Referee Assessment Report - Forms

For NPL and State League Reports, please complete this form https://forms.footballwest.com.au/referee-coaching-report-2023/

Referee Name*
Please type the full name exactly as listed in Squadi.
Field Test?
- Yes
Please tick this if this was an upgrade assessment (Level 1, Level 2 or Level 3).
Referee Coach's Name*
First Last
Competition*
Home Team*
Away Team*
Home Team*
Home Team*
Home Team*
Home Team*
Away Team*
Away Team*
Away Team*
Away Team*
Date*
DD slash MM slash YYYY
Key Performance Indicators
Failure to meet the KPI means a maximum score of 5 for the corresponding component. 8 – Very Good 7 – Good 6 – Competent 5 – Ordinary 4 – Weak 3 – Disappointing 2 – Poor 1 – Very Poor
KPI 1 – Did the referee protect player safety by correctly interpreting & applying the Laws?*
KPI 2 – Was the image of the game protected (technical area)?*
KPI 3 – Was the image of the game protected (melees)?*
KPI 4 – Did the referee deal with dissent appropriately?*
Interpretation and Application of the Laws (KPI 1)*
Were the Laws applied consistently and appropriately i.e. judgement of careless, reckless and excessive force; advantage play?
Interpretation and Application of the Laws (KPI 1 failed)*
Were the Laws applied consistently and appropriately i.e. judgement of careless, reckless and excessive force; advantage play?
Comments – Interpretation and Application of the Laws*
Performance of Duties (KPI 2 & 3)*
Managing technical areas, dealing with mass confrontation, attention to detail; co-operation with ARs and 4th official; clarity of decisions; timing; wall management; handling of injuries.
Performance of Duties (KPI 2 and/or 3 failed)*
Managing technical areas, dealing with mass confrontation, attention to detail; co-operation with ARs and 4th official; clarity of decisions; timing; wall management; handling of injuries.
Comments – Performance of Duties*
Discipline (KPI 4)*
Were the sanctions imposted on players appropriate for the offences committed?
Discipline (KPI 4 failed)*
Were the sanctions imposted on players appropriate for the offences committed?
Comments – Discipline*
Personality*
Sense of authority; firm but fair; personality influenced player behaviour?
Comments – Personality*
Fitness*
Did the referee’s fitness and stamina meet the requirements of the game?
Comments – Fitness*
Positioning*
Was the referee able to read the game and therefore was in the best position?
Comments – Positioning*
Performance Strengths – 1
Performance Strengths – 2
Performance Strengths – 3
Development Points – 1
Solutions to Development Points – 1*
Development Points – 2
Solutions to Development Points – 2*
Development Points – 3
Solutions to Development Points – 3*
Summary*
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Key Performance Indicators