CONFIDENTIAL

UNIVERSITY SUPERVISOR

Students Name

ID No.

Program

Organization

University Supervisor

Duration of Training

Date of Visit

Note: Please return this form together with the Industrial Supervisors evaluation
form to the Industrial Training Coordinator after the Industrial Training visit.

Dr Jaya Vejayan / Dr Shamsul Bin Zakaria / Dr Ahmad Salihin

Industrial Training Coordinator
Faculty of Industrial Sciences & Technology
Universiti Malaysia Pahang
Lebuhraya Tun Razak, 26300
Gambang, Kuantan, Pahang
 FORM A OVERALL MARK

Industrial Training (BSB4608/BSK4608/BSP4608)

Performance (70%)

B. University Supervisor (20%)

C. Industrial Supervisor (50%) .

Log Book (30%)

D1. Industrial Supervisor Assessment (15%) .......

D2. University Supervisor Assessment (15%) .

Overall Mark (100%)

Industrial Training Report (BSB4614/BSK4614/BSP4614)

E. Industrial Training Report Assessment (70%) ....

F. Industrial Training Presentation Assessment (30%) ....

Overall Mark (100%) .

I, hereby certify that this student:

Name: ...
Signature & Official Stamp

ID No: ...

PASS / FAIL Industrial Training

(BSB4608/BSK4608/BSP4608)
and
PASS / FAIL Industrial Training Report
(BSB4614/BSK4614/BSP4614)

FORM_A/3/2016
 FORM B STUDENTS PERFORMANCE (UNIVERSITY SUPERVISOR) (20%)

Instruction:
Supervisor is required to select (/) any related box by using the following scales:

1= Unsatisfactory 4= Good
2= Less Satisfactory 5= Very Good
3= Satisfactory
(Assessment is conducted based on interview session with the student)

Section A (Management System) 1 2 3 4 5

A.1 Organization Chart, Objective/Function and Training Plan
Student understands the structure, objective and function of the
organization. Student conformed appropriately to the training plan
prepared (Gantt Chart).

Section B (Technical) 1 2 3 4 5

B.1 Technical Skills and Risk Managements

Student showed technical skills learned by explaining the
appropriate handling or/and risk of tools/procedures used.

Section C (Task Implementation and Problem Solving) 1 2 3 4 5

Clearly understood the job scope to execute the task given
C.1 according to work schedule and shown capability to generate ideas
or solve problem to meet datelines.

Section D (Personal Skills) 1 2 3 4 5

Overall capabilities to adapt to working environment i.e good
D.1 formal as well as informal communication skills and always self-
disciplined (time management, attire, attendance etc)

TOTAL MARK FOR STUDENTS PERFORMANCE / 20

FORM_B/4/2015
 FORM D LOG BOOK ASSESSMENT (UNIVERSITY SUPERVISOR) (15%)

Instruction:
Supervisor is required to select (/) any related box by using the following scales:

1= Unsatisfactory 3= Satisfactory 5= Very Good

2= Less Satisfactory 4= Good

1 2 3 4 5

A.1 Daily Detail Report:

Able to plan activities/tasks sufficiently and to write them into
detail daily report in continuous and consistent manners.

A.2 Summary of Activities and Training Plan:

Able to write a weekly summary of activities and approved by
industrial supervisor.

A.3 Improvement and Initiative:

Able to improve based on written recommendations by industrial
supervisor. Additionally shown initiative to perform tasks and
solve problems independently.

TOTAL MARKS FOR LOG BOOK ASSESSMENT / 15

FORM_D/4/2015
 FORM E INDUSTRIAL TRAINING REPORT ASSESSMENT (UNIVERSITY SUPERVISOR)
(70%)

Instruction:
Supervisor is required to select (/) any related box by using the following scales:

1= Unsatisfactory 3= Satisfactory 5= Very Good

2= Less Satisfactory 4= Good

Section A (Introduction - 10%) 1 2 3 4 5

A.1 Personal Impact:
Student reflected on his/her personal experiences in a section
dedicated to personal impact.

A.2 Organizations Background:

Clear and detail description of the organizations background
including management, administrative, organizational chart, etc.

Section B (Training Scope - 10%) 1 2 3 4 5

B.1 Training Schedule:
Training schedule is well planned and appropriate to be followed
by student (Refer to Industrial Training Schedule).

B.2 Summary of Activities:

Summary of activities are clearly described and accordance to the
training schedule.

Section C (Training Content - 20%) 1 2 3 4 5

C.1 Task/activity Report:
Detail and sufficient report on activities and tasks.

C.2 Usage of Picture/Figure/Table:

Student uses appropriate diagram to support his/her explanation.

C.3 Appendix:
Student attach appropriate additional document.

C.4 Comprehensive Report:

Overall reports are comprehensive and detail.

Section D (Recommendation and Conclusion - 10%) 1 2 3 4 5

D.1 Recommendation:
Students recommendations are logical and useful for future
improvement.

D.2 Conclusion:
Conclusion is comprehensive and easy to understand.

FORM_E/4/2016
Section E (Overall Report Quality - 20%) 1 2 3 4 5
E.1 Writing Skills:
No grammar, spelling or typo errors visible.

E.2 Timely submission of report:

Student met the dateline set by University supervisor.

E.3 Acknowledgement:
Student provided appropriate acknowledgment to all parties
concerned.

E.4 Format:
Report is in accordance to format as described in the
Industrial Training Guideline.

TOTAL MARK OF REPORT ASSESSMENT / 70

FORM_E/4/2016
FORM F INDUSTRIAL TRAINING PRESENTATION ASSESSMENT (UNIVERSITY
SUPERVISOR) (30%)

Instruction:
Supervisor is required to select (/) any related box by using the following scales:

1= Unsatisfactory 3= Satisfactory 5= Very Good

2= Less Satisfactory 4= Good

Section A (Presentation Content - 5%) 1 2 3 4 5

A.1 Format:
Includes introduction, training scope, training contents,
recommendations and conclusion.

Section B (Presentation Style - 15%) 1 2 3 4 5

B.1 Appearance:
Student appears in a formal dress, discipline and professional.

B.2 Clarity:
Student uses simple, clear and proper language.

B3 Time Management:
Student delivers his/her presentation in a timely manner.

Section C (Question & Answer - 5%) 1 2 3 4 5

C.1 Students Understanding:
Student understood clearly the questions asked. He/She answers
clearly and correctly.

Section D (Overall Quality - 5%) 1 2 3 4 5

D.1 Relatedness to Report and Overall:
Students presentation is aligned to content of report
provided and overall met the objectives of Industrial
Training.

PRESENTATION ASSESSMENT MARK / 30

FORM_F/4/2016
Overall comments from University Supervisor (if any)

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Signature : ..

Supervisor Name : ..

Date : ..

Position & Official Stamp : ..