1. Tailored Workforce Pty Ltd
REFERENCE CHECK FORM
Applicants Name:
Company
Person Contacted
Title
Phone No.
Dates of employment
Position held
Reason for leaving
Main Duties/responsibilities:
What was your impression of his/her Performance at
work?
In what areas did He/She excel in?
What was His/Her commitment to Occupational Health
and Safety?
How did He/She react to positive and negative
feedback? Give examples.
How did He/She deal with pressure?
Any Injury’s whilst working with your company?
How would you describe His/Her customer service and
communication skills?
What areas required improvement?
From your experience what type of management style
does he/she respond to best?

2. Did he have the Ability to: Answer:
Learn New Tasks & Carry out Instructions:
Plan Ahead & Be Flexible:
Get along with others including:
Colleagues/Managers/Customers.
Work without supervision or as part of a team:
Avoid personal issues at work:
Punctuality & Honesty:
Quality of work:
Attention to detail:
Attendance & Presentation:
Would you rehire? Y/N Why?
Notes