Information

Personnel Section

  • Facility Name:

  • Associate (Last name, First name)

  • Employee Status:

  • ID Number:

  • Conducted by:

  • Document No.

Reason for Observation

  • New Employee (Temp / New Hire in probation period)

  • Select last completed week of job probation period (1-12).

  • New Job Assignment

  • Job Performance Review

  • Was associate a low performer last week?

  • How many weeks as low performer, in this task?

  • Other (Describe)

  • Other reason for observation

Skill in Methods

Method Grades

  • Not Applicable (N/A)
    Below (B) = somewhat clumsy, fumbles, hesitations (loses time)
    Meet (M) = steady, proficient, average (neither gains or loses time)
    Exceed (E) = safely reduces motion, quick, smooth (gains time)

  • Observed Activity:

  • Start Time:

Method Steps

  • 1. Receives pick ticket from supervisor.

  • 2. Operator selects efficient picking order and start location.

  • 3. Travels to empty pallet area to obtain correct platform type, using a direct route (if required by pick).

  • 4. Travels to selected pick location in most direct route possible.

  • 5. Operator verifies product lot, item, code date and location are correct, before picking cases.

  • 6. If picking all remaining cases, operator obtains full pallet (proceed to step 15).

  • 7. If required to pull pallet from ground or air location, operator sets down customer pallet near pick location.

  • 8. Repositions pick location pallet as required to gain access to all cases.

  • 9. Parks lift next to customer pallet to reduce walking distance and motion.

  • 10. Cut and remove plastic wrap as necessary to start pick.

  • 11. Places cases upright on customer pallet, minimizing touches and excess movement.

  • 12. Builds shippable ready pallet with one piece of wood.

  • 13. Returns remaining pallet quantity to original storage location.

  • 14. Selects all cases within two bays without moving equipment.

  • 15. Clean and remove dunnage from pick area, before proceeding to next location.

  • 16. Double checks item and quantity picked.

  • 17. If inventory issues exist, follow appropriate warehouse procedures to resolve.

  • 18. Once complete, wraps pallet with 6 wraps and no more than 9, in a tight pattern from bottom to top.

  • 19. Proceeds to designated staging area in direct route, depositing pallet in the correct lane.

  • 20. Places pallet in the correct staging location to complete the pick and proceeds to the next assignement in an efficient manner.

  • Stop Time:

  • Delay Minutes (observed)

Safety Elements

  • Safety remarks required

  • Scoring Safety Elements
    Below (B) = does not comply and/or understand
    Meet (M) = understands and performs most of the time
    Exceed (E) = understands and performs all the time

  • 1. Uses proper lifting technique.

  • 2.

  • 3.

Performance Estimate

Performance Grades

  • Scoring Performance Estimate
    Below (B) = less than 0 Meet (M) = greater than 0 but less than +10 Exceed (E) = greater than +10

  • Skills in Methods

  • Method Characteristics:
    Below = somewhat clumsy, adds motion, fumbles, hesitation, errors
    Meet = follows methods, proficient, consistent, steady, average
    Exceed = precise and smooth, quick and sure, reduces motions, smart, perfection

  • Effort Level

  • Effort Characteristics:
    Below = slow, not best effort, slow motion
    Meet = steady, enthusiastic, average
    Exceed = fast, focused, sometimes too much

  • Time Utilization

  • Utilization Characteristics:
    Below = does not try to avoid delay, exceeds delay allowances, stops working to talk
    Meet = minimizes delay by following the methods, continues working while talking, sometimes successful at avoiding delay
    Exceed = eliminates delay by eliminating motion, always works - never talks, always successful at avoiding delay

Overall Performance Score

  • Performance Estimate =

  • Actual Performance from LMS

Coachable Moment

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) Focus discussion on solution

  • Was a Coachable Moment Observed:

  • Coachable category:

  • Coachable Behavior (Additional notes about employee's performance during this observation)

  • Follow-Up required:

  • Planned date for Follow-up:

  • Associate Signature:

  • Supervisor Signature:

  • Quality Audit by Manager

  • CMO Quality Feedback

  • Manager Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.