SUBCONTRACTOR'S EVALUATION FORM

Name :
Scope :

Job :
Period : 01/ 05 / 2017 to TILL DATE

Evaluation
Criteria
Excellent (3) Good (2) Poor (1)

Performance X ###

Quality (Details of certifications, if any) X

Follow-up X

Evaluation by Resources X
Construcion
Professionality X

Availability of HSE Certifications (yes/no), X

if yes then details of the certification)

Cooperation X
Evaluation by
procurement Prices X
and contracts
Follow-up X

Total of Evaluation 18

* If the Total of Evaluation is less than 18then the Subcontractor is Rejected.

Decision ( byP&CM ) : Approved Not Approved

Signature

Date of Evaluation

F.11-02b
Rev.1