Free Health & Safety Committee Performance Evaluation

Please complete each section of the form to evaluate the performance of the committee. Provide a rating of 1-5, 1 for Poor and 5 for Excellent, on some statements.
EVALUATOR INFORMATION
Name: [Your Name] | Date: [12/14/2056] |
Position: [General Manager] | Number: [222 555 7777] |
PERFORMANCE RATING
Items | 5 | 4 | 3 | 2 | 1 |
Frequency of Meetings | ✔ | ||||
Quality of Meeting Agendas | |||||
Participation and Engagement | |||||
Identification of Workplace Hazards | |||||
Effectiveness of Risk Assessments | |||||
Documentation of Risk Assessments | |||||
Policy Development and Updates | |||||
Compliance with Regulations | |||||
Effectiveness of Training Programs | |||||
Communication Strategies |
Comments/Suggestions | |
1 | [The committee had exceptionally followed industry best practices] |
2 | |
3 | |
VERIFICATION
I, [Your Name], hereby certify that the information and assessments provided in this Evaluation accurately reflect my observations and judgments. I have conducted this evaluation fairly and in accordance with established criteria.

Date: [MM/DD/YY]
Thank you for your dedication to maintaining a safe and healthy work environment.
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