Number: HSE7-3
POST JOB EVALUATION
EXAMPLE Revision: R05
Issue date: August 2022
Score
HSE Questions Answer YES= 2, NO= 0
Did the contractor prepare, submit, and follow the
"Safe Work Plan" during the course of the project?
Were any employees or sub-contractors cited for not
following Mondelēz safety rules while on site?
Were any employees or sub-contractors cited for not
following Mondelēz security rules while on site?
Were any employees or sub-contractors cited for not
following Mondelēz environmental rules while on site?
(Spill control, hazardous materials, MSDS submittals,
etc.)
Were any employees or sub-contractors cited for not
following Mondelēz GMP rules while on site?
Did contractor cause any safety incidents while on
site?
When held, did the supervisor/HSE representative
participate in the site orientation, risk assessment and
job safety meetings?
Did employees follow safe working procedures?
(control energy sources, perform risk assessment,
secure permits where appropriate, follow Mondelēz
rules and regulations, etc.)
Were employees properly trained and knowledgeable
for type of work being performed?
Engineering Questions
Was supervisor/foreman familiar with job
requirements prior to coming on-site?
Was project staffed correctly to complete work within
time period agreed upon?
Was contractor able to complete work without any
"unplanned" disruptions to operations?
Did contractor work well with other trades working on
the project or in the plant?
[Link]
Number: HSE7-3
POST JOB EVALUATION
EXAMPLE Revision: R05
Issue date: August 2022
Score
HSE Questions Answer YES= 2, NO= 0
Did contractor communicate progress or issues in a
timely and effective manner to MDLZ management?
Did contractor properly scope out project based upon
MDLZ instructions?
Did contractor follow instructions given during project
well?
Procurement Questions
Does contractor accept MDLZ standard payment
terms?
Did quality of work meet written requirements or
expectations?
Did contractor finish the job on schedule?
Were there unexpected additional charges during the
project?
I required, did contractor submit MFE forms properly
completed?
0
TOTAL
SCORE 0
>36 = 15 POINTS TOWARD OVERALL GRADE
>30 = 10 POINTS TOWARD OVERALL GRADE
<30 = 0 POINTS TOWARD OVERALL GRADE
[Link]
