Date
*
-
Month
-
Day
Year
Date
Employees Name
*
First Name
Last Name
Employee Role
*
Reviewers Name
*
Reviewers Role
*
Safety Performance
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Far Exceeds Expectations
Adherence to Client's safety policies and procedures.
1
2
3
4
5
Participation in PSI, safety meetings and safety shares.
6
7
8
9
10
Any safety breaches, safety initiatives.
11
12
13
14
15
Comments:
Attendance and Timekeeping
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Far Exceeds Expectations
Attends work, flights and training on time.
16
17
18
19
20
Adheres to breaks.
21
22
23
24
25
Completes time sheets, work orders and job cards accurately with detailed information.
26
27
28
29
30
Comments:
Communication, Presentation and Professionalism
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Far Exceeds Expectations
Communicates clearly and professionally.
31
32
33
34
35
Provides updates with changes with role, shifts, issues or significant incidents.
36
37
38
39
40
Presentable appearance.
41
42
43
44
45
Comments:
Vehicles (Field Service Only)
Rows
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Far Exceeds Expectations
Have all JMPs and Vehicle Inspection sheets been completed?
46
47
48
49
50
SPOT utilized correctly.
51
52
53
54
55
Vechiles looked after and in a clean state.
56
57
58
59
60
No alcohol in vehicles.
61
62
63
64
65
Comments:
Final Comments
Submit
Should be Empty: