OTTAWA DISTRICT HOCKEY ASSOCIATION ** OTTAWA DISTRICT MINOR HOCKEY ASSOCIATION
SUPERVISION WORKSHEET
DATE of
GAME
DAY
MTH
AGE GRP
TEAM
YEAR
GAME
LOCATION
LOCATION – ARENA GAME PLAYED AT
LVL
COLOUR
GAME
INFO
Game Supervised Information:
OTHER INFO GAME
TEAM NAME
SCORE
1
2
3
O
GAME DIFFICULTY LEVEL
F
Home
Score
Visitor
Score
HM
VIS
GAME TYPE
PENALTY
1
2
3
O
F
Home
Penalties
Visitor
Penalties
Officials Working This Game:
REFEREE
LINESMAN
LINESMAN
PERIOD
TIME
HM
#
VS
#
PENALTY
or GOAL
Minutes
DISTRICT #
ODHA #
DISTRICT #
ODHA #
DISTRICT #
ODHA #
PENALTY EVALUATION 0 = MARGINAL Penalty 1 = NORMAL Penalty 2 = GOOD Penalty
Rating
NOTES and COMMENTS
0 1 2 ? (comments required for ALL penalties rated “0” or “2”...? did not see / not sure)
REFEREE COMMENTS:
PERIOD
TIME
HM
#
VS
#
PENALTY
or GOAL
Minutes
PENALTY EVALUATION 0 = MARGINAL Penalty 1 = NORMAL Penalty 2 = GOOD Penalty
Rating
NOTES and COMMENTS
0 1 2 ? (comments required for ALL penalties rated “0” or “2”...? did not see / not sure)
LINESMAN COMMENTS:
PROCEDURES (Working Line, …)
TEAMWORK (Covering for Ref & Partner, Fights...)
FACEOFFS (Control of players, Puck drop, Moving out of
Zone, ...)
JUDGEMENT (Line Calls, Offside pass & Icings)
OTHER COMMENTS (Rule Knowledge, Fitness, Signals, Communication ...)
LINESMAN 1
PERIOD
TIME
LINESMAN 2