| Job Services Details | |||||||
|---|---|---|---|---|---|---|---|
| Staff | Tya Quinn | ||||||
| Individual Name | Samuel White | ||||||
| Date | 04/22/2026 | ||||||
| Start Time | 08:00 AM | ||||||
| End Time | 11:00 AM | ||||||
| Goals & Progress | |||||||
| Goals |
| ||||||
| Assessment | |||||||
| Refused to work and why? Was another job done in place of this? | No he did not refuse to work | ||||||
| Did the person arrive on time, if not why? | Yes | ||||||
| Was the person appropriately dressed, if not why? | Yes | ||||||
| What duties were performed today? | Swept store | ||||||
| Assessment Continued | |||||||
| Did person have all necessary items to perform job duties? | Yes | ||||||
| Did the person interact positively with coworkers? | Yes | ||||||
| While working, did person take initiative to move on to another task without prompting? | Some prompting | ||||||
| Were there any incidents/health related issues/medication side effects or concerns | No incidents occurred | ||||||
| Risk Assessment Monitoring | At risk for falls and collision | ||||||
| Report Signature | |||||||
| Reporting Location Address | 1100 4th street nw Washington, District of Columbia Map It | ||||||
| Signature | |||||||
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