Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 1 of 8 BOS WKSHT-002, Rev. 3

DESCRIPTION

Name of Trainee: _______________________________________________________________

Training Performed by: __________________________________________________________

Training Start Date: ______________ End Date: ______________ Hours (approx): __________

Method/SOP (Number, Revision and Title): __________________________________________

______________________________________________________________________________

______________________________________________________________________________

PROCEDURE FAMILIARIZATION

Trainer Trainee

1. Hazards of Procedure Date: ____________ Init: ________ Init: ________

2. Personal Protective Equipment Date: ____________ Init: ________ Init: ________

3. Waste Disposal Date: ____________ Init: ________ Init: ________

4. ASTM Methods Date: ____________ Init: ________ Init: ________

5. Standard Operation Procedure (SOP) Date: ____________ Init: ________ Init: ________

5. QC Guide Date: ____________ Init: ________ Init: ________

5. Other: __________________________ Date: ____________ Init: ________ Init: ________

COMPETENCY

Means of Assessment: ___________________________________________________________

______________________________________________________________________________

Assessment Date(s): _____________________________________________________________

Supervisor’s Evaluation: 

Employee is authorized to perform procedure on regulatory/client samples:

Yes___ No___

Supervisor’s Comments: _________________________________________________________

_____________________________________________________________________________

Attach applicable documents (e.g. work samples, results analyses, control charts, etc.) as necessary.

Supervisor Signature: _____________________________________ Date: _________________

Trainee Signature: _____________________________________ Date: _________________
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 2 of 8 BOS WKSHT-002, Rev. 3

Analyst Demonstration of Capability - Training Document

Analysis/Instrument/Method:

Trainee:

Trainer (Primary Analyst):

Analysis/Instrument/Method Requirements (To be filled out by Trainee and reviewed by Trainer)

List the specifications and limits associated in the space below

List the minimum required QC

List method Requirements in the space below. 
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 3 of 8 BOS WKSHT-002, Rev. 3

Question 1

Question 2

Question 3

Please pass to Trainer & Lab Manager before proceeding. 

Employee capable of data review for listed analysis in 

LIMS? YES NO

Training (Observation) Trainer Date Trainee Date

The trainee is to observe primary analyst at least twice. More observations may be required and is at the 

discretion of the trainer. If more than 4 sessions are needed, use the back of the paper. 

1st session

2nd session

3rd session

4th session

Notes by Trainer: 

Analyst Demonstration of Capability - LIMS review
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 4 of 8 BOS WKSHT-002, Rev. 3

Training (Performance) Trainer Date Trainee Date

The trainee is to perform the analysis at least twice while the primary analyst observes. More 

observations may be required and is at the discretion of the trainer. 

1st session

2nd session

3rd session

4th session

Notes by Trainer: 

Training (Practice) Trainer Date Trainee Date

The trainee is to perform the analysis at least twice at their own satisfaction and/or comfort level.

1st session

2nd session

3rd session

4th session

Notes by Trainee: 

Questions Trainer Date Trainee Date

Final Session with Trainer

Trainers: Observe the trainee one more time and provide 2 - 5 questions that you feel are pertinent to 

the analysis before allowing the trainee to proceed to running replicates. Attach the list of questions on 

a separate sheet with the answers provided by the trainee. 

Proficiency Trainer Date Trainee Date

Observation of use

Validation Material ran 5 to 7 x's (Accuracy)

Random Sample ran 5 to 7 x's (Precision)

Enter replicates in BOS WKSHT-019 Instrument Method Validation

Pass for Accuracy YES NO N/A 

Pass for Precision YES NO N/A 
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 5 of 8 BOS WKSHT-002, Rev. 3

Analyst Demonstration of Capability - Training Questions Document 

Analysis/Instrument/Method:

Trainee:

Trainer (Primary Analyst):

Question 1

Question 2

Question 3

Question 4
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

COMPETENCY RECORD

Page 6 of 8 BOS WKSHT-002, Rev. 3

Question 5

Notes by Trainer

Trainer Signature: _____________________________________ Date: _________________ 

Trainee Signature: _____________________________________ Date: _________________

Employee passes demonstration of capability for listed 

analysis? YES NO
Florida Department of Agriculture and Consumer Services 

Division of Consumer Services, Bureau of Standards 

 COMPETENCY RECORD 

VALIDATION MATERIAL: VM NAME: TEST DATE:

EXPIRATION DATE: VM SN: UNITS:

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

ACCURACY & PRECISION

Page 7 of 8

ATTACH ALL RAW DATA USED TO COMPLETE THIS WORKSHEET

BOS WKSHT-002, Rev. 3
Florida Department of Agriculture and Consumer Services 

Division of Consumer Services, Bureau of Standards 

 COMPETENCY RECORD 

VALIDATION MATERIAL: VM NAME: TEST DATE:

EXPIRATION DATE: VM SN: UNITS:

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

Parameter: Replicate Result Difference Accuracy r Precision

1 NA NA

Certified Value: 2

3

Acceptence Limit: 4

5

Repeatability: 6

7

ACCURACY & PRECISION

Page 8 of 8

ATTACH ALL RAW DATA USED TO COMPLETE THIS WORKSHEET

BOS WKSHT-002, Rev. 3
Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

TRAINING RECORDS

Employee Name: ___________________ Employee Number: _________________

Job Title: _________________________ Hire Date: _________________________

Bureau Section/Lab: _____________________________________________________

Training 

Description

Start 

Date

Complete 

Date

Hours Training 

Location

Trainer’s 

Name

Means of Assessment Assessment 

Date

Result Expiration 

Date

Page 1 of 1 BOS WKSHT-003, Rev. 0
Employee Name: Employee Number:

Job Title: Laboratory:

Training Training Title Begin Date Completion 

Date

Employee 

Initials

New Employee Orientation

Laboratory Safety

HAZMAT

Quality Assurance Documents

Lab Ethics & Data Integrity 

Supervisor: Date:

EMPLOYEE TRAINING PLAN

Standard Test Method Specific

Test Method Documents

The following training (excluding NEO) shall be completed before method competency can be 

attempted:

Florida Department of Agriculture and Consumer Services

Division of Consumer Services, Bureau of Standards

Hands on Training

Page 1 of 1 BOS WKSHT-09, Rev. 1