presentation
4 weeks prior
to completion
of LI
6.
Ensure that your Log Book is reviewed by Academic Supervisor

during Academic Supervisors LI Visit
During LI Visit
Date:
______________
Date of Visit:
______________
7.
Submit the following:

i)
Log Book to Academic Supervisor
ii) LI Final Report to Academic Supervisor (one copy)
iii) LI Final Report to Company Supervisor (one copy)
2 weeks after
completion of
LI
Date of
Submission:
UNIVERSITI SELANGOR
Tel : 03-55223511
FK/KFS3236/LI-D
COMPANY SUPERVISORS EVALUATION FORM

To be completed by the Company Supervisor and submitted to the Academic Supervisor by the final week of the Industrial Training.
(Note: The total mark represents 40% of students overall performance.)
ACADEMIC SEMESTER: ___________________________________
Company Supervisor Information

Student Name & Matric No. :
Company Supervisor Name :
Designation / Department :
Topic
(Weight)
Problem Solving
Skills
Company Name :
Poor
(0)
Hardly to identify
problems.
(1)
Average
(1)
Able to identify
problems at surface
level but unable to
produce ideas to
resolve the
problems.
Good
(2)
Able to identify
problems with
evident of critical
thought to resolve
problems.
Excellent
(3)
Points
Able to identify
problems with
evident of critical
thought to resolve
problems and display
capabilities to solve.
Total Points for PLO 3
Managerial Skill
(1)
Entrepreneurial
Difficulties to
manage all resources
and given tasks
within time frame
Able to manage
related resources to
solve technical
problem and given
tasks within time
frame
Able to manage
related resources
systematically to
solve technical
problem and given
tasks within time
frame
Able to manage
related resources
systematically to
solve technical
problem and given
tasks prior to the
time frame
No consideration of
financial perspective
in solutions
Taking consideration
of financial
perspective in
solutions
of financial
perspective in
solutions with proper
analysis
of financial
perspective in
solutions with cost
effective.
(1)
Team Work
Performance
(1)
Unable to contribute
any duties as a team
member
Able to give some

contribution as a
team member
Able to contribute
effectively as a team
member
Able to contribute
effectively as a team
member and also
inspire other team
members
Page 1 of 4
/3
/6
Leadership
(1)
Unable to contribute
ideas, making
decision and
demonstrate
responsibilities
Able to contribute
some ideas, making
some decision and
demonstrate few
responsibilities
Able to contribute
various ideas,
making most decision
and demonstrate
high responsibilities
Able to contribute
innovative ideas,
making most decision
and demonstrate
responsibilities with
high confidence
Communication
skills
(1)
Poor oral and written

skills;
Poor organization of
presentations with
unclear main points
and conclusions;
Somewhat
developed oral and
written skills;
Presentations are
slightly organized but
not always effective;
Good oral and

written skills;
well organized
presentations ;
Excellent oral and

written skills;
Excellent written
documents;
and creative slides
presentations:
Handling Tools
(1)
Lack of knowledge of
the engineering tools
procedure and
requires help from
others for basic
operation
Results are
incomplete,
inaccurate and very
imprecise
Data Interpretation Observations are
incomplete or not
(2)
included
Demonstrates few
knowledge of tools
procedure and able
to operate with help
from others
Demonstrates tools
procedures
independently and
discuss with peers to
solve technical
problems
Expertly
demonstrates of the
tools procedures and
gladly helps others to
solve technical
problems
Some results are not

correct and
imprecise.
Observations are
incomplete or
unorganized
recorded
Data results are

accurate with
reasonable precision
Observations are
thorough
Work is generally
neat and organized
Results are accurate.

Observations are
very thorough and
may overcome
possible errors in
data collection
Work is neat and
organized
Includes appropriate
symbols, units and
significant digits
Ethical issues
&
Professional
behaviour
No understanding
knowledge of ethical
or professional
issues.
Few understanding
knowledge of
professional and
ethical issues.
(1)
Good understanding
knowledge of all
important
professional and
ethical issues related
to various practices
and decisions.
Initiative
(1)
Explores a topic at a
surface level,
Learning Curiosity providing little insight
and/or information
beyond the very
(2)
basic facts indicating
low interest in the
related field.
/3
/9
Deep understanding
of professional
issues involved and
the ethical
implication of norm
engineering practice
Completes required
work but unable to
identify opportunities
to expand
knowledge, skills and
abilities.
/6
Completes required
work and identifies
opportunities to
expand knowledge,
skills and abilities.
Completes required
work, identifies and
pursues opportunities
to expand
knowledge, skills and
abilities.
Completes required
work, pursues and
grab opportunities to
expand knowledge,
skills and abilities.
Explores a topic with

