hr-survey.com
HR-Survey > 360-Degree Feedback > Competency Model > Safety Skills

Safety - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Safety:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Competencies Included:
Safety, Action, Punctuality, Analytical, Creativity, Achievement, Coaching, Business Acumen, Organizational Fluency
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
Edit this Survey
Would you like to edit this survey? Click here to begin.


Safety

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You create accurate and effective measures of safety.
  1. You develop safety guidelines for the department.
  1. You support safety programs and procedures.
  1. You identify predictable hazards in the workplace.
  1. You participate in safety training when offered.
  1. You ensure that all supervisors are aware of regulatory and compliance measures.
If you were to make improvements in Safety, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You work quickly when faced with difficult problems.
  1. You make effective decisions
  1. You ensure timely completion of tasks.
  1. I take action to respond to dissatisfied customers.
  1. I initiate actions to get things done.
  1. I conduct critical-incident reviews immediately after the event.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Punctuality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You invoice clients on a timely basis.
  1. You start the workday when scheduled.
  1. You arrive to meetings on time.
  1. You avoid making personal phone calls during working hours.
  1. You conduct appointments at scheduled start time.
  1. You respond to requests for information in a timely manner.
If you were to make improvements in Punctuality, what are your suggestions for how you can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I test hypotheses, analyze experimental data, and draw conclusions.
  1. You are well-versed in fundamental research concepts.
  1. I am able to interpret and analyze data.
  1. I synthesize data from multiple sources to draw logical conclusions.
  1. I select the solution that offers the best outcome based on the analysis.
  1. I analyze various legal and business situations to find patterns and draw conclusions that others might miss.
If you were to make improvements in Analytical, what are your suggestions for how you can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You add value to the department/organization.
  1. You are creative and inspirational.
  1. You inspire creativity in your team.
  1. You develop solutions to challenging problems.
  1. You conceive, implement and evaluate ideas.
  1. You are creative.
If you were to make improvements in Creativity, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I was able to increase production by 20 percent.
  1. You establish Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. I am able to reduce department expenses by 25 percent.
  1. I am highly motivated to achieve or exceed performance standards.
  1. You take calculated risks to achieve higher levels of performance.
  1. I take calculated risks to achieve significant rewards.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You conduct regular performance appraisals and feedback.
  1. You address employee behavior problems effectively.
  1. You provide clear, motivating, and constructive feedback.
  1. You develop the skills and capabilities of others.
  1. You help employees to maintain high personal standards.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
If you were to make improvements in Coaching, what are your suggestions for how you can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I gather essential customer data to align our products with their expectations.
  1. You understand the costs, profits, markets, and added value of issues.
  1. I have an understanding of various asset classes and how to interpret balance sheets.
  1. You are able to align resources to meet the business needs of the company.
  1. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Understands business fundamentals and practices.
If you were to make improvements in Business Acumen, what are your suggestions for how you can improve this?

Organizational Fluency

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You understand departmental policies and procedures.
  1. You are able to explain departmental policies and procedures to others.
  1. You understand the current organizational culture.
  1. You are adept at navigating within the culture of the department.
  1. You anticipate problems that may affect the department.
  1. You are able to use corporate politics to advance department objectives.
If you were to make improvements in Organizational Fluency, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.