TESDA-OP-CO-03-F01

Rev. No.00-03/08/17

CHECKLIST OF REQUIREMENTS
COMPETENCY ASSESSMENT CENTER

1. Letter of Intent
2. Copy of SEC Registration or equivalent (CDA- registered, R.A., except
Sole Proprietorship)
3. Financial Statement (Latest audited)
 For New Company: Paid up capital required by the SEC
 For Existing: Latest Audited by a third party
4. Business Permit (Current and valid)
5. Fire Safety Certificate (Current and valid)
6. BIR Registration (Valid)
7. Company Profile
8. Organizational Structure
9. Staff Complement and Profile
10. Building lay-out/floor plan/shop lay-out
11. Self-Assessment Checklist (TESDA-OP-CO-03-F03)
12. List of complete facilities, tools, equipment, and materials appropriate to
the qualification/ applied for (identified in the CATs)
13. Location map
14. Lease Contract/Proof of Ownership of the location/premises of the
Assessment Center
15. Checklist of tools, equipment, supplies and materials, and facilities
(TESDA-OP-CO-03-F04)

TESDA-OP-CO-03-F02
 Rev. No.00-03/08/17

ACCREDITATION OF ASSESSMENT CENTER

SELF-ASSESSMENT CHECKLIST

Name of Assessment
SMI Institute Inc.
Center-Applicant
Address Unit 3-A, 3rd Floor, Wardley Bldg. 1991 San Juan St. Pasay City
Email smiacademicenter@gmail.co
Contact Number (02) 247-4130
address m
Title of Qualification
COOKERY NCII
Applied for
Date Accomplished

A. PHYSICAL STRUCTURE
Quantity
Item Remarks
Required Existing
A.1 Location and Area
A.1.1. Accessibility Accessible to public transport Accessible via Jeepney,
taxi, UV Express, Train Complied
and Buses
A.1.2. Assessment area Minimum area provided to Provide Ample
permits ample workplace for workplace for candidates
candidates (2) Two batches – 1 Complied
Batch equivalent of 10
Candidates per batch)
A.2. Lighting and Ventilation
A.2.1. Assessment room or Well lighted (30 – 40 Foot Well lighted 65 foot
laboratories Candle) candle each assessment Complied
area/room or laboratories
A.2.2. Air conditioning unit Optional Every rooms, installed
Complied
with air conditioning units
A.2.3. Blowers/fans Quantity shall be according to Each room have 1
the size of the room blower/fan allocated in
Complied
assessment area/
laboratories
A.3 Auxiliary Room
A.3.1. Storeroom Storeroom for tools, materials Tools/ Materials
(shelves properly labeled) arranged and labeled in Accepted
store room with signage.
Bins/racks for critical Bin/Racks are provided
Accepted
materials iside the room.
A.3.2. Room for performance Must be able to accommodate Assessment
assessment at least 10 candidates/ batch Area/Laboratories can
Accepted
accommodate 10
Candidates
A.3.3 Orientation Room / Must be able to accommodate Orientation room/holding
Holding Area at least 10 candidates/ batch area with provision up to Accepted
10 candidates
A.3.4. Chairs and tables Provided Chairs and
tables to each of the Accepted
candidates
A.3.5. Comfort rooms Clean and functional Comfort rooms are clean
Accepted
and functional
Separate for male and female Comfort rooms are Accepted
provided for male and
 female
Located at convenient part of Comfort room is located
the building conveniently with Accepted
signage
A.4. Assessment Equipment, Hand tools, Supplies, Materials
A.4.1. Equipment In accordance with the list in Conformed with Complied
the Competency Assessment competency assessment
Tools of the Qualification equipment requirements
A.4.2. Hand tools applied for Conformed with Complied
competency assessment
equipment requirements
A.4.3. Supplies, materials Complied
Conformed with
competency assessment
equipment requirements

A.5. Safety Provisions

A.5.1. Medicine cabinet With first aid kit and other Medicine Cabinet with
medical paraphernalia first aid kit and other Accepted
paraphernalia.

