Performance Evaluation - Construction Equipment Operator: Sweeper

/ Form 000.653.F0218s
Performance Evaluation – Construction Equipment Operator:
Sweeper
Name (last, first, middle initial)
front / Personnel/Social Security/ID No. / Craft and Position
Project No./Contract No. / Project Name / Badge No. / For Office Use Only
Overall Rating
Instructions to Evaluator/Licensor
Designate the level of achievement for each factor by circling the appropriate number. Do not let your appraisal of one factor influence your appraisal of another. Be objective; do not allow personal feelings to govern your appraisal of the employee. Each factor to be appraised has 5levels of achievement by which it may be measured with 1 being the lowest rating and 5 being the highest rating. The rating n/a means that the item is not applicable to the machine operation.
Performance Factors
General:
1.Demonstrates safety awareness / Circle Appropriate Performance Rating
LOW HIGH
12345
Specific:
2.Quality of work. / 12345
3.Read and use operator’s manual. / n/a12345
4.Identify safety equipment on the equipment. / n/a12345
5.Read and use all capacity charts for equipment. / n/a12345
6.Identify components and controls of equipment. / n/a12345
7.Learn and observe rigging operations. / n/a12345
8.Perform daily service and maintenance of equipment. / n/a12345
9.Perform machine setup for operation. / n/a12245
10.Perform basic operation of equipment. / n/a12345
11.Perform full/complex operation of equipment. / n/a12345
12.Perform general cleanup of equipment / n/a12345
13.Overall evaluation. / 12345
Comments
Prepared By Evaluator/Licensor (print) / Signature / Date
Reviewed By Immediate Supervisor (print) / Signature / Date
Employee (print) / Signature / Date

By signing this form, the employee acknowledges that it has been reviewed with him/her. Signature does not necessarily signify agreement.

Copyright © 2010, P2S. All Rights Reserved.
Form Date: 01Feb2010 / Page 1 of 1 / Health, Safety, and Environmental
/ Form 000.653.F0218s
Performance Evaluation – Construction Equipment Operator:
Sweeper

Note:This form is referenced in Practices000.653.3200 and000.653.3203.