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Safety - Performance Management Assessment Sample #3


Performance Assessments that include Safety:
Assessment 1 (5-point scale; IDP Comments)
Assessment 2 (3-point scale with Comments)
Assessment 3 (Manager Assessment; 360-Feedback)
Assessment 4 (3-point scale; Rating Limits)
Assessment 5 (3-point scale; Rating Limits)
Assessment 6 (5-point scale with Comments)
Assessment 7 (Comment Boxes Only; IDP)
Assessment 8 (Comment Boxes Only)
Assessment 9 (3-point scale with Letter Grade)
Assessment 10 (360-Feedback; Bonus/Merit Pay)
Assessment 11 (Core Values & Job Competencies)
Assessment 12 (4-point scale; 6 Comment Boxes)

Performance Management System
Supervisor: [Supervisor Name]


Signature: ___________________


Date: _____________ 		Employee: [Employee Name]


Signature: ___________________


Date: ___________
Job Title: Mid-Level Manager in X Department Hire Date:
Instructions:
This performance appraisal program is designed to provide a standardized method to:
  1. Provide an objective evaluation of an employee's performance and to share this feedback with the employee
  2. Assist in determining the true development needs of the employee and actions that should be taken to improve their job performance.
  3. This form is intended to ensure fair and equitable salary management. Please note that this review is one of several factors considered in salary decisions.
Manager-Assessment
As a manager, your feedback is crucial in capturing the achievements and performance of your employees during the review period. Please provide brief answers to the questions below. The information you share will be included in the employee's Performance Appraisal.

If you have additional printed sheets to submit, ensure they are signed, dated, and handed over to your Department Head. If you believe another individual should contribute to this review, kindly provide their name and contact details.

Part 1: Status Recommendation

If currently on Probational Status:



If on Regular Employment Status:

Justification for the above Status Recommendation:


Competencies Included:
Safety, Analytical, Quality, Results Oriented, Customer Focus, Conflict Management, Global Perspective, Adaptability, Self-Management, Management

Part 2: Results of 360-Degree Feedback


The following are results from the 360-Degree Assessment conducted earlier in the year. This information can help guide the development of focus areas for the Individual Development Plan.
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  1. Safety: Develops a culture of safety. Supports safety programs and procedures. Identifies predictable hazards in the workplace. Creates accurate and effective measures of safety.
  1. Analytical: Reviews tasks, deadlines, and resources needed to ensure smooth completion of the project. Synthesizes data from multiple sources to draw logical conclusions. Easily able to separate a process/procedure into its component parts. Reduces issues to their fundamental elements.
  1. Quality: Engages and leads staff in implementation of new quality procedures. Ensures high consistency across batches or production runs. Communicates quality standards clearly. Quickly addresses changes in quality of the products.
  1. Results Oriented: Inspires and motivates co-workers to be productive and energetic at work Explains the "whys" behind organizational objectives Sets a common goals for the team. Is considered a high achiever.
  1. Customer Focus: ...friendliness and courtesy Helps customers feel they are receiving services tailored specifically to their needs. Is consistent in services provided to customers. Adapts to changing customer needs.
  1. Conflict Management: Prevents minor issues from escalating into major problems. Works to settle conflicts in a manner that is acceptable for a long-term solution. Seeks to have both sides voluntarily work together to resolve their differences. Identifies the root sources of conflict.
  1. Global Perspective: 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. Comfortable using teleconferencing equipment to facilitate meetings with others abroad. Demonstrates working knowledge of global transactions. Respects individual differences.
  1. Adaptability: Adapts quickly to new situations. Able to adjust to changing environments. Flexible and open to new ideas and encourages others to recognize the value of change. Handles changes easily.
  1. Self Management: Does not allow own emotions to interfere with the performance of others. Uses patience and self-control in working with customers and associates. Steps away from a situation to process appropriate response. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Management: Is ready to offer help Sets an example for others to follow Makes you feel enthusiastic about your work Delegate tasks effectively

Part 3: Individual Productivity and/or SMART Goals

Employee Comments


Supervisor Comments


Part 4: Team Productivity and/or SMART Goals

Employee Comments


Supervisor Comments