avenorAssessment. Moving forward.
Reasonable adjustment request worksheet
A focused preparation record for barriers, supporting information, decisions and delivery.
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Apprentice reference / preferred contact route
Request coordinator / role
Standard, version and method affected
Planned assessment window / response needed
1. Understand the barrier
Apprentice’s description of the barrier in this method
How it affects demonstration of competence
Relevant established way of working / previous support
Requested arrangement and why it may help
2. Proportionate supporting information
| Information needed by published process | Reference / secure location, not medical narrative | Who can access it | Sent date |
|---|---|---|---|
Check privacy information, lawful basis, information minimisation, restricted access and retention with your responsible data-protection lead. Do not collect an entire history where a focused description is sufficient.
3. Decision and implementation record
| Item | Recorded detail | Responsible person |
|---|---|---|
| Application reference / date | ||
| Decision, conditions and reason | ||
| Equipment / accessible format / software | ||
| Timing, venue and facilitator arrangements | ||
| Compatibility and non-live access check | ||
| Assessor briefing and day-of check | ||
| Alternative arrangement or further evidence requested | ||
| Review / appeal process and deadline |
4. Apprentice communication and review
How the decision was explained / date
Apprentice’s questions and agreed next steps
Implementation check before assessment
After assessment: support delivered / remaining barriers