Conformed to the entire

requirement, located at
the visible area of the
assessment center with
signage.
A.5.2. Open floor spaces Entrances and exits are Entrance and exit visibly Accepted
marked and maintained marked with signage
A.5.3. Work stations, tool Are appropriately grouped to Work Stations, tools Accepted
panels and equipment provide ease of movement panels and equipment
arranged accordingly.
A.5.4. Fire extinguishers Functional/valid/current Functional and Valid with Accepted
Expiration Date
Located in conspicuous and Located in conspicuous Accepted
highly accessible locations/ places
places
A.5.5. Equipment lay out Arranged according to Equipment lay out Accepted
sequence of operations to arranged accordingly.
allow maximum use of
resources

B. Administrative
B.1.Documentary 1. Letter of Intent Accomplished Complied
Requirements /Submitted
2. SEC Registration or Accomplished/ Complied
equivalent (CDA- Submitted. GIS Dated
registered, RA, except October 29, 2018
Sole Proprietorship)

3. Financial Statement Copy Updated Financial Complied

 For New Company: Statement for the year
Paid up capital 2021 received with
required by the SEC stamp By the third party
 For Existing: Latest April 12, 2022
Audited by a third
party
4. Business Permit (Current Existing and Valid till Complied
and Valid) December 31, 2023
5. BIR Registration (Valid) Valid and Renewed Complied
6. Company Profile Accomplished Complied
7. Organizational structure Conformed with the Complied
requirements
8. Staff complement and Conformed with the Complied
profile requirements
9. Building lay out/ Floor Building layout submitted Complied
 plan with picture
10. Self-assessment Accomplished Complied
checklist
11. List of equipment/ tools Conformed with Complied
and materials competency assessment
tools
12. Location map Designed as per GPS Complied
Locational Map.
13. Lease Contract/ Proof of Notarized lease contract Complied
Ownership of the
location/premises of the
Assessment Center
14. Fire Safety Certificate Exiting and valid until Complied
(Current and Valid) 2024
B.2. Communication 1. Telephone/mobile phone 1 Telephone of PLDT Complied
Facilities Tel# 02-247-4130
located at admin office
2. Fax machine/ internet Functional. PLDT Complied
connection Connection
3. Computer with 10 Computers with Complied
peripherals peripherals all functional
located at computer
room.
4. CCTV system Dully Functional and Complied
(Functional) installed in very corner
 Assessment Area (per and inside the classroom
qualification) and per area.
B.3. Staff Complement
B.3.1. Manager Lea I. Apolinario - Responds to Complied
inquiries and
request
- Collaborate with
community for
scholarship granted
by TESDA and
represent the
agency in
community.
- Manage disciplinary
process consistent
with agency policy.
- Ensure timely
submission of
documents,
requirements and
data of the enrollees
to TESDA.
- Ensure trainings and
assessments are in
accordance with
TESDA Guidelines
B.3.2. Cashier Lea I. Apolinario - Handle Cash Credit Complied
or Check
transactions with
Clients/customers
B.3.3. Computer Operator/ Rodel C. Barrientos - Encode and Complied
Data Encoder complete necessary
data in bank
systems to facilitate
account opening,
closure and
maintenance
activities
B.3.4. Liaison Officer Jerome B. Tevar - Act as the middle Complied
person between our
employer and
 TESDA to
Streamline
operations, resolve
issues, improve
communications,
and generally
ensure that the
relationship is as
beneficial as
possible.
B.3.5. Processing Officer Jerome B. Tevar - Ensure that the Complied
process in
enrollment up to
assessment are
followed and strictly
enforced.
- Encode and
complete necessary
data entry T2MIS
system of TESDA in
bank systems to
facilitate account
opening, closure
and maintenance
activities.
Submitte
d by:
LEA I. APOLINARIO
___________________________________ ________________________________
Name of Authorized AC Representative Signature

AC Manager
___________________________________ ________________________________
Position/Designation Date of submission
 TESDA-OP-CO-03-F03
Rev. No.00-03/08/17

CERTIFICATE OF CONCURENCE

I,/We ________(Name)_________, ___________(Designation/Position)_

of (Name of Applicant Assessment
Center)______________________
Located at _______________________ (Address of
Establishment)______________ hereby certify that I /We have fully understood
and will abide by the requirements and procedures under the Accreditation of
Competency Assessment Center outlined as follows:
a. Accreditation Procedures
b. Requirements for Accreditation
c. List of tools, equipment and facilities for the qualification
applied for
d. Accreditation Fee
As representative/s of the Applicant Assessment Center, I/we will inform the
owner(s)/ Head/President of our Institution/Establishment on the orientation
conducted by TESDA relative to the Accreditation of Competency Assessment
Center requirements and procedures.

Done this ___day of ______________ in the year ___________.

