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1. Specific Role Safety Requirements: Additional evaluation criteria for specific job roles with unique safety requirements (e.g., heavy machinery operators, chemical handlers)

2. Safety Committee Participation: Evaluation of employee's involvement in safety committees or as safety representative, if applicable

3. Environmental Compliance: Assessment of adherence to environmental safety procedures, if relevant to the role

4. Remote Work Safety Compliance: Evaluation of safety practices for employees who work remotely or off-site

5. Safety Leadership: Assessment of safety leadership and mentoring of other employees, for supervisory roles

1. Appendix A - Safety Performance Rating Scale: Detailed explanation of the rating system and performance indicators used in the evaluation

2. Appendix B - Incident Report Forms: Copies of any incident reports filed during the evaluation period

3. Appendix C - Training Records: Detailed list of completed safety training programs and certifications

4. Appendix D - Previous Evaluation Summary: Summary of the previous evaluation period's performance for comparison

5. Schedule 1 - Role-Specific Safety Criteria: Detailed safety evaluation criteria specific to different job roles

6. Schedule 2 - Improvement Action Plan Template: Template for documenting specific safety improvement goals and timeline