Staff Feedback

• Company Name

• Conducted on

  Date

• Employee's Name

• Employee's Position

• Prepared by

• Location
  Address

Feedback Checklist

• Has your roles and responsibilities on site been explained

  ✔

  ✖

  N/A

• Is your pay paid on time and accurately

  ✔

  ✖

  N/A

• All accident / incidents must be reported to Lingwood Control

  ✔

  ✖

  N/A

• Has the use Personal Protective Equipment been explained to you

  ✔

  ✖

  N/A

• Are you aware of the Support you can receive from the Centralus Portal

  ✔

  ✖

  N/A

• Are you happy with the level of support you receive from Lingwood Security

  ✔

  ✖

  N/A

Completion

• Staff Feedback (Comments)

• Employee (Full Name and Signature)

  Sign

• Supervisor (Full Name and Signature)

  Sign