Information
Personnel Section
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Associate Name:
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ID Number:
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Employee Status:
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Prepared by
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Observation Date / Start Time:
Reason for Observation
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New Employee
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New Job Assignment
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Job Performance Review
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Other (Describe)
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Other reason for observation
Skill in Methods
Method Grades
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Not Observed (NOB) = activity not observed
Needs IMP = somewhat clumsy, fumbles, hesitations (loses time)
Meet (M) = steady, proficient, average (neither gains or loses time)
Method Steps
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1. Confirm assignment on the VMU without undue delay
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2. Travel to staging location in most direct route
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3. Scans the pallet and reviews storage location
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4. If traveling with two pallets, press F5 to scan additional pallet
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5. Verifies pallet is in good condition for storage
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6. Operator travels to storage location in most direct route with forks at proper travel height
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7. Confirms location is correct
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8. Raises forks to needed height without undue hesitation
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9. Places pallet correctly in location. Pallet is placed straight in location and at proper depth in bay
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10. Lowers forks to travel height without undue delay
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11. Scans location to complete putaway task
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12. Proceeds to next assignment as directed in an efficient manner
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Stop Time:
Safety Elements
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Safety remarks required
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Scoring Safety Elements
Needs IMP = does not comply and/or understand
Meet (M) = understands and performs most of the time -
1. Operator keeps both hands on the controls at all times?
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2. Operator is aware of his surroundings?
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3. Operator honks his / her horn when entering and exiting the cooler,freezer,intersections and blind spots.
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4.Operator looks in the direction of travel?
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5. Operator keeps his/her entire body within the vehicle compartment.
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6. Operator stops for pedestrians?
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7. Operator does not drive over or around debris/ Operator stops and picks it up.
Performance Estimate
Performance Grades
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Scoring Performance Estimate
Needs IMP= less than 100% of the standard Meet (M) = 100% of the standard -
Skills in Methods
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Method Characteristics:
Needs IMP = somewhat clumsy, adds motion, fumbles, hesitation, errors
Meet = follows methods, proficient, consistent, steady, average -
Effort Level
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Effort Characteristics:
Needs IMP= slow, not best effort, slow motion
Meet = steady, enthusiastic, average -
Time Utilization
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Utilization Characteristics:
Needs IMP= 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
Overall Performance Score
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Performance Estimate =
Coachable Moment
Review Coachable Behavior with associate
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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:
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Coachable category:
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Coachable Behavior (Additional notes about employee's performance during this 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 Managers
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CMO Quality Feedback
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Manager Signature:
