Facility Operator Competency Assessment Form
Evaluate the core competencies and skills of facility operators using this comprehensive assessment form.
Operator Name
*
First Name
Last Name
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Knowledge of Facility Procedures
*
1
2
3
4
5
Equipment Operation Proficiency
*
1
2
3
4
5
Adherence to Safety Protocols
*
1
2
3
4
5
Incident Response Preparedness
*
1
2
3
4
5
Communication Skills
*
1
2
3
4
5
Checklist: Operator Demonstrates the Following
Rows
Observed
Proper use of personal protective equipment
1
Accurate completion of logbooks/records
2
Effective handover to next shift
3
Identifies and reports hazards
4
Overall Competency Level
*
Exceeds Expectations
Meets Expectations
Needs Improvement
Assessor Comments
Submit Assessment
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