Safety - Performance Management Assessment Sample #C





Performance Management System:

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)
Instructions:


This performance appraisal program aims to provide a consistent approach to:
  1. Objectively evaluating an employee's performance and sharing this feedback with the employee.
  2. Identifying the employee's development needs and outlining actions to enhance their job performance.
  3. Ensuring fair and equitable salary management.

Please note that this review is one of several factors considered in salary decisions.

Employee Self-Assessment

Please provide concise answers to the questions below as your feedback is vital to us. Your input helps us capture a comprehensive record of your accomplishments during the performance review period. By thoroughly documenting your achievements, we can ensure that your contributions are accurately reflected in your Performance Appraisal.

The information you provide will be carefully reviewed and included in your Performance Appraisal. This assessment is a crucial part of understanding your progress and performance, allowing us to recognize your hard work and dedication. If you need to include any additional printed sheets, please make sure they are signed, dated, and submitted to your Department Head for proper documentation.


Competencies Included:
Safety, Problem Solving, Results Oriented, Company, Leadership

Part 1: Completing the Self Assessment



Upon completing the Self Assessment, please submit the form electronically to your Manager for further assessment. The form can be saved and resumed later if needed. You can review it at any time before finalizing and printing it. However, once submitted to your Manager, no further changes can be made.

To submit the form electronically to your manager, you will need to complete the form and press the button labeled: "Submit as Complete". Press that button and the form will be sent to your manager.

The assessment form consists of a set of behavioral statements. For each behavioral statement, assess yourself using the four point rating scale as below:
  • Consistently demonstrates
  • Often demonstrates
  • Sometimes demonstrates
  • Does not demonstrate



Safety

Does not
demonstrate
Sometimes
demonstrates
Often
demonstrates
Consistently
demonstrates
Identifies predictable hazards in the workplace. Develops a sustainable safety culture. Supports our company's safety programs.

Problem Solving

Does not
demonstrate
Sometimes
demonstrates
Often
demonstrates
Consistently
demonstrates
Finds creative ways to get things done with limited resources. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace. Ability to solve problems at root cause rather than at symptom level.

Results Oriented

Does not
demonstrate
Sometimes
demonstrates
Often
demonstrates
Consistently
demonstrates
Produces a high volume of work. Persists in seeking objectives despite obstacles or setbacks. Completes all assigned tasks.

Company

Does not
demonstrate
Sometimes
demonstrates
Often
demonstrates
Consistently
demonstrates
Understands the use of [Company] products and services. Understands how decisions impact other business units beyond their immediate department of work group. Attends [Company] gatherings and social events.

Leadership

Does not
demonstrate
Sometimes
demonstrates
Often
demonstrates
Consistently
demonstrates
Effectively leads others. Leads team to set goals, solve problems, and accomplish tasks. Motivates others to reach and exceed organizational goals and objectives.

Part 2: Comments

What do you consider to be your most important achievements in this evaluation period?


Were there goals that you were unable to meet? If so, please explain.


What could you do to complete more goals next year?


What actions could you take to improve your job performance in the next evaluation period?


Would you like to alter anything about your current position to add value to the organization?


What are your future plans for five years from now?