Title Page

  • Conducted on

  • Prepared by

  • Location

Review

Introduction

  • This document is designed to measure the competency of the assesed person on their given site. This report is completed without bias and within the best interest of the Client and Company.

  • Site:
  • Time and Date commenced:

  • Person being assessed:

  • Length of time in current role:

  • Assessor:

Pre start

  • Is the employee wearing the correct uniform in a presentable manner? If not, please note.

  • Has the employee logged on time target?

  • Does the employee have all relevant equipment and/or PPE appropriate for their shift? E.g. hi-vis, keys, torch etc

Role and performance

  • Does the employee understand the full scope and requirements of their role?

  • Scope understanding notes:

  • Has the employee effectively completed tasks whilst under supervision?

  • Task completion notes:

  • Employee attitude: e.g. 10=enthusiastic and engaged.

  • Attitude notes:

Closing notes

  • General performance and perception of value:

  • Areas for improvement and/or corrective action suggested:

  • Additional notes:

  • Time and Date concluded:

  • Assessor signature:

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.