Free Safety and Health Compliance Evaluation HR Template
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 |
✓ |
Always mindful of warning signs. |
|
Proper handling and storage |
✓ |
Ensures materials are stored in designated places. |
|
Knowledge of emergency |
✗ |
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 |
✗ |
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. |
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[Employee Signature]
[Date]
[Evaluator Signature]
[Date]
