Information

  • HSA Name

  • Visit Completed By

  • Job number

  • Date of visit

  • District Name

  • Coaching provided

Compliance

  • Did the HSA have the correct ID badge and were they smart and Presentable?

  • Did the HSA call the customer before the visit?

  • Did the HSA have all the necessary tools available and in good working order (including vehicle)?

  • Did the HSA record the correct boiler clearances?

Safety

  • Was the asbestos process followed correctly?

  • Did the HSA use PPE necessary?

  • Did the HSA carry out electrical checks?

  • Did the HSA work in a safe manner for himself and the customer?

Mindset

  • Did the HSA display a high performer mindset in each process as per the Standards?

  • Did the HSA undertake activities expected of a high performance in each process as per the standard?

  • Have all relevant areas of the process been completed?

  • What behaviours had a positive influence on the customer?

  • What behaviours had a negative influence on the customer?

  • Were all the customers needs met where possible?

  • Was the customer treated fairly and given the best possible service?

Capability

  • Did the HSA display a level of knowledge consistent with a high performer in each process?

  • Were all 'business requirements' met from the standards?

  • Did the HSA specify the correct solution for the customer?

  • Was the specification sheet and associated customer paperwork left behind?

  • Did he HSA demonstrate great product knowledge?

  • Did the HSA demonstrate great knowledge of our services?

  • Did the HSA demonstrate great knowledge of our finance and adhered to the process?

  • Did the HSA demonstrate good customer questioning to identify their needs and handle any customer objections appropriately?

Follow up

  • Specific follow up actions required:-

Sign off

  • HSA SIGN OFF

  • COACH SIGN OFF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.