MPHOHLO INVESTMENT

JOB EVALUATION FORM

PROJECT TITTLE SKILL POSITION DEFINITION

INDIVIDUAL INFORMATION
NAME JOB TITTLE YEARS/DURATION
ENGAGED

SCALING/PERFOMANCE
RATING YES NO
1. MEETING JOB TARGET ?
2. GOOD JOB QUALITY ?
3. CORRECT USE OF TOOLS & MACHINERY ?
4. PROPER USE OF PPE ?
5. ZERO ACCIDENTS BEFORE?
6. REPORTING OF INJURIES ?
7. CERTIFICATE OF COMPETANCE ?
8. MORE THAN 3 YEARS ON JOB ?
9. COOPERATION WITH OTHER WORKERS ?
10. SAFETY PROCEDURES COMPLIANCE ?

TOTAL RATING
--------- X 100 % = [ ]
10
KEY : 1. POOR 2. AVERAGE 3.GOOD
4. EXCELLENT

COMMENTS
1.
2.
3.
4.
5.
SIGNATURE OF EMPLOYEE
EVALUATOR : SIG :
APPROVE SIG:
D BY: DAT
E: