Painters USA Inc - DFW Employee Check In

• Audit Name

• Employee

• Conducted on

  Date

• Prepared by

• Personnel

• Location
  Address

• 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

  Date

• Employee Name:

• Person Doing Check In:

• Check In Performed:

  In Person

  Via Phone

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

  No

  Yes

  N/A

• 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?

  Yes

  No

  Sometimes

  N/A

• Are you able to work weekends?

  Yes

  No

  Sometimes

  N/A

• Are you able to travel?

  Yes

  No

  Sometimes

  N/A

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

Supervisor to list any action items for the employee:

Signatures

• Employee Name:

  Sign

• Person Doing Check In:

  Sign