SITUATIONAL ASSESSMENT SUMMARY FORM



SITUATIONAL ASSESSMENT SUMMARY FORM

1. Did the student appear to enjoy this type of work activity?

Yes_____ No_____

- Student communicated interest / preference

- Student’s behavior indicated preference(i.e. willingness to participate, interest in task / materials, smiles, keeps working)

2. Did any of the following environmental conditions seem to be a problem / challenge?

|Environmental Condition |Yes |No |Comments |

|Temperature | | | |

|Lighting | | | |

|Noise | | | |

|Commotion/Activity | | | |

|Physical Requirements | | | |

|Physical Positioning (sitting, | | | |

|standing, etc.) | | | |

|Other | | | |

3. Was the student able to follow the sequence in that particular job?

Yes_____ No_____

(Use the attached TASK ANALYSIS to sequence job duties and / or information provided by Vertek? DOT codes to determine which skills are to be assessed specific students’ vocational choice.)

4. What kind of instructional techniques )prompts, error correction, reinforcement strategies) seemed to be effective?

______________________________________________________________________________________________________________

5. What type of environmental adaptations might be needed on a similar job?

______________________________________________________________________________________________________________

6. Implications of hearing loss relative to this vocational area:

______________________________________________________________________________________________________________

Suggested strategies and modifications:

______________________________________________________________________________________________________________

7. Implications of vision loss relative to this vocational area:

______________________________________________________________________________________________________________

Suggested strategies and modifications:

______________________________________________________________________________________________________________

GENERAL WORK SKILLS AND BEHAVIORS TO BE ASSESSED DURING EVALUATION AND CARRIED INTO SUBSEQUENT TRAINING PERIODS UNTIL STUDENT IS DETERMINED TO BE JOB READY.

SUCH SKILLS TO BE EVALUATED INCLUDE:

|Work Skills/Behaviors |Unable to Assess |With Assistance |Always |Sometimes |Never |

|Reports in and out on time clock or | | | | | |

|documents time worked | | | | | |

|Follows a daily work schedule | | | | | |

|Is attentive for periods of 15, 30, 45, | | | | | |

|60 or more minutes | | | | | |

|Able to care for equipment and materials | | | | | |

|Able to seek assistance if having | | | | | |

|difficulty | | | | | |

|Able to perform tasks without unnecessary| | | | | |

|interruptions | | | | | |

|Good grooming and appearance | | | | | |

|Has adequate physical strength and work | | | | | |

|tolerance | | | | | |

|Willingness to accept assistance | | | | | |

|Works independently | | | | | |

|Appropriate responses to stress | | | | | |

|situations | | | | | |

|Can take problems to correct person | | | | | |

|Able to maintain consistent productivity | | | | | |

|Is willing to give assistance to others | | | | | |

|Can work carefully and pay attention to | | | | | |

|quality | | | | | |

|Work Skills/Behaviors |Unable to Assess |With Assistance |Always |Sometimes |Never |

|Accepts changes in work assignments | | | | | |

|Transfers learned skills to new work | | | | | |

|situation | | | | | |

|Can work with intermittent supervision | | | | | |

|When faced with a problem is able to | | | | | |

|control self | | | | | |

|Is willing to face challenging work | | | | | |

|Displays self motivation | | | | | |

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