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 .

Safety	Agree	Unsure	Disagree	N/A
Keeps accurate safety records.
Participates in safety training when offered.
Mitigates hazards and safety issues that arise.
Develops a culture of safety.
Develops a strong safety culture.
Continual Learning	Agree	Unsure	Disagree	N/A
Views setbacks as opportunities to learn from.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Professional Development	Agree	Unsure	Disagree	N/A
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Goals	Agree	Unsure	Disagree	N/A
Understands & contributes to development of strategic goals.
Goal Setting
Establishes and documents goals and objectives.
Makes sure that I have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Results Oriented	Agree	Unsure	Disagree	N/A
Adapts to disruptions in the supply chain to maintain production levels.
Makes sure employees have the resources they need to achieve their results.
Exceeds performance requirements.
Helps the team maintain focus on the goals.
Identifies what needs to be accomplished.
Managing Risk	Agree	Unsure	Disagree	N/A
Recognizes that small changes may snowball into major events.
Offers training to reduce safety incidents in the workplace.
Creates informative guides regarding potential risks and risky behaviors.
Seeks to maintain the long-term viability of the Company.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Developing Others	Agree	Unsure	Disagree	N/A
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
Others	Agree	Unsure	Disagree	N/A
Helpful
Able to see issues from others' perspectives.
Respects the opinions of other employees.
Includes others in the decision making processes.
Works effectively with people from other departments.
Global Perspective	Agree	Unsure	Disagree	N/A
Is able to work with individuals having different backgrounds and cultures.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Aligns personal vision with global strategies.
Sets the example for team on importance of cultural awareness.
Accepts setbacks and challenges in foreign markets as improvement opportunities

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.