Accepts responsibility for own actions

Completes duties within guidelines of policies and procedures

Fulfils duty requirements consistently

Seeks clarification from supervisors regarding work requirement

Seeks clarification of unclear instructions

Uses problem solving skills to negotiate and resolve problems

Areas of strength

Areas in need of improvement

Trainee Signature
Assessor Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.