Safety - 360 Degree Feedback Survey Sample #8

Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Safety	Agree	Unsure	Disagree	N/A
Encourages others to attend safety training.
Develops a strong safety culture.
Commits adequate resources toward safety measures.
Identifies predictable hazards in the workplace.
Identifies and addresses safety needs.
Continual Learning	Agree	Unsure	Disagree	N/A
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Is open to new ideas and concepts.
Professional Development	Agree	Unsure	Disagree	N/A
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is able to control their own emotions.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Goals	Agree	Unsure	Disagree	N/A
Establishes and documents goals and objectives.
Sets goals to improve performance metrics and regularly tracks progress.
Assists team members in reaching their objectives.
Maintains a clear overview of each goal's requirements and deadlines.
Manages priorities and delegates work to efficiently complete goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Addresses underperformance promptly and constructively, focusing on solutions.
Channels personal energy into motivating others toward shared goals.
Plans the best course of action to achieve the goal.
Maintains optimism during high-pressure situations, helping others stay grounded.
Assigns responsibilities based on individual strengths and developmental goals.
Managing Risk	Agree	Unsure	Disagree	N/A
Takes steps to minimize the impact/damage of the risk events.
Determines the risk tolerance of the company.
Uses risk management to remain in compliance with regulations.
Offers training to reduce safety incidents in the workplace.
Integrates risk management into strategic decision making.
Developing Others	Agree	Unsure	Disagree	N/A
Provides constructive feedback to others.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Others	Agree	Unsure	Disagree	N/A
Works effectively with people from other departments.
Works across boundaries within the organization.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Supports the efforts of other employees in implementing solutions to problems.
Global Perspective	Agree	Unsure	Disagree	N/A
Attends training seminars and conferences to increase skills in working with others globally.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Communicates effectively on a multi-lingual basis.
Demonstrates working knowledge of global transactions.
Understands how cultures differ and how these differences impact work behavior.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.