Supervisor's Comments

  • Good attendance

  • Comments on attendance

  • Punctuality

  • Comments on punctuality

  • Well Presented

  • Comments on appearance and presentation

  • Shows interest

  • Comments on interest whilst on placement

  • Works well as part of a team

  • Comments on team work

  • Able to follow instruction

  • Comments

  • Works well under own initiative

  • Comments

  • Interacts well with clients/children

  • Comments

  • Completes tasks required

  • Comments

  • Applies care value base

  • Respectful at all times

  • Comments

  • Able to deal with problems

  • Comments

  • Asks for help and advice / asks questions

  • Comments

  • Accepts constructive criticism

  • Comments

  • Listens to others

  • Comments

  • Supervisor's Comments

  • Strengths

  • Weaknesses

  • Observation details (if carried out)

  • Supervisor's Signature

  • Date Completed

Student Experience

  • Health and Safety checklist completed?

  • Attendance record up to date?

  • Comments from Student

Action Plan

  • Personal Development / Welfare

  • College Paperwork to complete

  • Comments from Work Placement Coordinator


  • Student Signature

  • Work Placement Coordinator Signature

  • Date of Observation

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.