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M/S ANKIT METALS DOC NO- AM/SR/27/00

REVISION N0-00

SKILL RETENTION CHECKLIST

Name. Sanjeeb kuman Murola

ocation: R Ha MineL LIRonOee) Job Title:Sfe gufesygon

Skills Validation
Method of Evaluation: DO-Direct Observatlon VR-Verbal Response WR-Witten Response OT-Other

Standardization Process
Method of Scoring(1 Comments
Evaluation 10)Scale
1. Responsiblity DO

2. Productlvlty OT
3. Job Knowledge OT
4. Best Reportin WR

5. Hazard ldentification VR/WR

6. Near Miss Reporting VR/WR

7. Behavior DO

|8. Punctuality DO

9. Housekeeping DOWR

10.Continous Improvement DONRWR/OT

NO. of Process= Total Score= 7

Scoring Percentage=(2 Of Total Score2No. of Process)x100=7


Name of Person Validating the Skills: PtaP MOUi C
Signature of Skills Validator: MU CK Date: -mol 202D
Is the employee fully satisfied with the evaluation ? YES/ NO)
(if not, Suggestion received.)
Feedback Received From Employee:
****ssossepoassenesepas***4*sd*********seseeusre*******ed**nseedessgdssed44669******************sesapads**************************************************************anaasssesae*********a*************************".****

*oreenaoaessesosssessevesestasossdsssosoep*a*sssososa*sesnaseesssstsssssssoossssrssntsatdseaspusegessssssosensssessssde*sss*seeses*spsenseseatnsoenn****onasen****s*s*sarspnessss

DECLARATION received a copy of the Skill Retention Standardized Checklist.! understand


the Skill Retention procedures for the Company and my role in Company's safety.l agree with
this competency assessment.! will contact my supervisor, Proprietor if I require additional
training in the future.

Employee Signature: Sonteb nenda Date

c rA T METALS

Proprieo
M/S ANKIT METALS DOC NO-AM/SR/27/00
REVISION NO-00

SKILL RETENTION CHECKLIST

Name: Poolhan Munola


Location: Kun!ta Mine Job Title: Helper
Skills Validation
Method of Evaluation: DO-Direct Observation VR-Verbal Response WR-Written Response OT-Other
Method of Scoring(1
Standardization Process Comments
Evaluation 10)Scale
DO
1. Responsibility
2. Productivity OT
3. Job Knowledge OT
4. Best Reporting WR

5. Hazard ldentification VRWR

6. Near Miss Reporting VRWR

7. Behavior DO
8. Punctuality DO

9. Housekeeping DOWR
10.Continous Improvement DOVRWR/OT
NO. of Process= Total Score= 7 |

Scoring Percentage=(2 Of Total Score/No. of Process)*100=67


Name of Person Validating the Skill: a A P MUIK
Signature of Skils Validator: UN C Date 4mauh. 2020
Is the employee fully satisfied with the evaluation ? (YES/ NO)

(If not, Suggestion received.)


Feedback Received From Employee:

DECLARATION received a copy of the Skill Retention Standardized Checklist.I understand


the Skill Retention procedures for the Company and my role in Company's safety.! agree with

this competency assessment.l will contact my supervisor, Proprietor if I require additional


training in the future.

Employee Signature: RMuoda Date:

o r A i T METALS

Proprieior
M/S ANKIT METALS DOC NO-AM/SR/27/00
REVISION NO-00

SKILL RETENTION CHECKLIST

Name PTtatar malick


Location: Kuryfo laon dceminey Job Title:
SaRH Supenviso
Skills Validation
Method of Evaluation: DO-Direct Observation VR-Verbal Response WR-Written Response OT-Other
Method of Scoring(1-
Standardization Process Comments
Evaluation 10)Scale
1. Responsibility DO
2. Productivity OT
3. Job Knowledge OT
4. Best Reporting WR
5. Hazard ldentification VRWR
6. Near Miss Reporting VRWR
7. Behavior DO
8. Punctuality DO
9. Housekeeping DOWR
10.Continous Improvement DOVR/WR/OT
NO. of Process= Total Score= 70

