Safety Performance Evaluation

[YOUR COMPANY NAME]

Date: [DATE]

This is an evaluation intended to measure and analyze the safety performance within the organization.

The Evaluation will focus on safety practices, adherence to regulations, incident reporting, risk management, and the overall safety culture.

Evaluation Criteria

The evaluation will utilize the following performance criteria:

1. Safety Practices- Proficiency in implementing and adhering to set safety procedures and protocols.

2. Compliance with Regulations- The level of adherence to local, state, and federal safety-related regulations.

3. Incident Reporting- The promptness, accuracy, and thoroughness of reporting incidents of safety breaches.

4. Risk Management- Competence in identifying potential safety hazards and taking appropriate measures to mitigate them.

5. Safety Culture- The overarching emphasis on safety within the organization, cultivated through attitudes, behaviors, and values.

Performance Ratings

1 (Poor) - Consistently fails to meet performance standards.
2 (Below Average) - Frequently fails to meet performance standards.
3 (Average) - Meets performance standards occasionally.
4 (Above Average) - Meets performance standards most of the time.
5 (Excellent) - Always meets and often exceeds performance standards.

Evaluation Table

Criteria	Description	Rating
Safety Practices	Implementation and adherence to set safety procedures
Compliance with Regulations	Adherence to local, state, and federal safety-related regulations
Incident Reporting	Promptness, accuracy, and thoroughness of incident reports
Risk Management	Identifying safety hazards and taking preventive actions.
Safety Culture	Emphasis on safety, through attitudes, behaviors, and values