Safety - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Safety

• Addresses safety issues in a timely manner.
• Investigates mishaps for human errors of omission or commission.
• Provides hazardous materials training as needed.
• Monitors for safety incidents and accidents.
• Recognizes workplace hazards.

If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Customer Focus

• Helps customers feel they are receiving services tailored specifically to their needs.
• Responds to feedback from customers.
• Delivers on commitments made to customers.
• Focuses on providing excellent customer service.
• Considers customers point of view when making decisions.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Strategic Insight

• Observes stakeholder sentiment and engagement levels through direct and indirect feedback channels.
• Uses knowledge, benchmarking and performance metrics to evaluate strategic effectiveness and identify areas for improvement.
• Creates a vision for the organization based on insights gathered from other companies in the industry.
• Maintains knowledge of current trends in the industry.
• Meets with customers to gain insight into their core needs and how best to serve them.

If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Accountability

• Regularly leads the way when helping the team troubleshoot various issues.
• Holds employees responsible if expectations are not met.
• Sets clear performance measures.
• Always starts work on time.
• Can be counted on to do their role well.

If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Initiative

• Independently seeks out new learning opportunities to improve their skills.
• Initiates projects that have an impact on the department.
• Initiates the development of new products.
• Identifies emerging trends or shifts in the business environment and takes the initiative to adjust plans accordingly.
• Guides strategic initiatives to advance the department/organization.

If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


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