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