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ComplianceAdequate Compliance

Use safety
with Description:
Part ATask Employee
Assessor: code name:
Employee :
Knowledge
Knowledge
different Interveiwkeeping
Part
(B):House (including
Employee improvement:|Strengths:
|Opportunities
Result":/C]NY
Assessor
Supervisor Overall for copyCompetence
Code
Use (L1) of (A):
propoer of
extra steps & Task (1)
relatedUnderpinning
Knowledge
related with proper PPEs,
Obsrevation
Points Task
sheets, of tools Test
the proceedure PTW Check
to to communication &
required.
if check
performance
reason Time:
Date & tackles
requirements
etc)
Date
List,
twaeea
uo0
list &
eanNo for (No Time: duly
Name
following short filled
task
of katkam
DS
cuts) by
Katkan the
Assessor
#Refer Cupl'wel agood
|TnrE' |Competence
Decsription Job
Role:Gkdeyihve Job
Comments & Role:
Comments
guidelines objewatfoh
CrDod
Commitetioyood (2) RIL
QuN Interview Manufacturing-
-
Technical -
Signature below of Technical Question
for Coverd to
determining Knowledge* Check Task
skill"
bbooy| List,
Test
&
Overall duly Interveiw
|SMP/SOPRef filled
Result duration:
Total Comments sitzOn
Comments in
appnehaGoodatttude
nn d Good
by
Assessor
God Attitude
-
Attitude

Appoeh atHhu d to
be Plant |Site
&attached.
& Behaviour
Comments Behaviour

Outcome:
Competent/
|Compeles Competent/
Outcome: pmn
NYC
NYC
Reliance Industries Ltd, Petro Division , Patalganga
CAS: Task test ( Activity Checklist)
Competency Name: nsite emerdenly Rboneo Date & Time: ole 23
|Name of Task Test : ab RoTekanelhe SOP No.
Name of Assessee: Section
Ec no: ILocation PmD
Job Role Plant
Name of Assessor:
Sr. No. Actvity Description Assessee Perfomed the task as per sequence
(SOP Extract) Yes No NA

lasziu etto SSpahaluoin Leele

ajfected azca

Met: yes
Not Met:
Gap Closure Reccomendation If Any:

Remark:

Signature:
Assessee: Assessor

L1:(if participated)
Rellance lndustries Ltd,Petro Divislon,Patalganga
GAS: Underpinning Knowledge Test Questions (Interview Question Check List)
Competency Name: ime:o
Date & Time 23
Name of Task Test :
Name of Assessee: Section
Ec no: Mish hala |Location
Job Role Plant
|Name of Assessor:
Sr. No. Assessee response is satisfactory
Description
Yes No NA

3)

Met:

Not Met:
Gap Closure Reccomendation If Any:

Remark:

Signature :
Assessee:
Assessor
L1:(if participated)

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