Job Observation

• Person Observed

• Conducted on

  Date

• Person Observed

• Payroll Number

• Date Observed

  Date

• Department

• Occupation

• Task Observed

• Type of observation

  Initial

  Follow up

• Time with company

• Time on present job

• Notification

  Told in Advance

  Not told in advance

• Reason for observation

  Select Task/Procedure Performance Training follow up Practice update Inexperienced worker Other

  • Task/Procedure
  • Performance
  • Training follow up
  • Practice update
  • Inexperienced worker
  • Other

• Could any of the practices or conditions observed result in a loss?

  No

  Yes

• Details

• Were the methods and practices observed the most efficient and productive?

  Yes

  No

  N/A

• Did the practices you observed comply with all the standards that exist for this task?

  Yes

  No

  N/A

• Describe clearly below any practices, potential hazards or conditions related to the items above the deserve compliment or correction.

• You can take pictures!

  Media

• Have you properly complimented and/or re-instructed the worker on these observations?

  Yes

  No

  N/A

• Should a follow up observation of this worker or task be made in the near future?

  No

  Yes

• Follow up action.

Signature Fields

• Crew Leader / Trainer / Coordinator

• Add signature

  Sign

• Department

• Signature of Person Obseved

  Sign