Please provide the following client information: Company Construction Start Date Company Rep Operational Date Location Completion Date Contract Job No.(See Invoice for No.) Contract Foreman Description of Work Please rate each applicable criterion on the table below. Select from the drop down menu to indicate your rating. Refer to the following instructions for full definitions. 5 Fully Proficient (Comment Helpful for Continuous Improvement) 2 Minimally Proficient (Comment Helpful) 4 Very Proficient (Exceeded Expectations) 1 Not Proficient (Comment Required) 3 Proficient (Met Expectation) 0 Not Applicable (Excluded from Survey) Safety / Environmental / SWE (Safe Working Environment) Performance Criteria Rating Comments 1. Employee Attitude Toward Safety 0 1 2 3 4 5 2. Compliance with Safety Rules and Permit Conditions 0 1 2 3 4 5 3. Reported Injury and Near Miss Incidents (reporting is a positive attribute) 0 1 2 3 4 5 4. Attended and Participated in Safety Meetings 0 1 2 3 4 5 5. General Housekeeping (If 2 or more warnings then rating will be 1) 0 1 2 3 4 5 6. Environmental Protection Awareness 0 1 2 3 4 5 7. Use of PPE 0 1 2 3 4 5 8. Use of Monitoring Equipment 0 1 2 3 4 5 9. Responded Appropriately to Suggestions 0 1 2 3 4 5 10. Use of Lockout / Tagout Procedure 0 1 2 3 4 5 11. Use of Confined Space Procedure 0 1 2 3 4 5 12. Foreman attitude / commitment toward Safety 0 1 2 3 4 5 13. Work Permits issued and posted 0 1 2 3 4 5 14. Monitored and Enforced Safety 0 1 2 3 4 5 15. Conducted Safety Meetings / Documentation 0 1 2 3 4 5 16. Proposed viable Safety or Environmental Idea 0 1 2 3 4 5 Quality Performance Criteria Rating Comments 17. Quality of Workmanship / Crew 0 1 2 3 4 5 18. Thoroughness of Work 0 1 2 3 4 5 19. Understanding and Adherence to Scope of Work Drawings and Specifications 0 1 2 3 4 5 20. Weld Quality, Care and Storage of Materials 0 1 2 3 4 5 21. Passed Third-Party Testing / Inspection 0 1 2 3 4 5 22. Reworks Necessary 0 1 2 3 4 5 23. Passed Permit Required Inspection 0 1 2 3 4 5 24. Adequacy of Equipment / Consumables 0 1 2 3 4 5 25. Adherence to Codes and Standards 0 1 2 3 4 5 26. Proposed viable Improvement in Constructability 0 1 2 3 4 5 27. Quality of Material, Adherence to Specification 0 1 2 3 4 5 Schedule Performance Criteria Rating Comments 28. Met Daily, Weekly, and Operational Time Constraints (beyond Operational or Completion Dates) 0 1 2 3 4 5 29. Coordination of Work Operations 0 1 2 3 4 5 30. Productivity; Effective Use of Time 0 1 2 3 4 5 31. Effective and Appropriate Equipment Utilization 0 1 2 3 4 5 32. Adjust to Multiple Demands / Shifting Priorities 0 1 2 3 4 5 33. Activity Planning, Scheduling and Organization 0 1 2 3 4 5 34. Material / Equipment Available when needed 0 1 2 3 4 5 35. Effective and Appropriate Manpower Utilization 0 1 2 3 4 5 36. Identifies critical activities and adjusts accordingly Reports problems timely and refocuses efforts 0 1 2 3 4 5 37. Proposed viable Schedule Conscious Idea 0 1 2 3 4 5 Sub-Contractor Performance Criteria Rating Comments 38. Safety and Environmental 0 1 2 3 4 5 39. Schedule: Arrival, Productivity, Completion 0 1 2 3 4 5 40. Quality: Workmanship and Material 0 1 2 3 4 5 41. Performance: Cooperation, Attitude, Competence 0 1 2 3 4 5 General Performance Performance Criteria Rating Comments 42. Professional Attitude of Personnel 0 1 2 3 4 5 43. Cooperation with Facility Personnel / Other Contractors 0 1 2 3 4 5 44. Receiving and Storage of Equipment / Material 0 1 2 3 4 5 45. Foreman Competency and Professional Attitude 0 1 2 3 4 5 46. Equipment Condition / Proper Tools 0 1 2 3 4 5 47. The Level of Trust instilled in you by this Foreman / Crew 0 1 2 3 4 5 Additional Information Additional Comments Would you like someone to call you regarding this project? Yes No Rater: Title: Date