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Evaluation
To help maintain our high safety standards and our excellent safety record, your input is necessary. This form is your tool in rating the performance of our employees. Based upon your input, constructive feedback can be furnished to our employees, and necessary corrections can be made.

Protective Equipment and Clothing
Did driver/operator have and use all required equipment?
(i.e. hard hat, safety glasses, sturdy work shoes)
Yes No
Comments:

Job Performance
Did driver/operator arrive on location at specified time?
Yes No
Was driver/operator courteous and helpful?
(i.e. attitude problem, help unload his truck)
Yes No
Did driver/operator know what he was carrying
and how it was loaded on the trailer?
Yes No
Did driver/operator perform his duties in a
safe and professional manner?
Yes No
Comments:

Trucking/Transportation Company
Driver/Operator Name
Truck/Trailer Number
Location Name
Evaluator's Name
Date