Q U A L I T Y

R E C O R D S / F O R M S

Doc. Level:IV
Doc. No: CCPL-HR-F.11

SOCIAL FEEDBACK FORM

Doc. Version: I
w.e.f: 6th Feb. 2012

Employees Name:

______________________

Employees No: ______________________

Department:

______________________

Designation:

Sign:

______________________

Date:
Parameter

Good

Improve

Suggestion for Improvement

Working Hours
Disciplinary Actions
Wages Payment Time
Environmental Conditions
Safety Conditions
Ethical Behavior
Prevention of Abuse
(verbal, physical, sexual)
Provision of Trainings
Entitlement of Other Benefits
Technical Work Support
--------------------------------------------------------------------------------------------------------------------------------------------------------for CR use only--------------------------------------------------------------------------------------------------------------------------------

Action to accomplish suggestion for improvement

Responsibility

Agreed Date of Fulfillment

Endorsed by Responsible:

Reviewed by CR.

Recommended by Mngr. Admin

Sign:

Sign:

Sign:

Date:

Date:

Date:

ONTROLLEDONFIDENTIAL

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