________________________
Signature

________________________
Position

Noted by:

__________________________
Provincial Director

__________________________
Date
 TESDA-OP-CO-03-F04
Rev. No.00-03/08/17

Checklist of tools, equipment, supplies and materials, and facilities

Name of Assessment
Center
Qualification
Item Specification Quantity Quantity Differenc Inspectors Quantity Quantity
Required on Site e Remarks onsite onsite
during during
Compliance Compliance
(1) (2) (3) (4) (6) Audit Audit
(5) Year 1 Year 2
(7) (7)
TOOLS

EQUIPMENT

SUPPLIES AND MATERIALS

FACILITIES

NOTE: Columns 1-4 to be filled out by the Assessment Center; Columns 5-6 to be filled out by
the Inspectors; Column 7 to be filled out by the Compliance Auditors (additional sheets may be
used)
 TESDA-OP-CO-03-F04
(continued)
Rev. No.00-03/08/17

Submitted by:
_______________________ ___________________
AC Manager Date

Inspected by:

_______________________ ___________________
Leader, Inspection Team Date

_______________________ ___________________
Member, Inspection Team Date

_______________________ ___________________
Member, Inspection Team Date

(For Compliance Audit use only)

YEAR 1
Audited by:
_______________________ ___________________
Lead Auditor Date

_______________________ ___________________
Auditor Date

_______________________ ___________________
Auditor Date

YEAR 2
Audited by:
_______________________ ___________________
Lead Auditor Date

_______________________ ___________________
Auditor Date

_______________________ ___________________
Auditor Date
 TESDA-OP-CO-03-F05
Rev. No.00-03/08/17

ACCREDITATION OF ASSESSMENT CENTER TRACKING SHEET

Name of Assessment
Center

Address

Qualification

Date of Total Number of

Date of Receipt,
Date of Receipt of Days
Evaluation of Date of
Submissio Approval and Certificate of
Document and Organization of Conduct
n of Issuance of Accreditation (10 working days
Issuance of Inspection Team of Ocular
Report of Accreditation & Return of upon receipt of
Letter of Inspection
Inspection Notarized application)
Notification
AOU

3 days 2 days 1 day 1 day 2 days 1 day

Date Date Date Date Date Date

Date received
Started Finished Started Finished Started Finished

Note: Accreditation of AC shall be within 10 working days from the receipt of application
under normal condition
 TESDA-OP-CO-03-F06
Rev. No.00-03/08/17

LETTER OF NOTIFICATION
(Pre-Inspection)

____________________________
Date
______________________________
______________________________
______________________________

Dear Mr. /Ms. __________________:

In connection with your application as assessment center for _____ (indicate the
qualification)__, we would like to inform you that:

all your documents are in order

schedule of ocular inspection/re-inspection is on _______________

the following documents are lacking:

List document (s) to be submitted/completed____________________

________________________________________________________

Please visit our office on (indicate date and time) for the completion of the lacking
requirements for accreditation. Failure to submit the required documents within 15
working days from the receipt of this letter shall mean automatic forfeiture of the
initial 50% accreditation fee.

Thank you very much.

Very truly yours,

_______________________________

Provincial Director

TESDA-OP-CO-03-F07
 Rev. No.00-03/08/17

ACCREDITATION OF ASSESSMENTCENTER
INSPECTION REPORT

Name of Assessment
SMI INSTITUTE INC.
Center-Applicant
Address UNIT 3A, 3RD FLOOR WARDLEY BUILDING, 1991 SAN
JUAN ST. PASAY CITY
Contact Person/ Contact No. 8247-4130
Designation LEA I. APOLINARIO Email smiacademicenter@gmail.co
address m
Title of Qualification
COOKERY NCII
Applied for
Date of Inspection

A. PHYSICAL STRUCTURE
Quantity
Item Remarks
Required Existing
A.1 Location and Area
A.1.1. Accessibility Accessible to public transport

A.1.2. Assessment area Minimum area provided to

permits ample workplace for
candidates
A.2. Lighting and Ventilation
A.2.1. Assessment room or Well lighted (30 – 40 Foot
laboratories Candle)
A.2.2. Air conditioning unit Optional
A.2.3. Blowers/fans Quantity shall be according to
the size of the room
A.3 Auxiliary Room
A.3.1. Storeroom Storeroom for tools, materials
(shelves properly labeled)
Bins/racks for critical materials
A.3.2. Room for performance Must be able to accommodate
assessment at least 10 candidates/ batch
A.3.3 Orientation Room / Must be able to accommodate
Holding Area at least 10 candidates/ batch
A.3.4. Chairs and tables
A.3.5. Comfort rooms Clean and functional
Separate for male and female
Located at convenient part of
the building
A.4. Assessment Equipment, Hand tools, Supplies, Materials
A.4.1. Equipment In accordance with the list in
the Competency Assessment
A.4.2. Hand tools
Tools of the Qualification
A.4.3. Supplies, materials applied for

