Site Supervisor Evaluation Form

Supervisor Information

Supervisor Name Site Location Date of Evaluation

Evaluation Criteria

Leadership Excellent Good Average Needs Improvement Communication Excellent Good Average Needs Improvement Problem Solving Excellent Good Average Needs Improvement Teamwork Excellent Good Average Needs Improvement Safety Compliance Excellent Good Average Needs Improvement

Comments & Feedback

Strengths Observed Areas for Improvement Additional Comments

Evaluator Information

Evaluator Name Evaluator Role