UA 392 Pipefitters & Plumbers Apprentice Evaluation Form

Pipefitters & Plumbers Apprentice Working Evaluation Form
Apprentice Name*

First NameLast Name
12345
PLPF
Employer*
Date*

MonthDayYear
Foreman Name*

First NameLast Name
Foreman Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Foreman Signature*

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Apprentice Signature*

Clear
EMPLOYER INSTRUCTIONS: Please complete this report, WITH APPRENTICE PRESENT, as accurate as possible. HAVE THE APPRENTICE AND JOURNEYMAN AND/OR FOREMAN SIGN and return it to the Local 392 JATC @ 1300 Century Circle N. Cincinnati, OH 45246 email: matt@jatc392.com
SCORE KEY:

5-Excellent 4-Good 3-Average 2-Needs Improvement 1-Unsatisfactory
Attendance - Faithfulness in working daily & works required hours.*
Punctuality - On time at starting time and after breaks.*
Attitude - Able and willing to work with others & take instruction.*
Initiative - Looks ahead, stays busy, desire to attain goals.*
Safety - Performs in a safe manner, wears PPE as required.*
Tool Use - Selects proper tools for task, respectful of tools provided.*
Material I.D. - Identify, sort, mark, stage material safely & efficiently.*
Drawing/Spec. - Read, interpret, draw, take-off as required.*
Preparation - Cut, grind, shape, drill, fabricate safely & accurately.*
Rigging - Select proper equipment, operate in safe and efficient manner.*
Assemble/Install - Layout, measure, fabricate, installation of piping & hangers.*
Material Joining - Solder, braze, weld, glue, mechanical joining, thread, bolt, etc.*
Instrumentation - Install, maintain, calibrate, test instrumentation systems & equip.*
Inspection/Test - Punch list, pressure test, inspection of systems & joining methods.*
Other - Demo, clean up, mobilization/demobilization.*
If you would like to make additional comments/suggestions, please do so.
Should be Empty:

Pipefitters & Plumbers Apprentice Working Evaluation Form