LEX ASTRA / TEACHING MATERIALS / 2956.3 -------------------------------- Public formative examples and blank forms. No submission, grade or award is created. Keep completed learner records private. All examples are fictional. -------------------------------- CREW BRIEF WORKED EXAMPLE Move the six training crates from Assembly to Receiving. Aster coordinates; Relay is backup. Each changed instruction needs read-back. STOP pauses out of character. If contact is lost, hold at the agreed rendezvous and use the backup channel. Receiving access remains to be confirmed. BLANK FORM Objective and role: ______________________________ Location and destination: ______________________________ Decision owner and backup: ______________________________ Communications and check-back: ______________________________ Stop signal and recovery: ______________________________ Outstanding work: ______________________________ -------------------------------- MOVEMENT ORDER WORKED EXAMPLE Aster carries four crates; Relay carries two. Each vessel has its own custodian. Both acknowledge the alternate before departure. Lost contact means hold, not chase. The exercise lead may withdraw; any participant may stop. Receiving confirms capacity for six. BLANK FORM Vessels / crew contacts: ______________________________ Route / alternate: ______________________________ Consignments / custodians: ______________________________ Rendezvous / lost-contact action: ______________________________ Withdrawal authority: ______________________________ Receiving acknowledgement: ______________________________ -------------------------------- DISPATCH AND RECEIPT MANIFEST WORKED EXAMPLE Training crates: six dispatched, five received, one inaccessible. Relay retains follow-up responsibility and will verify access at the agreed next check. The receiving total remains five; no quantity is invented to balance the sheet. BLANK FORM Item / exercise identifier: ______________________________ Dispatched quantity: ______________________________ Custodian: ______________________________ Received quantity: ______________________________ Inaccessible / missing quantity: ______________________________ Follow-up owner and next check: ______________________________ -------------------------------- IN-GAME CASUALTY HANDOVER WORKED EXAMPLE Volunteer C-02 located at the training pickup. The verified game interaction was attempted but its effect is unconfirmed. Transport accepts the handover with that limitation. This fictional example is not real medical instruction and records no real health data. BLANK FORM Consenting exercise identifier: ______________________________ Last confirmed location / game status: ______________________________ Validated equipment / build: ______________________________ Actions actually performed: ______________________________ Observed effect / uncertainty: ______________________________ Transport / receiving acknowledgement: ______________________________ -------------------------------- SUPPLY REQUEST WORKED EXAMPLE Request twelve training containers; available capacity is eight. The requester accepts six priority and two support containers. Four remain deferred with the requester as decision owner. No substitute is loaded without acknowledgement. BLANK FORM Requesting role / purpose: ______________________________ Item / unit / quantity: ______________________________ Priority rule: ______________________________ Receiving point / latest useful arrival: ______________________________ Capacity / substitution approval: ______________________________ Unmet request owner: ______________________________ -------------------------------- DECISION BRIEF WORKED EXAMPLE Choose staged movement or wait for another vessel. Only one vessel is confirmed. Recommend staged movement unless the second is confirmed before the briefed hold point. The source allows the exercise but gives no authority to bind outside organizations. BLANK FORM Decision / objective: ______________________________ Authority and limits: ______________________________ Option A / resources: ______________________________ Option B / resources: ______________________________ Assumptions / reversal threshold: ______________________________ Recommendation / unresolved question: ______________________________ -------------------------------- INCIDENT ACCOUNT WORKED EXAMPLE Observed: Relay did not acknowledge the changed destination. Reported: another crew heard a reconnect notice. Uncertain: whether Relay received the change. Response: hold and use the backup contact. Do not describe the missing acknowledgement as deliberate refusal without evidence. BLANK FORM Exercise reference / event time: ______________________________ Direct observations: ______________________________ Reported claims / sources: ______________________________ Assumptions and uncertainties: ______________________________ Immediate response: ______________________________ Correction / review route: ______________________________ -------------------------------- ASSESSOR OBSERVATION SHEET WORKED EXAMPLE FO 214 arrival criterion: candidate recorded five received and one inaccessible, assigned follow-up and obtained receiving acknowledgement. Demonstrated for reconciliation. A separate lost-contact outcome was not observed after server interruption: interrupted, not failed. BLANK FORM Course / curriculum version: ______________________________ Candidate exercise identifier / role variant: ______________________________ Outcome and published criterion: ______________________________ Individual action / evidence reference: ______________________________ Finding / reason: ______________________________ Practice task / assessor / independent review contact: ______________________________ -------------------------------- REVIEW REQUEST WORKED EXAMPLE Request review of an interrupted FD 110 support observation recorded as a failure. The exercise log shows the server disconnected before recovery could be observed. Ask for reasons against the published criterion. An independent reviewer, not the original assessor, determines the appeal. BLANK FORM Course / version / decision reference: ______________________________ Contested criterion: ______________________________ Reason for review: ______________________________ Evidence reference (private): ______________________________ Requested clarification: ______________________________ Conflict-free reviewer / acknowledgement: ______________________________ -------------------------------- AFTER-ACTION IMPROVEMENT LOG WORKED EXAMPLE Objective: all candidates demonstrate handover. Two were unobserved because the group exceeded evaluator capacity. Delivery-design issue: reduce the next group or add an evaluator. Programme lead owns the change; verify individual coverage in the next pilot. BLANK FORM Objective: ______________________________ What happened / evidence: ______________________________ Cause category: ______________________________ Corrective action: ______________________________ Responsible role: ______________________________ How the correction will be verified: ______________________________ -------------------------------- PRACTICAL READINESS CHECK WORKED EXAMPLE No build is supplied by this example. Before opening EN 210, reproduce the exact fault, intervention and effect indication on the actual equipment. If any step is unavailable, record not ready; a roadmap reference is not test evidence. BLANK FORM Course / version / outcome: ______________________________ Actual LIVE build and test date: ______________________________ Vessel / configuration / tools / location: ______________________________ Reproduced action and observed result: ______________________________ Limitations / tested by: ______________________________ Patch trigger / retest decision: ______________________________ -------------------------------- Use demonstrated / further practice required / interrupted / not assessed. Record individual evidence and role limits. Stop requests override fictional orders. No real medical credential, appointment or permission is conferred.