some evidence of
depth, providing
occasional insight
and/or information
indicating mild
interest in the related
field.
Explores a topic in
depth, yielding
insight and/or
information
indicating interest in
the related field.
Explores a topic in
depth yielding a rich
awareness and/or
little known
information
indicating
intense interest in
the related field.
Page 2 of 4
/3
/9
OVERALL
PERFORMANCE
Poor
Average
Good
Excellent
POINTS
REQUIRED
08
918
1928
2939
TOTAL
/ 39
Comments:
----------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------- ---------------------------------------Company Supervisors Signature & Official Stamp:
_______________________________
Date: ______________________________
Page 3 of 4
COMPANYS FEEDBACK
Please fill the following for analysis purpose
PART A: Scope of Training
Type of training underwent by the student:
R&D
Technical Sales
Production/ Manufacturing
Consultancy
Design and Fabrication
Other (please specify) :
Service and Maintenance
______________________
Quality Assurance/ Control
PART B : Importance of skills/ qualities for recruitment

Instruction: Please assess the importance of future applicants skills/qualities for recruitment in your company
1
2
3
4
5
Not Important at All

Not Important
Average
Important
Very Important
i)
Technical knowledge (theory and hands-on)
ii)
Current GPA (3.0 or better)
iii)
IT/ Computer skills (usage and interpretation)
iv)
English language proficiency
v)
Communication skills (verbal and written)
vi)
Interpersonal skills
vii)
Leadership skills
viii) Team working skills

ix)
Problem solving skills
x)
Decision making skills
xi)
Competent and multi-tasking skill
xii)
Entrepreneurial skills/ risk taker
xiii) Good work ethics/ professionalism

xiv) Motivation/ Initiative/ Creative
xv)
Flexibility/ Adaptability
xvi) Self-confidence
Page 4 of 4
UNIVERSITI SELANGOR
FK/KFS3236/LI-E
INDUSTRIAL TRAINING REPORT EVALUATION FORM

To be completed by the Academic Supervisor and submitted to the Division LI Representative 2 weeks after the completion of LI.
(Note: The total mark represents 30% of students overall performance)

Academic Supervisor Name :
Topic
(Weight)
Poor
(0)
Problem
Identification
& Solution
The problem has not

been recognized.
The outcome
replicate that no
solution has been
developed.
The problem has

been recognized
without any
recommendation
ideas of solutions.
Some problem has

been clearly
recognized but
capable to provide
little ideas to solve
the problems.
All problems are

encountered and
exist with supporting
factual evidence.
Include criticized
ideas to overcome
the problems.
There is no solution
has been stated
along with no
consideration at all
to meet needs.
Solution has been

stated but probably
not appropriate to
meet needs.
Solution has been

stated but probably
not appropriate
although taking
needs into
consideration.
Appropriate solution
has been clearly
stated as well as
taking needs into
consideration.
(1)
Solution
Consideration
(2)
Average
(1)
Good
(2)
Excellent
(3)
Points
Format
&
Content
Not proper format

Incomplete and
irrelevant important
contents. No
diagram at all.
Follow less than half

of the required
format. Contents are
not in proper order
and everything is
jumble up. No label
for diagram.
Use most of the

required format.
Report is in
sequence, but
difficult to
understand. Most
diagrams are
labeled.
Contents of report
are complete, well
written and easy to
understand with help
of labeling diagram
and properly in
sequence.
Does not meet to the

technical writing
standard.
Meet technical
writing standard but
contains spelling
errors, unclear,
incorrect and
unsuitable terms
Meet technical
writing standard and
terms used are
clear, correct and
suitable.
Meet technical
writing standard with
terms used are
clear, correct and
suitable. Well written
and neatly organized
(2)
Language &
Spelling
(2)
/9
/ 12
Page 1 of 2
Result
Interpretation
(2)
No results to show
or results are
incomplete and
inaccurate, No
observation or
analysis has been
made.
Some results are not

correct and
imprecise.
Observations are
incomplete or too
simple
Most results are

accurate with
reasonable precision
Results have been
interpreted and
observed with
analysis support.
All results are clearly

accurate. Every
observation is very
thorough with
analysis. Provide
concrete conclusion
and suggestion.
/6
Handling Tools
No information
related to latest
engineering tools
and procedures.
(1)
Few information
about related
engineering tools
and procedures
been used in
internship.
Provide
comprehensive
information about
related engineering
tools and procedures
been used with
diagram (flowchart
etc.)
Most of the
engineering tools
and procedures are
related and up to
date. All diagrams
clearly shown to
support related
technical information
/3

