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.



Please complete your response by .

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Safety	Agree	Unsure	Disagree	N/A
Completes required safety training programs.
Uses data and analytics tools to keep track of trends.
Establishes policies and procedures for the safety, health, and environmental program.
Keeps track of losses due to accidents.
Champions safety standards and fosters a culture of awareness and compliance.
Continual Learning	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.
Pursues learning that will enhance job performance.
Participates in regular training offered.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Professional Development	Agree	Unsure	Disagree	N/A
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Goals	Agree	Unsure	Disagree	N/A
Creates or uses existing tools to collect and analyze data from sources such as surveys, financial reports, or log files.
Fosters a disciplined work ethic, allowing for steady progress and the achievement of goals within the designated time frame.
Tracks quarterly and annual performance figures by comparing them to the previous year.
Ensures goals have relevance to a specific scenario.
Actively participates in defining and setting objectives, ensuring that a variety of input and perspectives are considered.
Results Oriented	Agree	Unsure	Disagree	N/A
Recognizes the problem that needs to be solved.
Adjusts timelines and deliverables in response to evolving stakeholder needs.
Determines the best approach to achieving the expected results.
Reinforces a "can-do" attitude that helps overcome inertia or resistance.
Responds to changing events to maintain progress toward achieving results.
Managing Risk	Agree	Unsure	Disagree	N/A
Prioritizes the risks to determine the most pressing needs.
Implement strategies to mitigate risks.
Evaluates risks against acceptable risk levels.
Is knowledgeable of standard risk management principles.
Quantifies current business practices to make better informed decisions.
Developing Others	Agree	Unsure	Disagree	N/A
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Encourages employees through recognition of positive changes in behavior.
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Others	Agree	Unsure	Disagree	N/A
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Helpful
Global Perspective	Agree	Unsure	Disagree	N/A
Volunteers for experiences and assignments abroad.
Builds working relationships with others across cultures.
Facilitates open communication with individuals from other countries.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Considers customers point of view when making decisions.

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.