HEALTH & SAFETY COMMITTEE MEMBER EVALUATION FORM
Please rate the Committee Member's performance in the following categories on a scale of 1 to 5, with 1 being "Poor" and 5 being "Excellent."
Name: | [Name] | Department: | [Human Resources] |
Position: | | Employee ID: | |
Tenure: | | Evaluation Period: | |
Criteria | Rate |
Attendance and Participation | 5 |
Contribution to Health & Safety Initiatives | |
Knowledge of Health & Safety Regulations | |
Communication Skills | |
Teamwork and Collaboration | |
Initiative and Problem-Solving | |
Comments and Feedback
Please provide comments and feedback on the Committee Member's performance during the evaluation period:
The members were all helpful in giving their insights. |
Recommendation
Based on the evaluation, please indicate your recommendation regarding the Committee Member's continued membership on the Health & Safety Committee:
Evaluator Signature:
[Your Name]
[Job Title]
[Month Day, Year]
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