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Regulatory Compliance - Performance Management Assessment Sample #3


Performance Assessments that include Regulatory Compliance:
Assessment 1 (5-point scale; IDP Comments)
Assessment 2 (3-point scale with Comments)
Assessment 3 (Manager Assessment; 360-Feedback)
Assessment 4 (3-point scale; Rating Limits)
Assessment 5 (3-point scale; Rating Limits)
Assessment 6 (5-point scale with Comments)
Assessment 7 (Comment Boxes Only; IDP)
Assessment 8 (Comment Boxes Only)
Assessment 9 (3-point scale with Letter Grade)
Assessment 10 (360-Feedback; Bonus/Merit Pay)
Assessment 11 (Core Values & Job Competencies)
Assessment 12 (4-point scale; 6 Comment Boxes)

Performance Management System
Supervisor: [Supervisor Name]


Signature: ___________________


Date: _____________
Employee: [Employee Name]


Signature: ___________________


Date: ___________
Job Title: Mid-Level Manager in X Department Hire Date:
Instructions:
This performance appraisal program is designed to provide a standardized method to:
  1. Provide an objective evaluation of an employee's performance and to share this feedback with the employee
  2. Assist in determining the true development needs of the employee and actions that should be taken to improve their job performance.
  3. This form is intended to ensure fair and equitable salary management. Please note that this review is one of several factors considered in salary decisions.
Manager-Assessment
As a manager, your feedback is crucial in capturing the achievements and performance of your employees during the review period. Please provide brief answers to the questions below. The information you share will be included in the employee's Performance Appraisal.

If you have additional printed sheets to submit, ensure they are signed, dated, and handed over to your Department Head. If you believe another individual should contribute to this review, kindly provide their name and contact details.

Part 1: Status Recommendation

If currently on Probational Status:



If on Regular Employment Status:









Justification for the above Status Recommendation:


Part 2: Results of 360-Degree Feedback


The following are results from the 360-Degree Assessment conducted earlier in the year. This information can help guide the development of focus areas for the Individual Development Plan.
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  1. Regulatory/Compliance: Complies with regulatory requirements for the state. Performs regular compliance audits. Offers training to employees to ensure they comply with regulations. Coordinates with legal counsel in conducting audits of legal compliance.
  1. Administrative Skill: Able to develop, justify and present a budget. Accurately implements contract provisions. Enthusiastic about taking on challenging projects. High attention to detail.
  1. Safety: Identifies and addresses safety needs. Works to implement corrective safety measures. Keeps accurate safety records. Ensures compliance with safety regulations.
  1. Interpersonal Skills: Is a role model for others demonstrating the importance of interpersonal skills. Demonstrates willingness to work with others. Gives good advice and suggestions to coworkers. Sees values in the diversity of individuals on the team.
  1. Conflict Management: Encourages individuals to seek areas of common ground. Able to settle disputes equitably. Initates collaborative processes to reduce conflict. Identifies the root sources of conflict.
  1. Global Perspective: Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds. Exemplifies the skills of a global worker. Works well with others from different cultural backgrounds. Forms strong client relationships with international partners.
  1. Bias for Action: Completes a large volume of work. Identifies ways to simplify work processes and reduce cycle times Coach others to foster an environment which can adapt quickly and willingly to rapid change. Encourages risk taking and experimentation to improve performance
  1. Emotional Intelligence: Is able to express themselves clearly. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems. Able to understand others' points of view. Is able to manage their own emotions.

Part 3: Individual Productivity and/or SMART Goals

Employee Comments


Supervisor Comments


Part 4: Team Productivity and/or SMART Goals

Employee Comments


Supervisor Comments