# Practice and evidence record

Execution template for a guided practice in a controlled, simulated or authorised real environment: preparation, execution, evidence, verification, closure and learning (Annex C of the model).

## Identification

- **Practice code, title and version**
  - ____________________
- **Responsible person (name and role) and date**
  - ____________________
- **Context**
  - Simulated / Authorised real / Authorised field observation
- **Evidence status**
  - Proposed script / Executed in simulation / Executed in an authorised real environment / Reproduced by a third party / Review needed / Withdrawn

## Preparation

- **Objective: what the practice intends to demonstrate**
  - ____________________
- **Initial state: conditions before starting**
  - ____________________
- **Resources, materials and instruments actually used**
  - ____________________
- **Authorisations, permissions and supervision required**
  - ____________________
- **Risks and stop conditions: when not to start or when to interrupt**
  - ____________________

## Execution

- **Steps performed and deviations from the script**
  - ____________________
- **Expected result (criteria defined beforehand)**
  - ____________________
- **Observed result (facts and records of the execution)**
  - ____________________

## Evidence and verification

- **Identifiers of photos, documents or observations**
  - ____________________
- **Criteria**
  - [ ] Met
  - [ ] Partially met
  - [ ] Not met
  - [ ] Not applicable (justify)
- **Who checked the execution and within what scope**
  - ____________________

## Closure and learning

- **Reversal, return, disposal or referral**
  - ____________________
- **Limitations: conditions that prevent generalisation**
  - ____________________
- **Errors, improvements and next review**
  - ____________________

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Animal Care Education · Outro roteiro · v1.0