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. Reviews assignment, fills out shipping label and proceeds to location without undue delay.

  • 2. Operator travels to pick path in most direct route with forks a proper travel height.

  • 3. Confirms location is correct and raises forks to needed height without undue hesitation.

  • 4. If accessing a multi-deep location, carefully removes pallets as necessary to gain access to target pick pallet.

  • 5. Keeps removed pallets in close proximate to pick location.

  • 6. Obtains pallet and verifies item, quantity and code date is correct.

  • 7. Returns removed pallets to the original storage location.

  • 8. Operator does a visual check of pallet to verify case quantities are correct, wrap and pallet are in good condition.

  • 9. Wraps pallet if needed and follows appropriate procedures for missing / damaged cases.

  • 10. Verifies pallet is shippable ready, fully wrapped and labels applied.

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

  • 12. Places product in the correct stage location to complete the pick.

  • 13. Proceeds to next assignment 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.

  • 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.