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    C4 Risk Management Group Ltd

    MANAGE

    PERSONALFITNESSUnit Standard 505

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    National Certificate in Security Level 2 [Version 7]

    PRE-ASSESSMENT AGREEMENT

    Trainee Name

    Trainee NSN [NZQA] Number

    [Please ensure trainee has this number]

    Assessor Name

    Assessor Contact Details

    [Phone or email to contact you for support]

    Assessment Date Time Evidence

    Re-assessment Date Time Evidence

    Pre-assessment statement Assessor to initial

    Health and safety considerations have been met

    Any special needs of the trainee have been accommodated

    The requirements of the special notes in the unit standard have been met

    Trainee Signature

    Date this Pre-Assessment

    Agreement was discussed and

    signed

    Assessor Signature Assessor number

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    PURPOSE OF THIS UNIT STANDARD

    This unit standard is intended for people who wish to be physically active and manage their own general

    fitness levels with guidance, if required. This may be for healthy living, or to meet job related or other

    physical activity requirements. People credited with this unit standard are able to, with guidance:

    assess personal levels of physical fitness using reliable techniques; develop and

    produce a personal exercise plan based on results of personal fitness assessment;

    implement the personal exercise plan

    measure progress in relation to goals.

    Special notes

    It is recommended that all candidates complete a basic health screen or questionnaire, such as the Physical

    Activity Readiness Questionnaire (PAR-Q), prior to beginning training for assessment against this unit

    standard. If the screening results indicate the need, candidates should obtain a written medical clearance

    before beginning any physical activity.

    Candidates may be provided with guidance and/or assistance when conducting fitness tests, and developing

    and implementing a personal exercise plan, from qualified people such as physical education teachers,

    sports coaches, gym instructors and/or fitness trainers.

    DEFINITIONS

    Aerobic capacity or cardiovascular endurance refers to the ability of an individual to keep performing physical

    movements involving the whole body for extended periods of time, where the primary source of energy

    production is aerobic respiration.

    Flexibilityrefers to the range of motion around a joint.

    Muscular strength refers to the maximum force an individual is able to exert on or against a given resistance.

    Muscular endurance refers to the ability of the muscles, or a group of muscles, to keep working against a

    resistance.

    Using reliable techniques involves correctly following standard fitness testing protocols to ensure the fitness

    tests can be reproduced in exactly the same way and under the exactly the same conditions.

    The general principles of training are specificity, progression, frequency, intensity, duration, regularity,

    reversibility, individuality, warm up and cool down.

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    National Certificate in Security Level 2 [Version 7]

    YOU MUST PROVE YOU KNOW AND ARE ABLE TO:

    1. Conduct a personal assessment of your current levels of fitness, with help from a fitness

    professional, using reliable methods.

    2. You will need to complete a questionnaire asking questions about your general health.

    3. You have to develop and produce a personal exercise plan, with help from a fitness professional,

    based on your results of your personal fitness assessment

    4. Implement your personal assessment plan, with the help from a fitness professional, and measure

    your results over a four week period

    Complete all sections of this Trainee Assessment Workbook using the accompanying Trainee Information

    Workbook.

    Once you have completed this entire assessment workbook, you should arrange with your workplace

    assessor to go through your answers.

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    EVIDENCE YOU WILL NEED TO COMPLETE AND COLLECT

    This evidence will be given to your assessor before, or on the day of your assessment.

    With training and guidance you will develop the skills and knowledge to help you finish these five tasks.

    Task 1 Workplace documents

    Complete the Physical Activity Readiness Questionnaire [PAR-Q].

    Once you have completed this questionnaire, make sure it is attached to this workbook for evidence.

    If you require a medical clearance, or have indicated No to any of the questions, make sure you develop a

    plan with the help of a medical professional. They should also see a copy of the questionnaire as well

    Task 2 Personal fitness assessment

    You have to complete a series of personal fitness tests to see what your level of fitness is and the results

    recorded.

    Complete the tests in this workbook that covers cardiovascular, flexibility, strength and aerobic exercises.

    [Refer to your Trainee Learning Resource to find out how to do these tests].

    NOTE:

    It may be possible that you show no improvement against the selected fitness tests after completing this

    fitness unit standard. Therefore you cannot be found Not Yet Competent if this is the case.

    It is completing the processes required in this unit standard that you achieve competency, not the changesin your own physical fitness.

    Task 3 Training plan

    Based on the results of your fitness assessment, create a training plan using the templates at the

    back of this workbook, to improve or maintain your cardiovascular condition, your flexibility, your strength and

    your aerobic endurance. You will need to follow this training plan for the next four weeks.

    Task 4 Fitness re-tests

    After you have followed your training plan for four weeks it is time to repeat all the fitness tests you

    completed in Task 2. Try to make the re-test exactly the same as the first time you did it [i.e. same time of

    day, exactly the same activity]. Record your results in the re-test date and result section of the table in Task

    2.

    Task 5 Questions

    You need to answer 3 questions that relate to your physical fitness

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    TASK 1 WORKPLACE DOCUMENTS

    Name:

    Health History

    1. Do you smoke? Yes No If so, how many per day?

    2. Has your doctor ever said your Blood Pressure

    was too high or too low?

    Yes No

    4. Do you have any known cardiovascular

    problems [abnormal ECG, previous heart

    attack, atherosclerosis, etc]?

    Yes No If so, what?

