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HR-Survey > 360-Degree Feedback > Competency Model > Safety Skills

Safety - 360 Degree Feedback Survey Sample #3





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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Safety, Quality, Self Management, Conflict Management, Management, Analytical, Adaptability, Results Oriented, Customer Focus, Global Perspective
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



Edit this Survey
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Safety

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Committed to safety in the workplace.
  1. Documents compliance with safety standards and regulations.
  1. Reviews incident trends and uses findings to refine training priorities.
  1. Guides staff in developing the technical skills needed to perform tasks safely and efficiently.
  1. Reviews incident and near-miss data to identify environmental factors contributing to risk.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
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Competency
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  1. Evaluates and improves the quality of services and products.
  1. Verifies the operators have the necessary equipment and supplies to ensure high quality.
  1. Implements standardized and data driven quality processes/procedures.
  1. Regularly measures product specifications to ensure uniformity and quality control.
  1. Effectively works with Quality Control (QC) engineers.
Please feel free to provide any comments to help explain your answers?

Self Management

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Competency
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Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
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  1. Models vulnerability and openness, showing that change begins with self-awareness and humility.
  1. Persuades others to accept ideas that may be difficult and uncomfortable.
  1. Seeks to avert the recurrence of conflict issues.
  1. Equips the team with tools to self-manage conflict and engage in productive dialogue.
  1. Initates collaborative processes to reduce conflict.
Please feel free to provide any comments to help explain your answers?

Management

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  1. Regularly reviews team goals to ensure they remain relevant and aligned with the organizational direction.
  1. Adjusts resource plans in response to changing priorities, constraints, or emerging opportunities.
  1. Ensures that individual roles and responsibilities evolve to support changing strategic direction.
  1. Consistently models high-effort, high-output behaviors, prompting team members to raise their own performance.
  1. Recognizes competitive strengths and analyzes market positioning to further advance the company.
Please feel free to provide any comments to help explain your answers?

Analytical

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  1. Uses algorithms and quantitative models to determine the costs/benefits of different programs based on mathematical and statistical analysis.
  1. Examines for tiny defects in products which could lead to product failures and/or returns.
  1. Evaluates assumptions before taking actions.
  1. Determines averages and trends in the data.
  1. Looks for trends in the data.
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
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Competency
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  1. Promotes a culture of adaptability and flexibility.
  1. Is good at managing the unexpected.
  1. Recognizes when course changes are needed and takes appropriate action.
  1. Continually trying to improve skills to remain current.
  1. Able to quickly learn new ways of performing their job.
Please feel free to provide any comments to help explain your answers?

Results Oriented

Does Not
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  1. Prioritizes goals to complete those in urgent need first.
  1. Follows up consistently on commitments and deadlines to ensure progress is sustained.
  1. Gives extra effort to solve problems and get work done on time.
  1. Focuses on achieving important goals.
  1. Persists in seeking objectives despite obstacles or setbacks.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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  1. Uses customer feedback to help improve products and services.
  1. Understands what resources are needed to meet customer needs.
  1. Solves issues that customers may be having.
  1. Effectively troubleshoots customer issues.
  1. Consistently exceeds customer expectations.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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Competency
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  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Engages in problem solving with individuals outside of the country.
  1. Creates an environment where individual differences are valued and supported.
  1. Facilitates open communication with individuals from other countries.
  1. Applies knowledge of overseas markets.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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