Title Page
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Employee's Name
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Job Title
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Site / Team
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Region
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Prepared by
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Conducted on
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Location
Section A: Summary of employee performance?
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Overall Work Performance
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Attendance and timekeeping
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Appearance
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Work Relations (Evidence of good teamwork, client interaction):
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Communication
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Feedback from Client ( RM/EM/APM)
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Feedback from Customers (Resident, Directors etc)
Section B: Summary of employee competencies:
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Do you understand who your line manager is and where to go for support and advice?
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Do you understand your Rota (timings, shifts and where it is located etc.)?
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Do you understand the Scope of Services and how to complete to the expected standards?
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Have you received, read and fully understood the Staff Handbook?
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Have you received, read and fully understood the H & S Handbook?
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Do you have all the equipment and uniform you require to complete your role?
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Are you happy with the training you have received so far if not what do you need more?
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Are you fully conversant with all system testing (AOV's, emergency lights, fire and lift alarms for example)?
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Do you understand how to report issues? (using the official response email etc.)?
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Do you understand and know how and when to report sickness?
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Have you read and understood the Lone Worker policy (if appl)?
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Do you know how and when to book time off?
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Is there anything else we need to be aware of that maybe concerning you ?
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Line Managers summary of employees performance during this reporting period:
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List any actions here that have been identified
By signing the report you confirm that you fully understand its content and any subsequent actions that may have been identified.
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Employees Signature
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Line Manager/ Supervisor Signature
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Head Supervisor/ FGM Signature
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* this report is not to be uploaded onto the employees record unless ALL parts are completed and signed ** Person responsible for completing this report is to fill all sections in with as much detail as possible