    6. Has your doctor ever told you your cholesterol

    level was too high?

    Yes No If so, how much?

    8. Are you taking any prescribed medication or

    dietary supplements?

    Yes No If so, what?

    10. Do you have any medical problems not

    previously mentioned?

    Yes No If so, what are they?

    12. Are you currently involved in a regular exercise

    programme?

    Yes No If so, please describe

    11. What are your goals for this programme?

    Consent Statement [select one by ticking box]

    I acknowledge, to the best of my ability, that I am in good health and have no known medical problems that would restrict myability to participate in this programme.

    OR

    I have been assessed by my Doctor and agree to attach [optional] their consent to undertake this exercise programme.Trainee Signature:_________________________________________________Date: _____________________

    Managers Signature_______________________________________________Date:______________________

    Skills Active Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 6 of 11

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    TASK 2 PERSONAL FITNESS ASSESSMENT

    [Refer to your Trainee Learning Resource to see how to do these tests. Record your results]

    DO ANY ONE FROM THIS LIST

    Cardiovascular AssessmentTest Date Result Re-Test Date Result

    Cycle Test

    Treadmill Test

    Step Test

    Flexibility Assessment

    Test Date Result Re-Test Date Result

    Sit & Reach Test

    DO THE FIRST THREE FROM THIS LIST

    Strength Assessment

    Test Date Result Re-Test Date Result

    1 Rep Max Test

    Abdominal Curl Test

    Press Up Test

    DO ANY ONE FROM THIS LIST

    Aerobic Assessment

    Test Date Result Re-Test Date Result

    Run test

    Walk test

    I verify that I completed the above exercises and results recorded are true!

    Trainee Signature:_______________________________________________Date: _____________________

    I verify that I witnessed the trainee completing these exercises and the results recorded are accurate.

    Witness Signature_______________________________________________Date:______________________

    Witness contact details____________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    Pre Moderated by ETITO / Skills Active 2009 Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 7 of 11

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    TASK 3 TRAINING PLAN

    Based on the results of your first fitness assessment, create a training plan using the templates at the back

    of this workbook to improve or maintain your cardiovascular condition, your flexibility, your strength and your

    aerobic endurance. You will need to follow this training plan for the next four weeks.

    Your plan must clearly state the exercises and records your activities over a four week period.

    The plan must have the following contents:

    Goals indicating improvement areas are realistic and are able to be achieved

    Timeframes, equipment required and the location of where the exercises were carried out

    Activities that were related to your goals

    Includes how the trainee will cope with injuries, boredom etc

    Measure progress over the 4 weeks

    Any changes are shown

    TASK 4 FITNESS RE-TESTS

    After you have followed your training plan for four weeks it is time to repeat all the fitness tests you

    completed in Task 2. Try to make the re-test exactly the same as the first time you did it [i.e. same time of

    day, exactly the same activity]. Record your results in the re-test date and result section of the table in Task

    2.

    Compare these results against your records that you completed 4 weeks before and identify any goals that

    you achieved. Make a comment on this in your training plan.

    I verify that I completed the above exercises and results recorded are true!

    Trainee Signature:_______________________________________________Date: _____________________

    I verify that I witnessed the trainee completing these exercises and the results recorded are accurate.

    Witness Signature_______________________________________________Date:______________________

    Witness contact details____________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    Pre Moderated by ETITO / Skills Active 2009 Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 8 of 11

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    TASK 5 QUESTIONS

    Look at your results for your re-test and answer these 3 questions [PC 3.1 3.4]

    1. What improvements did you make after your four weeks of exercise for each of the following?

    a. Cardiovascular

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    b. Aerobic endurance

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    c. Strength

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    d. Flexibility

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    __________________________________________________________________________

    Pre Moderated by ETITO / Skills Active 2009 Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 9 of 11

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    2. What barriers [things that stopped you from doing the activities e.g. family, weather, etc] did you

    come up against and how did you deal with these?

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    3. What changes will you make [if any] to your training plan to ensure you keep going with yourpersonal physical fitness?

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    ________________________________________________________________________________

    Pre Moderated by ETITO / Skills Active 2009 Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 10 of 11

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    TRAINEE ASSESSMENT PROGRESS RECORD

    Trainee Name: NZQA No:

    Task Assessor Name Assessment decision Date of

    assessment

    Re-

    assessment

    date

    1 [PC 1.1] Competent / Not Yet Competent

    2 [PC 1.3] Competent / Not Yet Competent

    3 [PC 2.1 2.7] Competent / Not Yet Competent

    4 [PC 3.3] Competent / Not Yet Competent

    5 [PC 3.1 3.4] Competent / Not Yet Competent

    Trainee to complete:

    Post-assessment statement Signature

    The assessment occurred as we had planned

    I was treated fairly during the assessment

    I understand the assessment outcome

    The feedback I received met my needs

    I verify that this workbook represents all my own work.

    Assessor to complete:

    The trainee has completed this workbook competently. The work is their own and shows a level of

    understanding that is appropriate for the unit standard.

    Assessor name_________________________________________ Number __________________________

    Date_______________________________________________ Signature_________________________

    Pre Moderated by ETITO / Skills Active 2009 Trainee Assessment Workbook 505 [v6] Aug 09 [v2] Page 11 of 11

    Written feedback to trainee:

    Assessment Decision

    Assessor to complete once the trainee has met all the

    requirements of this workbook.

    Competent