Title Page

  • Audit Name

  • Employee

  • Conducted on

  • Prepared by

  • Personnel

  • Location
  • Your operations team is taking time this month to check in with all field employees to see how things have been going for you over the last 3 months. We would appreciate your honest feedback! Your responses will be kept confidential with management and HR. Please answer all questions based on the LAST 3 MONTHS.

  • Select date

  • Employee Name:

  • Person Doing Check In:

  • Check In Performed:

  • Have you felt unsafe while working at one of our jobs? If so, what happened?

  • What do you feel that you are doing well? Name a skill or type of job.

  • What do you feel that you need to improve on?

  • What is something that you are very proud of, either at work or at home?

  • What do you feel our foreman are doing well?

  • What do you feel our foreman need to improve on?

  • What do you feel our supervisors / operations team is doing well?

  • What do you feel our supervisors / operations team needs to improve on?

  • What do you feel that the company is doing well?

  • What do you feel that the company needs to improve on?

Schedule Questions - Discuss any limitations (ex. Only week at a time, within 4 hours from shop, etc)

  • Are you able to work nights?

  • Are you able to work weekends?

  • Are you able to travel?

Please tell us any general comments you would like to discuss:

Supervisor to list any action items for the employee:

Signatures

  • Employee Name:

  • Person Doing Check In:

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.