Information
Personnel Section
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Employee
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Prepared by
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Location
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Conducted on
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Document No.
Reason for Observation
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Job Performance Review
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New Job Assignment
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New Employee
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Other
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Specify
Skill in Methods
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Not Observed (NOB) = Activity not observed
Below (B) = Somewhat clumsy, fumbles, hesitations (loses time)
Meet (M)= Steady, average (neither gains or loses time)
Exceed (E) = Safely reduces motion, quick (gains time) -
Task title
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1. Obtains all necessary materials efficiently without delay
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2. Uses most direct route to task
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3. Completes all necessary steps efficiently
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4. Accurately complete all documentation / entries for task
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5. Efficiently acquire and log into next task
Performance
Performance Estimate
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Scoring Performance Estimate
Below = Less than 0
Meet = Greater than 0 but less than +10
Exceed = Greater than +10
Enter notes on why, by touching category. -
Skill in Methods
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Skill characteristics:
Below = Somewhat clumsy, adds motion, fumbles, hesitation, errors.
Meet = Follows methods, proficient, consistent, steady, average.
Exceed = Precise and smooth, quick ensure, reduces motions -
Effort Level
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Effort characteristics:
Below = Slow, not best effort, slow motion
Meet = Steady, average
Exceed = Fast, enthusiastic, focused -
Time Utilization
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Utilization characteristics:
Below = Does not try to avoid delay, exceeds delay allowances, stops working to talk
Meet = Minimizes delay by following the methods. Stays on task.
Exceed = Eliminates delay by eliminating motion. Always successful at avoiding delay -
Was this an on standard task?
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Performance Estimate:
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Actual Performance:
Safety
Safety
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Were there any safety concerns observed during this audit?
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Remember to always be watching for situations that could potentially become safety concerns. Be proactive and make sure we are providing all our employees with the knowledge and equipment to ALWAYS be safe. Safety first!
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Address safety issues immediately.
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Select categories that apply.
- Equipment
- Process
- Conditions
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Describe concern
Coachable Moment
Coachable Moment
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Review Coachable Behavior with associate
5-Step Coaching Model
1. Convey positive intent
2. Describe behavior and actions observed
3. State impact of desired coachable behavior(s)
4. Ask associate to respond
5. Focused discussion on solution -
Was a Coachable moment observed?
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Coachable category:
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Coachable Behavior (Additional notes about employees performance during the observation)
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Follow-Up required:
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Planned date for Follow-Up:
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Associate Signature:
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Supervisor Signature:
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Quality Audit by Manager
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CMO Quality feedback
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Managers signature