PERFORMANCE CHECK LIST

Name: __________________________________________________________________

Course/year level: _________________________________________________________

Date:____________________________________________________________________

PERFORMANCE STANDARDS: Comments:

LEVEL 4- Performs skill without supervision and adapts to ___________________________________________
problem situation
LEVEL 3- Performs skill satisfactory without assistance or ___________________________________________
supervision.
LEVEL 2- Performs skill satisfactorily, but requires ___________________________________________
assistance/supervision.
LEVEL 1- Perform parts of skill satisfactorily, but requires ___________________________________________
considerable assistance/supervision.
LEVEL 0- Cannot perform this skill Performance level achieved: _______________

__________1. Safety rules and practices were followed at all times regarding this job.

__________2. Tools and equipment were used properly and stored upon completion of this job.

__________3. This completed job met the standards set and was done within the allotted time.

__________4. No injury or damaged to property occurred during this job.

__________5. Upon completion of this job, the work area was cleaned correctly.

Instructor’s Signature: ____________________________