OVERALL
PERFORMANCE
Poor
Average
Good
Excellent
POINTS
REQUIRED
06
715
1623
2430
TOTAL
/ 30
Comments:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------Academic Supervisors Signature & Official Stamp:
__________________________________
Date: ______________________________
Page 2 of 2
UNIVERSITI SELANGOR
FK/KFS3236/LI-F
LOG BOOK EVALUATION FORM


Academic Supervisor Name :
Topic
(Weight)
Poor
(0)
Problem
Identification &
Solution
The problem has not

been recognized.
The outcome
replicate that no
solution has been
developed.
(1)
Average
(1)
The problem has

been recognized
without any
recommendation
ideas of solutions.
Good
(2)
Some problem has

been clearly
recognized but
capable to provide
little ideas to solve
the problems.
Excellent
(3)
Points
All problems are

encountered and
exist with supporting
factual evidence.
Include criticized
ideas to overcome
the problems.
Content
Arrangement
Irrelevant contents.
Relevant contents
but no apparent
order, Jumble up.
Report is in
sequence, but
difficult to
understand
Contents of report
are following in
sequence and easy
to understand.
Does not meet to the

technical writing
standard.
Meet technical
writing standard but
contains spelling
errors, unclear,
incorrect and
unsuitable terms
Meet technical
writing standard and
terms used are
clear, correct and
suitable.
Meet technical
writing standard with
terms used are
clear, correct and
suitable. Well written
and neatly organized
(1)
Use of language
(1)
Work progress;
Reporting daily
activities
throughout
industrial training
session
(1)
No information of
daily activities are
reported. The
consequence
reflected that
industrial training job
is not carried out.
Few information
related to the daily
activities are
reported. Some
important
information is not
included.
Most important
activities information
are reported
At ease with content
and able to
elaborate and
explain to some
degree.
/3
/6
All detailed activities

information is
reported and the
report contents
(such as diagrams,
flowcharts, circuit
and etc..) replicates
all the job training
has been
accomplish
throughout the
industrial training.
Page 1 of 2
Reported daily
activities
verification
(1)
No verification /
approval on reported
activities acquire
from the
organization
supervisor.
Few verification /
approval on daily
activities acquire
from the
organization
supervisor
Most of the reported

activities acquire
verification /
approval on daily
activities from the
organization
supervisor
All of the reported

activities acquire
verification /
approval from the
organization
supervisor

OVERALL
PERFORMANCE
Poor
Average
Good
Excellent
POINTS
REQUIRED
03
48
912
1315
/6
TOTAL
/ 15
Comments:
----------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------- -------------------------Academic Supervisors Signature & Official Stamp:
__________________________________
Date: ______________________________
Page 2 of 2
UNIVERSITI SELANGOR
FK/KFS3236/LI-G
VISIT PRESENTATION EVALUATION FORM
To be completed by the Academic Supervisor and Company Supervisor during Academic Visit.

Student Information
Student Name :
Matric No.:
Academic / Company Supervisor :
Topic
(Weight)
Organization
&
Structure
(1)
Content
&
Knowledge
(2)
Unacceptable
(0)
Q & A Session
(2)
Exceptional
(3)
Points
Difficult to follow
presentation due to
erratic topical shifts
and jumps.
Most information is
presented in logical
order which is easy
to follow.
All information is
presented in a
logical, interesting
and novel sequence,
which is easily
followed.
No information
related to the topic.
Unable to elaborate
and explain about
subject matter
Lack information
related to the topic.
Some important
information is
missing.
All important
information stated.
At ease with content
and able to
elaborate and
explain to some
degree.
Demonstration of
full knowledge of the
subject with
explanations and
elaboration
No visual aids.
Occasional use of
visual aids, however
they barely support
text or presentation.
Visual aids are

related to text and
presentation.
Text and
presentation are
reinforced by the use
of visual aids.
(1)
(2)
Acceptable
(2)
Not possible to
understand
presentation due to
absence of
structure.
Visual Aids
&
Neatness
Delivery
&
Speaking Skills
Marginal
(1)
Several misspellings
and/or grammatical
errors on slides.
Minor misspellings
and/or grammatical
errors.
/3
/6
/3
Negligible
misspellings and/or
grammatical errors.
Significant
mumbling and
incorrect
pronunciation of
terms. Voice level
too low or too high.
Occasional
mispronunciation of
terms.
Voice is clear and at