A.5. Safety Provisions

A.5.1. Medicine cabinet With first aid kit and other
medical paraphernalia
A.5.2. Open floor spaces Entrances and exits are
marked and maintained
A.5.3. Work stations, tool Are appropriately grouped to
panels and equipment provide ease of movement
A.5.4. Fire extinguishers Functional/valid/current
Located in conspicuous and
highly accessible locations/
places
A.5.5. Equipment lay out Arranged according to
sequence of operations to
allow maximum use of
resources

B. Administrative
B.1.Documentary 1. Letter of Intent
Requirements 2. SEC Registration or
equivalent (CDA-
registered, RA, except
Sole Proprietorship)

3. Financial Statement
 For New Company:
Paid up capital required
by the SEC
 For Existing: Latest
Audited by a third party
4. Business Permit (Current
and Valid)
5. BIR Registration (Valid)
6. Company Profile
7. Organizational structure
8. Staff complement and
profile
9. Building lay out/ Floor plan
10. Self-assessment checklist
11. List of equipment/ tools
and materials
12. Location map
13. Lease Contract/ Proof of
Ownership of the
location/premises of the
Assessment Center
14. Fire Safety Certificate
(Current and Valid)
B.2. Communication 15. Telephone/mobile phone
Facilities 16. Fax machine/ internet
connection
17. Computer with peripherals
18. CCTV system (Functional)
 Assessment Area (per
qualification)
B.3. Staff Complement
B.3.1. Manager
B.3.2. Cashier
B.3.3. Computer Operator/
Data Encoder
B.3.4. Liaison Officer
B.3.5. Processing Officer
Recommendation:

INSPECTION TEAM

Nam
VICTOR B. ENDAYA Signature Date
e

Nam LILIBETH T. FRANCIA

Signature Date
e

Nam
Signature Date
e

Concurred by

Nam
_______________________ Signature Date
e
AC Manager
 TESDA-OP-CO-03-F08
Rev. No.00-03/08/17

ACCREDITATION OF ASSESSMENT CENTER

EVALUATION GUIDE

A. PHYSICAL STRUCTURE
A.1 Location and Area
A.1.1 The Assessment Center is accessible to public transportation and
visibly identifiable from the side of the road.
A.1.2 Assessment area permits ample workplace for candidates (minimum
area).
A.2 Lighting

A.2.1 30-40 foot candle* for assessment room or laboratories

A.2.2 5 foot candle* (minimum) for passageways, corridors, stairways,
storerooms
A.2.3 10 foot candle* (minimum) for toilets and washrooms

* 1 foot candle = 10.75 lux

Ventilation

A.2.4 Mechanical ventilation shall be provided (air conditioning

units/blowers/fans) when an adequate supply of fresh air cannot be
provided by natural ventilation
A.3 Auxiliary Room
The auxiliary room is marked with “Accepted” if the following conditions/
requirements are met:
A.3.1 Storeroom is provided for the safekeeping of the tools; shelves are
properly labeled and good housekeeping is observed/5S;
A.3.2 Separate storage bins and racks are provided for critical materials,
e.g., LPG and other flammable materials;
A.3.3 Assessment room for skills must be able to accommodate at least 10
candidates/batch;
A.3.4 Orientation Room / Holding Area must be able to accommodate at
least 10 candidates/batch;
A.3.5 Chairs and tables; and
A.3.6 Clean and functional comfort rooms should be available and located at
a convenient part of the building (separate for male and female).
A.4 Assessment Equipment, Hand tools, Supplies, Materials
A.4.1 Equipment, hand tools, supplies, materials shall be in accordance with
the list indicated in the Competency Assessment Tools of the
Qualification applied for.
A.5 Safety Provisions
“Accepted” shall be indicated in the appropriate column if the following are
met:
 A.5.1 Medicine cabinet with first aid kit and other medical paraphernalia;

Medicines

 Topical antiseptic, 60 cc
 70% Isopropyl alcohol, 240 cc
 Aromatic spirit of ammonia, 30 cc
 Toothache drops, 15 cc
 Hydrogen peroxide solution, 120 cc
 Burn ointment, tube
 Analgesic/anti-pyretic, 10 tablets
 Antacid, 10 tablets
 Anti-diarrhea, 10 tablets

Supplies:

