Operator Observation Form
Use this Operator Observation Form to record and assess workplace operator performance, compliance, and key observations.
Observer Name
*
First Name
Last Name
Observation Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Operator Name
*
First Name
Last Name
Location or Department
Tasks or Activities Observed
*
Safety and Procedure Checklist
Personal protective equipment used
Followed standard operating procedures
Work area kept organized
Machine/equipment operated safely
Other
Overall Performance Assessment
*
Excellent
Satisfactory
Needs Improvement
Operator Performance Rating
1
2
3
4
5
Additional Notes or Feedback
Submit Observation
Should be Empty: