Health & Safety Campaign Evaluation Form

Campaign Title:
Evaluated By:
Date:

Rating Scale: 1 - Poor, 5 - Excellent

	1	2	3	4	5
Objectives
Quality of Training Materials
Effectiveness of Awareness Audits
Level of Employee Participation
Employee Feedback and Response
Improvements in Safety Standards
Compliance with Safety Regulations
Overall Campaign Rating

Recommendations

• Additional Training Required

• More Effective Communication

• Increased Budget Allocation

• Better Employee Involvement

• Other (Please specify):                               

[Month Day, Year]

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