 Thermometer , 1 pc
 Sterile gauze pads, 5 pcs
 Gauze bandages, 1 roll
 Adhesive tape, 1 roll
 Absorbent cotton
 Bandage scissors, 1 pc.
 Hot water bag, 1 pc
 Ice bag, 1 pc

Source: DOLE-Occupational Safety and Health Standards (as amended)

A.5.2 Open floor spaces, entrances and exits are marked and maintained;
A.5.3 Work stations, tool panels and equipment are appropriately grouped to
provide ease of movement;
A.5.4 Functional fire extinguishers are located in conspicuous and highly
accessible places;
A.5.5 Equipment are laid out according to sequence of operations to allow
maximum use of resources
A.5.6 For welding or cutting areas:

 Local exhaust and general ventilation system shall be provided

to prevent inhalation of any fumes, gases or dusts by the
persons performing the activity/in the facility

Source: DOLE-Occupational Safety and Health Standards (as amended)

B. Administrative

B.1 Documentary Requirements

B.1.1 Letter of Intent (Dated)
B.1.2 SEC Registration or equivalent(CDA-registered, R.A., except Sole
Proprietorship)
 B.1.3 Financial Statement
 For New Company: Paid up capital required by the SEC
 For Existing: Latest Audited by a third party
B.1.4 Business Permit (Current and Valid)
B.1.5 BIR Registration (Valid)
B.1.6 Building lay out/Floor plan
B.1.7 Fire Safety Certificate (Current and Valid)
B.1.8 Company Profile ( there should be NO involvement with any “Conflict
of Interest” activity related to Assessment and Certification, e.g.,
Placement/Recruitment Agency, Review Center, among others)
B.1.9 Organizational Structure
B.1.10 Staff complement and Profile
B.1.11 Self-assessment Checklist
B.1.12 List of complete facilities, equipment, tools and materials (identified in
the CATs)
B.1.13 Location map
B.1.14 Lease Contract/ Proof of Ownership of the location/premises of the
AC
Note: Evaluation of Financial Statement shall be based on:

Quick Ratio Test

 refers to a measure of how well a company can meet its short-term financial
liabilities. It is calculated using the Quick Ratio Formula: (Cash + Marketable
Securities + Account Receivable) divided by Current Liabilities. Result which is
greater than 1 (>1) will mean that the company can meet its short term
liabilities.

Example:

ABC Balance Sheet

Asset Amount Liabilities Amount

Cash P100,000 Accounts Payable P 50,000
Marketable Securities 50,000 Accrued Interests 40,000
Accounts Receivable 30,000 Notes Payable 10,000
Inventory 80,000 Long Term Debt 20,000
Total Current Assets 260,000 Total Current 120,000
Liabilities

(Php 100,000+50,000+30,000) / 120,000 = 1.5

B.2 Communication Facilities

B.2.1 Telephone/ mobile phone
B.2.2 Fax machine/ internet connection
B.2.3 Computer with peripherals
B.2.4 CCTV system (Functional)
 Assessment Area (per qualification)
B.3 Staff Complement
B.3.1 Manager *
B.3.2 Cashier *
B.3.3 Computer Operator/Data Encoder
B.3.4 Liaison Officer
B.3.5 Processing Officer *

Note: With Notarized Employment Contract / Office Order, where

applicable

* Minimum Requirements

TESDA-OP-CO-03-F09
Rev. No.00-03/08/17
 LETTER OF NOTIFICATION
(Post-Inspection)
_____________________________
Date
______________________________
______________________________
______________________________

Dear Mr. /Ms. __________________:

As a result of the ocular inspection, in connection with your application as

assessment center for _____ (indicate the qualification)__, we would like to inform
you that:

The following are lacking based on the result of the ocular inspection:

Use additional sheet when necessary ____________________

___________________________________________________

Please comply the lacking requirements for accreditation. Failure to comply

within 15 working days upon receipt of this letter shall mean automatic
forfeiture of the initial 50% accreditation fee.

For processing of accreditation

Enclosed is the Affidavit of Undertaking for the signature of the Assessment

Center Manger (AOU). Please return the notarized AOU together with the
remaining 50% of the accreditation fee on __(date)_____ for the training on
Assessment Center Operations.

Thank you very much.

Very truly yours,

_______________________________
Provincial Director

TESDA-OP-CO-03-F11
Rev. No.00-03/08/17
 Certificate of Training

This is to certify that Mr./Ms. ______________________ has attended the

training on Assessment Center Operations conducted on ( Date ) at the

( venue ).

_______________
Provincial Director