Referee Observation Checklist

NLD Internal Referee “MOT” Checklist Referee’s Name Referee’s Level Society NLD Date of Game Home Team _____pts vs Away Team _____pts Match Level

The outcome column should contain either a tick () or AP, the latter suggesting an Action Plan point against the area on which the Referee needs to work – Solutions should be offered where there are Identified Actions. Outcome Preparation & Attitude Notes / Solutions to Identified Issues (  or AP ) Was appropriately prepared and presented for the match with the required resources Checked the suitability of the pitch and players’ equipment Undertook the Safety Briefing of the Front Rows Exhibited an appropriate attitude to the match and players

Match Specifics – Place a Tick () in the Relevant Box indicating the Frequency of Application – Identify Solutions to Issues raised. - All of the Time, Most of the Time, Some of the Time or None of the Time M S N A o o o Management, Judgement and Materiality Notes / Solutions to Identified Issues ll s m n t e e Managed the match so that there was a fair contest for possession Made all efforts to manage the match in a manner which was enjoyable to the players Applied, Signalled and Communicated Advantage appropriately Showed an understanding of how to make appropriate judgements in a variety of situations (contextual judgement) Showed an understanding of how to referee within the spirit if the game (Materiality) Applied the Basics of Safety Tackle / Ruck The tackler released the tackled player and moved away The tackled player released the Ball The arriving players stayed on their feet The arriving players entered the tackle ‘phase’ from the correct position If Unplayable the scrum throw in was awarded to the correct side Scrum CBS Applied Heads and shoulders were above the hips All players were bound correctly Collapsed (and standing up) scrums did not persist There was a fair competition for the ball Participants and non-participants remained on-side Lineout Players were able to take quick throw-ins and quick line-outs. A one-metre gap was maintained There was a fair competition for the ball Across the line-out offences were prevented or managed. Participants and non-participants remained on-side. Foul Play Achieved a balance of preventive and punitive measures to control the match. Managed foul play effectively by applying appropriate sanctions Managed persistent infringements effectively by applying appropriate sanctions. Communication and Positioning Communicated clearly and appropriately with the players at specified phases of the match Positioned themselves appropriately to manage the players at specified phases of the match Law Knowledge Outcome Notes / Solutions to Identified Issues Appropriately applied the Laws of the Game in the spirit of the game

Name of Assessor/Adviser Sign Date (Please tick the POTENTIAL – [BASED ON THE REFEREES PERFORMANCE ON THIS GAME AND THE MATCH LEVEL OF THE GAME] appropriate box.) The referee should be considered for Up-Grading The referee is at the correct Grade The referee would be more suitable at a lower level game

Please send a copy of this form, by E-mail, directly to the Referee, and to Steve Bradford - This should normally happen within 48 hours of the game.