Information
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Employee Name
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Conducted on
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Prepared by
1.0 Knowledge of the job.
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1.1 Adheres to Company Policies and Guidelines to ensure standards are met..
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If below acceptable standards then explain why, give an example:
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1.2 Knows and understands SOP'S/SOG's.
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If below acceptable standards then explain why, give an example:
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1.3 Learns new responsibilities quickly and thouroughly.
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If below acceptable standards then explain why, give an example:
2.0 Quality of work.
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2.1 Thoroughness of work.
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If below acceptable standards then explain why, give an example:
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2.2 Accuracy of work.
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If below acceptable standards then explain why, give an example:
3.0 Quantity of work.
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3.1 Consistency of output.
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If below acceptable standards then explain why, give an example:
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3.2 Utilization of time.
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If below acceptable standards then explain why, give an example:
4.0 Adaptability.
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4.1 Quick to learn new duties.
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If below acceptable standards then explain why, give an example:
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4.2 Responds to constructive criticism.
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If below acceptable standards then explain why, give an example:
5.0 Attitude.
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5.1 Responds to training.
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If below acceptable standards then explain why, give an example:
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5.2 Interested in the work.
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If below acceptable standards then explain why, give an example:
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5.3 Adjusts well to new duties.
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If below acceptable standards then explain why, give an example:
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5.4 Assists other employees.
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If below acceptable standards then explain why, give an example:
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5.5 Regards Company Policies in a positive manner.
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If below acceptable standards then explain why, give an example:
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5.6 Presents a positive image to the public.
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If below acceptable standards then explain why, give an example:
6.0 Dependability.
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6.1 Effective under pressure.
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If below acceptable standards then explain why, give an example:
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6.2 Follows instructions.
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If below acceptable standards then explain why, give an example:
7.0 Judgement.
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7.1 Follows through on assignments.
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If below acceptable standards then explain why, give an example:
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7.2 Considers all sides before committing to action.
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If below acceptable standards then explain why, give an example:
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7.3 Eager to improve own performance.
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If below acceptable standards then explain why, give an example:
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7.4 Pays attention to detail.
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If below acceptable standards then explain why, give an example:
8.0 Initiative.
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8.1 Takes on difficult jobs.
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If below acceptable standards then explain why, give an example:
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8.2 Sees things to be done and does them without having to be asked or told.
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If below acceptable standards then explain why, give an example:
9.0 PPE
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9.1 Gears up appropriately for the job/scene. (gear/pack/vest/gloves)
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If below acceptable standards then explain why, give an example:
10.0 Attendance.
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10.1 Overall dependability regarding attendance and punctuality.
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If below acceptable standards then explain why, give an example:
11.0 Supervisory
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11.1 Completes supervisory role to ensure SOP's/SOG's are met.
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If below acceptable standards then explain why, give an example:
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11.2 Ensures all station documentation is completed weekly/monthly and properly approved.
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If below acceptable standards then explain why, give an example:
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11.3 Sets an example? (verbally and with actions)
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If below acceptable standards then explain why, give an example:
12.0 Development
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12.1 Training since last evaluation or promotion.
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12.2 Training goals for the period of this evaluation to the next 6 to 12 months.
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12.3 Goals for the period of this evaluation to the next 6 to 12 months.
13.0 Honesty
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13.1 Is the employee honest and trustworthy?<br>Have the employee rate themselves:<br>Give an example:
14.0 Vision
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14.1 Envision the future of the organization, 2,3,5,10 year goal in mind?
15.0 Communication / Interaction
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15.1 Know his/her personality and communication style and how to maximize results.
16.0 Self-Regard
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16.1 Know his/her own strengths and weaknesses and can list one of each.
17.0 Empowers
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17.1 Knows his/her team members strengths and helps them overcome their challenges?
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17.2 How often does the leadership of your station get their hands dirty with their team?
18.0 Since your last evaluation / promotion / hire.
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18.1 What do you consider to be your most important achievement since your last evaluation?
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18.2 What do you like about working for this organization?<br>
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18.3 What do you dislike about working for this organization?
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18.4 What elements of your job do you find most difficult?
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18.5 What elements of your job interest you the most?
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18.5 What elements of your job interest you the least?
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18.6 What do you consider to be the most important task or goal to be competed in the next year?
19.0 Recommendations for employee:
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19.1 Recommended Goal:<br>
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19.2 Recommended training:
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By signing below, the employee acknowledges that he/she has received a copy of the evaluation.
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Employee signature:
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Evaluators signature:
