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 Rating: Not Observed (NOB) = activity not observed 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)
Method Steps
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1. Confirms assignment from Team Leader, Freezer or Chiller side?
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2. Associate moves to allocated lane
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3. Proceeds to stack cartons without delay.
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4. Operator verifies product is correct by looking at pick label
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5. Associate stacks cartons in the correct manner, ensuring heavy cartons are toward bottom of the pallet.
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6. Associate wraps the bottom section of the pallet prior to lowering the pallet.
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7. Associate can operate the scissor lift in the correct manner.
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9. Associate continues to stack pallet safely and securely, with no over-hanging cartons.
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8. Associate knows correct procedure for retrieving a new pallet.
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10. If product does not match pick label, associate is aware of what to do.
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11. Associate assists other workers when lanes are full.
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12. Disposes of damaged product in the correct manner.
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13. Associate follows correct procedure at all times.
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Stop Time:
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Do you have any suggestions to improve our business
Safety Elements
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1. We're there any PR (Positive Reinforcement) or BC (Behavioural Correction) Safety Engagements during the CMO
Performance Estimate
Performance Grades
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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
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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
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Effort Characteristics:
Below = slow, not best effort, slow motion
Meet = steady, enthusiastic, average
Exceed = fast, focused, sometimes too much -
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, 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
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Performance Estimate =
- 20
- 10
- 0
- -10
- -20
- -30
Coachable Moment
Review Coachable Behavior with associate
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Do you have any suggestions/ideas on how we can improve our business.
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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: