Plumbing Technician Assessment Form
Use this form to evaluate a plumbing technician’s experience, core skills, task proficiency, and overall readiness.
Technician Information
Technician Full Name
*
First Name
Last Name
Company or Employer Name
*
Phone Number for Follow-Up
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address for Follow-Up
example@example.com
Plumbing Skill Assessment
Primary plumbing experience level
*
Apprentice
Journeyman
Senior Technician
Other
Overall plumbing competency
*
1
2
3
4
5
Diagnosing common plumbing issues
*
Needs significant support
1
2
3
4
5
6
7
8
9
Diagnoses independently
10
1 is Needs significant support, 10 is Diagnoses independently
Proficiency by task
*
Rows
Not proficient
Basic
Proficient
Advanced
Pipe installation
1
2
3
4
Leak detection
5
6
7
8
Fixture repair
9
10
11
12
Drain cleaning
13
14
15
16
Tool safety
17
18
19
20
Work Readiness and Review
Assessor Notes / Observed Strengths and Areas for Improvement
Submit Assessment
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