Safety - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Coordinates with internal teams and external agencies to ensure alignment on disaster recovery plans.
Creates accurate and effective measures of safety.
Collaborates with external auditors and insurance loss-control specialists to evaluate and improve safety practices and procedures.
Ensures employees successfully complete required training and certifications.
Creates and implements a zero-incident policy.
Assesses training needs before suggesting safety training.
Builds workforce capability by developing employees' technical safety skills.
Provides safety guidelines for employees.
Supports safety programs and procedures.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Is a trustworthy and credible partner.
Encourages open dialog and sharing of information among team members.
Uses group decision making.
Works with others to manage conflicts using a constructive approach.
Encourages collaboration with other departments.
Conflict Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Links conflict resolution to broader business goals, showing how resolving tension can unlock performance or market advantage.
Promotes a culture that values diverse perspectives.
Facilitates constructive dialog with stakeholders.
Deals effectively with employee grievances.
Recognizes and rewards changes from employees that contribute to conflict resolution and team harmony.
Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Forms working relationships with employees from other departments.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.
Works effectively with people from other departments.
Integrity	Strongly Disagree	Disagree	Agree	Strongly Agree
Fosters an environment built upon trust.
Shows respect for individuals by addressing any concerns or feedback directly with them rather than discussing them behind their backs.
Owns up to mistakes without needing to be asked.
Creates a culture where ethical behavior is the norm and where employees understand that all actions, no matter how small, matter.
Openly admits to errors and takes responsibility, showcasing dedication to integrity, transparency and ethical behavior.
Decision Making	Strongly Disagree	Disagree	Agree	Strongly Agree
Regularly evaluates information before making important decisions.
Evaluates both immediate outcomes and future effects to ensure sustainable choices.
Defines what constraints must be met for the decision making process.
Maintains focus on the "big picture" when making decisions.
Asks for additional information when making critical decisions.
Change Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Helps employees to view change as something positive for the organization.
Encourages staff to adapt to the new methods and procedures.
Is aware of changes in the work environment.
Assists others in understanding changes to the organization.
Conducts a market competitive analysis to determine where the organization may need to change to better meet the needs of the marketplace.
Excellence	Strongly Disagree	Disagree	Agree	Strongly Agree
Can be counted on to add value wherever they are involved.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

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