Health & Safety Committee Member Evaluation Form
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."
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Name: |
[Name] |
Department: |
[Human Resources] |
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Position: |
Employee ID: |
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Tenure: |
Evaluation Period: |
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Criteria |
Rate |
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Attendance and Participation |
5 |
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Contribution to Health & Safety Initiatives |
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Knowledge of Health & Safety Regulations |
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Communication Skills |
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Teamwork and Collaboration |
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Initiative and Problem-Solving |
Comments and Feedback
Please provide comments and feedback on the Committee Member's performance during the evaluation period:
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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]
