* = required field
Plant Name *
Job/Project *
City *
State * —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming*District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands
Date work Began *
Date work Ended *
Evaluator First Name *
Last Name *
Title *
Company *
Quality of Work:
Job is done efficiently, on time, without disruption to people or operations and without mistakes. ExcellentSuperiorAverageSubstandardUnsatisfactory
Reliability:
Attendance is good; crew requires minimal supervision and direction. ExcellentSuperiorAverageSubstandardUnsatisfactory
Responsibility:
Accountable for actions taken, flexible, takes pride in work. ExcellentSuperiorAverageSubstandardUnsatisfactory
Knowledge of Job:
Knows job to be performed and most efficient way to perform it. Knows job site policies and procedures. ExcellentSuperiorAverageSubstandardUnsatisfactory
Cooperation:
Crew works well with peers and supervisors, shows maturity and stability. ExcellentSuperiorAverageSubstandardUnsatisfactory
Judgement:
Shows sound judgement and discretion in focusing on job goals, establishing priorities and reacting to unexpected situations. ExcellentSuperiorAverageSubstandardUnsatisfactory
Safety:
Adhering to on-site safety policies with a proactive and positive attitude. ExcellentSuperiorAverageSubstandardUnsatisfactory
Overall Rating/Satisfaction:
ExcellentSuperiorAverageSubstandardUnsatisfactory
Strongest Assets:
Areas of Concern:
May EBI use you and your company as a reference? YesNo
May EBI use your informatoin for sales/marketing purposes? YesNo
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