Use these Interactive PDF Forms to customize checklists for documenting employee Competency Assessments.
You will want to customize and 'save' these PDF's. Then print for manual
entry or type into the forms, then print and save the electronic copy.
Once downloaded the Fill-in portion of the forms may appear blue..
If this is the case refer to the FAQs on how to remove the highlighting.
View the Resources for information on means of evaluating personnel.
These Templates are FREE.
Click on images to download and save PDF's
COMPETENCY - COVER PAGE
When completing following pages, refer to KEYS provided here.
1. Pre-analytical sample handling, reagent handling, step-by-step test procedure, results interpretation & reporting.
2. Transcription, timeliness, follows Abnormal/Critical Values procedures
3. Completes records as required, completes at appropriate frequency intervals, dates and initials where required, performs & documents corrective actions, records are legible
4. Performs as required, documents as required, identifies corrective action when needed
5. Achieves accuracy & employee can provide corrective action for failed proficiency events
6. Identifies problem, reports and documents problem, solves problem
GENERAL COMPETENCY (PAGE-1)
When completing refer to KEYS on Cover Page. For Evaluation Method,
Circle ONLY those that apply .
GENERAL COMPETENCY (PAGE-2)
When completing refer to KEYS on Cover Page. For Evaluation Method,
Circle ONLY those that apply.
User to Customize for any procedure
When completing refer to KEYS on Cover Page. For Evaluation Method,
Circle ONLY those that apply.
EXAMPLES FOR HEMATOLOGY
User may 'CLEAR FORM' to Customize for any procedure.
When completing refer to KEYS on Cover Page. For Evaluation Method,
Circle ONLY those that apply.
EXAMPLES FOR CHEMISTRY
User may 'CLEAR FORM' to Customize for any procedure.
When completing refer to KEYS on Cover Page. For Evaluation Method,
Circle ONLY those that apply.
COMPETENCY FOR TS/TC
Use to Document Competency of Technical Supervisor and Technical Consultant.
COMPETENCY FOR PHLEBOTOMIST
Use to Document Competency of Phlebotomist.
