SAFETY AND HEALTH COMPLIANCE EVALUATION
Employee Name | | Date of Evaluation | |
Department | Maintenance | Evaluator’s Name | |
Criteria | Compliant | Comments |
Proper use of Personal Protective Equipment (PPE) | ✓ | Regularly uses safety goggles and gloves. |
Adherence to safety signage
and instructions | ✓ | Always mindful of warning signs. |
Proper handling and storage
of hazardous materials | ✓ | Ensures materials are stored in designated places. |
Knowledge of emergency
evacuation procedures | ✗ | Uncertain about the secondary exit route. |
Regular safety drills participation | ✓ | Participated in all scheduled drills. |
Use of safe practices around machinery/equipment | ✓ | Demonstrates care when operating machinery. |
Reporting hazards and
incidents promptly | ✗ | Failed to report a minor spill last month. |
Completing mandatory safety training | ✓ | Completed recent safety course on time. |
Overall Rating | Expectations | Expectations | Improvement |
Comments & Recommendations | Employee generally adheres to safety guidelines and practices. However, it's crucial that employee remains proactive in reporting all hazards and refreshes knowledge on evacuation routes. Recommend a quick refresher course to address these gaps. |
[Employee Signature]
[Date]
[Evaluator Signature]
[Date]
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