Bricklayers Evaluation Form
Personal Information
Name
*
First Name
Last Name
I am an
*
Apprentice
Improver
Management
Email
*
Confirmation will be sent here
Phone Number
*
-
Area Code
Phone Number
Work Performed
Wk 1
Wk 2
Wk 3
Wk 4
Wk 5
Laying Masonry Units
Installing Grout
Cutting Masonry Units
Flashing
Cleaning, Rubbing Masonry Down
Laying Specialty Units
Installing Anchoring Devices
Mixing Mortar, Grout
Build Arches, Piers & Corners
Refractory
Building Footing & Block Foundations
Welding
Laying Masonry Units Total
Installing Grout Total
Cutting Masonry Units Total
Flashing Total
Cleaning, Rubbing Masonry Down Total
Laying Specialty Units Total
Installing Anchoring Devices Total
Mixing Mortar, Grout Total
Build Arches, Piers & Corners Total
Refractory Total
Building Footing & Block Foundations Total
Welding Total
Combined Monthly Total
Job Information
Month & Year Worked
Work Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Rate %
Work Phone Number
-
Area Code
Phone Number
Comments
Employer/Contractor
Foreman's Name
Ratings
Skill Level
Needs improvement
Acceptable
Outstanding
Comments
Performance Level
Needs improvement
Acceptable
Outstanding
Comments
Cooperation Level
Needs improvement
Acceptable
Outstanding
Comments
Safety Level
Needs improvement
Acceptable
Outstanding
Comments
Motivation Level
Needs improvement
Acceptable
Outstanding
Comments
Attendance/Tardies
Needs improvement
Acceptable
Outstanding
Comments
Submit Report
Should be Empty: