Supervisor Review Rating Sheet for Safety Performance

Rating Items 0 None or N/A 1 Adequate 2 Average 3 Excellent 4 Distinguished 

Does the supervisor conduct a safety meeting each month for his/her department Does the supervisor attend a department or plant safely meeting each month  

Does the supervisor attend training programs such as first aid, CPR, forklift, etc Does the supervisor give new or transferred employees a safety orientation  

Is the supervisor conducting monthly safety/health inspections  

Are unsafe actions or conditions being corrected as soon as possible  

---

Figure 2-1. Supervisors Review Rating Sheet for Safety Performance (Circle Appropriate Evaluation Points for Performance)...

---