Information
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Employee Name
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Document No.
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Conducted on
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Prepared by
Job Knowledge
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Does the employee have the knowledge/skill to carry out the job properly
- Outstanding
- Above Satisfactory
- Satisfactory
- Below Average
- Unsatisfactory
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Comments
Safety Awareness
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Does the employee have a good attitude towards safe working practices
- Outstanding
- Above Satisfactory
- Satisfactory
- Below Average
- Unsatisfactory
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Comments
Dependability/Communication
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Responds effectively to assigned responsibility
- Outstanding
- Above Satisfactory
- Satisfactory
- Below Average
- Unsatisfactory
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Comment
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Meets attendance requirement
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Comment
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Listens to directions from management
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Comment
Training Needs
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Courses recommended/required/wanted:
General Comments:
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Employee
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Manager
Signatures
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Employee
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Manager
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Director