Title Page

  • 1-21 conducted on

  • FLM Name

  • Engineer Name

Commitment update

  • Engineer commitment update since last 1-2-1

  • FLM Commitment update since last 1-2-1

EHS

  • Issued Tool Box Talks completed

  • PPE Observed

  • Number of Motor Vehicle Accidents since last 1-2-1

  • STAR score the above questions (1 x star for each question answered with yes and 1 x star for 0 MVA)

  • Does the engineer know and understand the JCI EHS Stop Work Policy?

  • Make sure engineer is given the JCI EHS STOP WORKING POLICY

  • Does the engineer show an understanding of EHS Issues

  • Make sure EHS training is arranged if the engineer does not understand any EHS Issues

Attitudes & Bahaviours

  • First Impressions (Poor=0 Satisfactory=1 Excellent= 2)

  • Communications (Poor=0 Satisfactory=1 Excellent= 2)

  • Time management (Poor=0 Satisfactory=1 Excellent= 2)

  • Initiative (Poor=0 Satisfactory=1 Excellent= 2)

  • TOFU (Poor=0 Satisfactory=1 Excellent= 2)

  • Attitude & Behaviour comments

Key Performance Indicators

  • Engineer Availability Score (%)

  • Engineer Availability performance (Goal 95%) (0-80=Below target, 81-94= Near target, 95-100= On target

  • Engineer Utilisation Score (%)

  • Engineer Utilisation performance (Goal 100%) (Below 85/Above 115= Off target, 86-95 & 105-114= Near Target, 96-104= On target)

  • Engineer Efficiency Score (%)

  • Engineer Efficiency performance (Goal 100%) (Below 85/Above 115= Off target, 86-95 & 105-114= Near Target, 96-104= On target)

  • Engineer Productivity Score (%)

  • Engineer Productivity performance (Goal 95%) (Below 80/Above 110= Off target, 81-94 & 101-109= Near Target, 95-100= On target)

  • General performance comments

Training & Development needs

  • Training needs

  • Development Needs

Well-Being of Employee

  • Sickness record since last 1-2-1

  • Sickness record comments

  • Personal life well-being comments

  • Professional life well-being comments

Commitments (SMART: specific, measurable, achievable, relevant, time bound)

  • FLM Commitments

  • Engineer Commitments

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.