Scoring Percentage=( Of Total Score/No. of Process)*100= (O


Name of Person Validating the Skills: e e PaM Sotafoth
Signature of Skills Validator: Date moh 2020
Is the employee fully satisfied with the evaluation ?ESI NO)
(If not, Suggestion received.)
Feedback Received From Employee:
.... **"
**************************************

*************************************.****************** ******** ************************************** ***************************

DECLARATION : received a copy of the Skill Retention Standardized Checklist.! understand


the Skil Retention procedures for the Company and my role in Company's safety.! agree with

this competency assessment.I will contact my supervisor, ProprietorifI require additional


training in the future.

Employee Signature: AIiC Date:

ror ANKT METALS

Procrie'c
M/S ANKIT METALS DOC NO- AM/SR/27/00
REVISION N0-00

SKILL RETENTION CHECKLIST

Name oPaA Raruk


MasO
Location: Ruyta ln09 mine Job Title:

Skills Validation
Method of Evaluation DO-Direct Observation VR-Verbal Response WR-Written Response OT-Other
Method of Scoring(1-
Standardization Process Comments
Evaluation 10)Scale
1. Responsibility DO

2. Productivity OT

3. Job Knowledge OT

4. Best Reporting WR

5. Hazard ldentification VR/WR


6. Near Miss Reporting VRWR

7. Behavior DO

Punctuality DO

9. Housekeeping DOWR
10.Continous Improvement DOVR/WR/OT
NO. of Process= Total Score= 731
Scoring Percentage=( Of Total Score/No. of Process)*100= 3
Name of Person Validating the Skills: PrataP MUck
Signature of Skills Validator PMU CK Date: maLlh 2020
Is the employee fully satisfied with the evaluation ? (VES/ NO)

(If not, Suggestion received)


Feedback Received From Employee:

*******an**oaso******** o..a*a***ooasoonnaaoonoro * n n a s n o u s ********************n****a *n**atsesasssnsre*************s *a**a********esssasssa

DECLARATION : received a copy of the Skill Retention Standardized Checklist.! understand


the Skill Retention procedures for the Company and my role in Company's safety.! agree with

this competency assessment.! will contact my supervisor, Proprietor if I require additional


training in the future.

Employee Signature: Barik Date:

For ANK!T METALS


M/S ANKIT METALS DOC NO- AM/SR/27/00
REVISION NO-00

SKILL RETENTION CHECKLIST

ame:Suve odu
Name Mahanta
Location: Kuyfa_(on mines Job Title: SdeSupei soN
Skills Validation
Method of Evaluation: DO-Direct Observation VR-Verbal Response WR-Written Response OT-Other
Method of Scoring(1
Standardization Process Comments
Evaluation 10)Scale
1. Responsibility DO
2. Productivity OT
3. Job Knowledge OT
4. Best Reporting WR
5. Hazard ldentification VRWR
6. Near Miss Reporting VRWR
7. Behavior DO
8. Punctuality DO
9. Housekeeping DOWR
10.Continous Improvement DOVRIWRIOT
ENO. of Process= Total Score=D

Scoring Percentage=( Of Total Score/No. of Process)*100= 0


Name of Person Validating the Skills: TO P Ma CM
Signature of Skils Validator: a \i eu Date: maneh. 2eZO
Is the employee fully satisfied with the evaluation ? (YES/ NO)

(If not, Suggestion received.)


Feedback Received From Employee:

****************************anansensnea *******************************************************************************************************************"t"*******

DECLARATION : received a copy of the Skill Retention Standardized Checkist! understand


the Skill Relention procedures for the Company and my role in Company's safety.! agree with

this competency assessment.! will contact my supervisor, Proprietor if I require additional

training in the future.

Employee Signature: Mohaak Date:

Tor ANRIT ASETALS

Propriecr

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