Job Task Observation Report

Name: P.R. #: Department:

Current Occupation Date of Observation Time on Present Job Time with Company
years years
Training Plan # Job Task Being Observed Equipment (make & model)

Perform (P)
Action Item/Operation Evaluator Simulate (S)
OK
(Initial) (Chk)
Discuss (D

1.

2.

3.

4.

5.

6.

Job Task Performance Explain (attach notes as required)

Proficient £ Needs Improvement £

(Explain)
Discuss performance evaluation with the employee.
Evaluator Evaluator (Signature)
PR#___________ Dept#_________________ ________________________________Date:_______________

Supervisor (Signature) Employee (Signature)

______________________Date:___________ ________________________________Date:_______________

_
Superintendent (or delegate) (Signature)
PR#___________ Dept# _________________ ________________________________ Date:_______________
Training Coordinator (or delegate) (Signature)
PR# Dept# _________________ ________________________________ Date:_______________

Please ensure that a copy of this document is placed in the Employee’s training file.

Issue Date: Revision Date: Rev. # Document Number Page

March 17, 1999 June 30, 1999 0 FRM-9996-0006 1
Uncontrolled when Printed Printed 2/2/1999 08:22:00 AM
 Job Task Observation Report
Use this form to identify sub-standard actions and corrective action taken/required.
Name: P.R. #: Department:

Training Plan # Job Task being Observed Equipment (make & model)

Comments
Item Opportunity for Improvement Improvements

Evaluator Evaluator (Signature)

PR# Dept# ________________________________Date:_______________

Supervisor (Signature) Employee (Signature)

______________________Date:___________ ________________________________Date:_______________

_ Attach this to the Job Task Observation report.

Issue Date: Revision Date: Rev. # Document Number Page

March 17, 1999 June 30, 1999 0 FRM-9996-0006 2
Uncontrolled when Printed Printed 2/2/1999 08:22:00 AM