OHS INTERNSHIP EVALUATION SHEET Form No.

F254-030-8100

Internship Name: FEBRINA DHYANI PUTRI

Facility: Batam Fabrication Facility

Date Start of OJT: 21st July 2009

PROPOSED DURATION: 34 DAYS

EVALUATION PERIOD 21st July 2009 to 27th August 2009

BELOW NEED
AVERAGE GOOD EXCELLENT
AVERAGE IMPROVEMENT
ATTENDANCE 
WORK ATTITUDE 
TEAMWORK 
TAKING INSTRUCTION 
GIVING INSTRUCTION 
TAKING ADVISE 
GIVING ADVISE 
CONDUCTING INDUCTION 
CONDUCTING TOOLBOX 
CONDUCTING PRESTART 
CONDUCTING IN HOUSE
TRAINING 
IDENTIFYING HAZARDS 
COMMUNICATION WITH
WORKFORCE 
FIRM FIELD CONTROL 
KNOWLEDGE OF THE
SMS 
DOCUMENTATION 
COMPUTER SOFTWARE 
PROBLEM SOLVING
SKILLS 
COMMITMENT 
PERSONAL CONDUCT 
RESPECTFUL WITH
COLLEAGUES 
RECOMMENDATION:
He would greatly benefit from further training. Has a great attitude to learning.

EVALUATED BY ACKNOWLEDGED BY
Safety Coordinator Safety Manager

F054-030-8100 Rev 0
 OHS INTERNSHIP EVALUATION SHEET Form No.
F254-030-8100

Internship Name: DINAR KIRANA

Facility: Batam Fabrication Facility

Date Start of OJT: 21st July 2009

PROPOSED DURATION: 34 DAYS

EVALUATION PERIOD 21st July 2009 to 27th August 2009

BELOW NEED
AVERAGE GOOD EXCELLENT
AVERAGE IMPROVEMENT
ATTENDANCE 
WORK ATTITUDE 
TEAMWORK 
TAKING INSTRUCTION 
GIVING INSTRUCTION 
TAKING ADVISE 
GIVING ADVISE 
CONDUCTING INDUCTION 
CONDUCTING TOOLBOX 
CONDUCTING PRESTART 
CONDUCTING IN HOUSE
TRAINING 
IDENTIFYING HAZARDS 
COMMUNICATION WITH
WORKFORCE 
FIRM FIELD CONTROL 
KNOWLEDGE OF THE
SMS 
DOCUMENTATION 
COMPUTER SOFTWARE 
PROBLEM SOLVING
SKILLS 
COMMITMENT 
PERSONAL CONDUCT 
RESPECTFUL WITH
COLLEAGUES 
RECOMMENDATION:
He would greatly benefit from further training. Has a great attitude to learning.

EVALUATED BY ACKNOWLEDGED BY
Safety Coordinator Safety Manager

F054-030-8100 Rev 0