Contractor Evaluation

Information

ASSESSED BY:
Date of Evaluation
CONTRACTOR
LOCATION / AREA
TYPE OF PROJECT
- Capital Project
- Maintenance Work Order
- Production Project
- Others
JOB DESCRIPTION (DESCRIBE SPECIFIC TASK)
Additional comments

SAFETY EVALUATION - RISK ANALYSIS

PICTURE OF THE SYSTEM / EQUIPMENT / WORK AREA DURING ASSESSMENT
Did the contractor have any work injuries during the execution of the project / work order being assessed ?
If response is YES, provide details.
Was the contractor involved in any safety incident related to the Serious Seven during the execution of the project / work order being assessed ?
- NO
- Forklift
- Ground Control
- Working from Heights
- Mobile Equipment
- Machine Guard
- Electrical
- Lock out / Tag out
Provide details.
Was the contractor involved in any safety, environmental or other incidents during the execution of the project / work order being assessed ?
If response is YES, provide details.
Were there any MSHA violations on this project or work order ?
If response is YES, provide details.

PERFORMANCE EVALUATION

QUALITY OF WORKMANSHIP

Did the contractor personnel have the knowledge, skills, and experience to execute a project / work order of this size and scope?
Provide details.
Rate the quality of this contractor’s workmanship. Were there quality-related or workmanship problems on the contract? Was the contractor responsive to remedial work required?
If response is Unacceptable or Poor, provide specific examples.
Rate this contractor’s housekeeping procedures on this project.
Provide details.

Rate this contractor’s performance with regard to adhering to schedules. Did this contractor meet the required schedule ?
Provide details.
Was this contractor able to effectively resolve problems?
Rate this contractor’s working relationships with IOS personnel. Did this contractor relate to IOS employees (or other parties) in a professional manner?<br>If not, give specific examples.
If response is NO, provide details.
Rate this contractor’s performance in completing and / or submitting required project paperwork (i.e. prejob inspections, drawings, requisitions, payrolls, reports, etc.) Did the contractor submit the required paperwork promptly and in proper form?
If response is NO, provide details.

EVALUATOR CERTIFICATION

The information contained in this Evaluation represents a true and accurate analysis of the contractor’s performance record on this contract.
The contents of this Evaluation were not in any way the result of any negotiation with the contractor or its representatives
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