Preventive Maintenance
Team Assessment

Assessment Details
1. HSE Compliance — 20%
PPE Compliance Helmet, gloves, safety shoes, vest, eye protection worn correctly.
Site Safety Setup Barricades, cones, caution tape, and signage placed properly.
Risk Assessment Job Safety Analysis completed, TBT, Task Briefing.
Tool Safety Tools inspected; no damaged or unsafe equipment.
Work-at-Height Safety Ladders secured, harness used where required.
Emergency Preparedness Fire extinguisher, first-aid kit, emergency contacts available.
HSE Score: 0 / 20
2. Technical Knowledge & Execution — 60%
Understanding of PM ScopeTeam understands asset PM requirements and sequence.
Correct ProceduresJob Guide procedures followed without shortcuts.
Observation SkillsAbility to detect abnormalities or early failure signs.
Tool HandlingProper use of tools, torque accuracy, calibration awareness.
Execution QualityClean, precise work; no rework required.
Time ManagementPM completed within expected duration.
Team CoordinationClear communication and task distribution.
Technical Score: 0 / 60
3. Documentation — 10%
PM Checklist CompletionAll fields filled accurately.
Asset ReadingsVoltages, pressures, temperatures recorded correctly.
Reporting IssuesFindings logged with proper descriptions and severity.
Submission TimelinessReports submitted within required timeframe.
Documentation Score: 0 / 10
4. Housekeeping — 10%
Work Area CleanlinessNo debris, spills, or leftover materials.
Tool OrganizationTools arranged properly before, during, and after work.
Waste DisposalUsed materials disposed of correctly.
Restoration of SitePanels closed, covers secured, site returned to normal.
Housekeeping Score: 0 / 10
Total Score: 0 / 100

Summary of Gaps

No scores entered yet.

Recommended Actions

No scores entered yet.
Additional Remarks
Assessor Information
✍ Sign here