a proper level. Most
words pronounced
correctly.
Clear voice and

correct, precise
pronunciation of
terms.
No eye contact, rate

of speech too fast or
too slow
Little eye contact,

uneven rate, only
little expression
Some eye contact,

steady rate,
excessively
rehearsed
Good eye contact,

steady rate,
enthusiasm,
confidence
/6
Unable to answer
questions about the
subject.
Capable only of
answering
rudimentary
questions
Able to answer and

explain to some
degree.
Able to answer the

question with full
knowledge of the
subject with
/6
/6
Page 1 of 2
explanations and
elaborations
OVERALL
PERFORMANCE
Unacceptable
Marginal
Acceptable
Exceptional
POINTS
REQUIRED
05
613
1424
2530
TOTAL
/30
Total Points for PLO9
/15
Comments:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------
Academic / Company Supervisors Signature:
______________________________
Visit Date:
Company Supervisor Official Stamp :

*should be stamped by company for Visit Verification
Page 2 of 2
UNIVERSITI SELANGOR
FK/KFS3236/LI-H
MARK SUMMARY OF INDUSTRIAL TRAINING


Student Information
Name :
Matric No.:
Academic Supervisor :
Company/Organization Information
Company/Organization Name:
Company/Organization Address:
Total
Marks
PLOs
Assessment Forms
PLO
3
Company
Supervisors
Evaluation
Training
Report
Evaluation
Log Book
Evaluation
/3
PLO
7
PLO
8
/6
/6
PLO
10
/3
/9
/9
/12
/6
/3
/6
Visit
Presentation
Evaluation
Total
PLOs
PLO
9
PLO
11
/3
PLO
12
/9
/39
/3
/30
/6
/15
/15
/15
/6
/6
/36
/15
/15
/9
/12
/99
Grand Total
/100
Academic Supervisors Signature & Official Stamp:
__________________________________
Date :
Page 1 of 2
STUDENT:____________________________________
Matric No.:__________________
Please fill the following for analysis purpose
1.
Will the company offered an internship for future training session?

Yes
2.
No
Based on your observation and information acquired during LI Visit and students report, is the company
suitable for the facultys Industrial Training Programme?
(Take into consideration the working environment, working culture, training offered to the student, etc.)
Yes
No
If NO, please specify why: _______________________________________________
Page 2 of 2

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UNIVERSITI SELANGOR

Industrial Training Unit

INDUSTRIAL TRAINING INFORMATION FORM (Report on Duty)

Completion Date of LI:

Corresponding Address While Undergoing LI:

Companys Nature of Business:

Sales & Marketing

Research and Development (R&D)

Services & Maintenance

Others (please specify) ______________________________________

Name and Description of Project/ Task (enclose attachment if necessary) :

ACADEMIC SUPERVISORS PROGRESS CHECKLIST (Academic Semester ________________)

Academic Supervisor Information

Ensure that you receive a copy of Student LI Information Form

Contact the student under your supervision to confirm the

supervisor, contact details, commencement date, completion date, etc.)

Contact the company and set up the date for LI visit

The required forms while visiting:

i) Presentation Evaluation Form (for academic and company

Ensure that you receive Company Supervisor Evaluation Form

Complete the following forms and submit to the Divisions LI

STUDENTS PROGRESS CHECKLIST

Hand over the Report on Duty Form (FK/KFS3236/LI-A) to

Contact your Academic Supervisor to confirm the company

Update Log Book on daily basis

Have your Log Book checked and verified by Company

Contact your Academic Supervisor to ensure that a date is

Ensure that your Log Book is reviewed by Academic Supervisor

Submit the following:

COMPANY SUPERVISORS EVALUATION FORM

ACADEMIC SEMESTER: ___________________________________

Company Supervisor Information

Total Points for PLO 7

Able to give some

Total Points for PLO 8

Poor oral and written

Good oral and

Excellent oral and

Some results are not

Data results are

Results are accurate.

Total Points for PLO 10

Total Points for PLO 11

Explores a topic with

Total Points for PLO 12

Design and Fabrication

Other (please specify) :

Service and Maintenance

Quality Assurance/ Control

PART B : Importance of skills/ qualities for recruitment

Not Important at All

Technical knowledge (theory and hands-on)

Current GPA (3.0 or better)

IT/ Computer skills (usage and interpretation)

English language proficiency

Communication skills (verbal and written)

viii) Team working skills

Problem solving skills

Decision making skills

Competent and multi-tasking skill

Entrepreneurial skills/ risk taker

xiii) Good work ethics/ professionalism

INDUSTRIAL TRAINING REPORT EVALUATION FORM