Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date03/16/2026
Start Time08:00 AM
End Time11:00 AM
Goals & Progress
Goals
Row ID Goal Goal Achieved
1 Mr. White will maintain his employment by completing all his assigned tasks with verbal reminders through 12/31/2025. Yes
Assessment
Refused to work and why? Was another job done in place of this?No he did not refuse to work. He continuously throughout the day will exclaimed how much he loves his job
Did the person arrive on time, if not why?NO he did not arrive on time. He arrived at 8:27 am and clocked in at 8:29 am
Was the person appropriately dressed, if not why?Yes he was appropriately dressed in a black long sleeve button up collared shirt and faded blue Dickie pants and a brown belt. He had on black and white tennis shoes, with a grey and white raiders winter hat and a blue winter coat
What duties were performed today?The store was fairly clean so we went down all the numbered aisles cleaning underneath all the shelving as well as the Farmers Harvest area and Floral department.
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and a two wheeled dustpan to perform his job duties for the day
Did the person interact positively with coworkers?Yes he greeted co-workers and customers asking them how they were doing and waving and giving them fist daps.
While working, did person take initiative to move on to another task without prompting?Because of the cleanliness of the store I prompted him to clean the numbered aisles and to clean under the shelving just to do upkeep
Were there any incidents/health related issues/medication side effects or concernsNo incidents to report at this time
Comments, Office/DDS Follow UpHe had a turkey and mayo sandwich for lunch and baked lay chips with two bottles of water
Risk Assessment MonitoringAt risk for falls due to his gait and proned to collisions into objects and people when focused on his tasks and not his surroundings
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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