North County Fire Authority PERFORMANCE APPRAISAL REPORT

Transcription

1 North County Fire Authority PERFORMANCE APPRAISAL REPORT OCCASION FOR REPORT NAME OF EMPLOYEE Interim Probationary Appraisal Final Probationary Appraisal Semi-Annual Appraisal FULL-TIME REGULAR JOB TITLE DEPARTMENT/DIVISION Annual Appraisal Change in Supervision on Special: STATUS: INITIAL PROBATIONARY PROMOTIONAL PROBATIONARY REGULAR CIVIL SERVICE AT PLEASURE OF CITY MANAGER (APCM) PROBATION PERIOD ENDS: (Date) PERIOD COVERED BY APPRAISAL: FROM TO MONTH DUE: THE FOLLOWING STATEMENTS OF PERFORMANCE ARE TO BE USED AS GUIDES IN THE SELECTION OF THE APPROPRIATE APPRAISAL OF LEVEL OF PERFORMANCE *EXCEEDS REQUIREMENTS: The results achieved are measurably better than would be expected of most personnel assigned similar duties and responsibilities. *MEETS REQUIREMENTS: *NEEDS IMPROVEMENT: *UNSATISFACTORY: *NOT APPLICABLE: The employee is meeting the position requirements in an acceptable manner. Results achieved are those expected of most employees with similar duties and responsibilities. Performance is below the acceptable level for the position. Considerable supervision or learning may be required before performance is satisfactory. An employee whose performance is consistently evaluated at this level should be rated Unsatisfactory. The employee has not demonstrated the ability or willingness to meet position requirements. The performance factor does not pertain to the rated employee. * UNSATISFACTORY, NEEDS IMPROVEMENT AND EXCEEDS REQUIREMENTS RATINGS REQUIRE EXPLANATION AND COMMENT UNDER COMMENTS SECTION.

2 IF YOU ARE COMPLETING THIS PERFORMANCE APPRAISAL ON-LINE: Type within in the space provided. If you require more space, please use the Appraiser s Comments section or attach additional sheets. Once you have completed the evaluation, save it to your h drive. In order to save the document, you will need to rename it. Submit the original, signed copy to Human Resources. A JOB EFFECTIVENESS U* NI* MR ER* N/A COMMENTS Does required amount of work to meet the expected standards Organizes time and sets priorities Completes work assignments on time with a minimum of follow up. Produces accurate and thorough work that meets the expected standards Is knowledgeable of duties and responsibilities required of the job. Prepares and completes complex administrative, statistical and program studies with comprehensive analysis and sound recommendations. Demonstrates initiative and resourcefulness in identifying problems and taking action toward their solution Exercises sound judgment and discretion in making decisions. Demonstrates the ability to interpret and respond to instructions, policies and procedures. Demonstrates the ability to apply laws, codes and ordinances. 1 Other B JOB SKILLS U* NI* MR ER* N/A COMMENTS Follows appropriate work policies and procedures in daily work routines. Communicates effectively in oral and written communications. Is competent in technical skills required to perform the job. Other U:UNSATISFACTORY NI:NEEDS IMPROVEMENT MR:MEETS REQUIREMENTS ER:EXCEEDS REQUIREMENTS N/A:NOT APPLICABLE

3 C DEVELOPMENT U* NI* MR ER* N/A COMMENTS Demonstrates growth and development in job skills and effectiveness. Follows directions, asks questions when uncertain, and is receptive to suggestions for work improvements. Demonstrates interest in training and benefits from training received. Demonstrates professional development through independent efforts. Other D PERSONAL CHARACTERISTICS U* NI* MR ER* N/A COMMENTS Cooperation - Has good working relationships and shows sensitivity to views and feelings of others. Motivation - Shows enthusiasm, interest, energy and persistence. Adaptability - Adjusts to new situations or to changes in program direction or procedures. Professionalism - Deals effectively with emotional and stressful situations. Attendance - Keeps established work hours and standards of attendance. 6. Other E SAFETY U* NI* MR ER* N/A COMMENTS Uses safety equipment. Considers safety of co-workers. Uses job tools and equipment in a safe manner. Operates motor vehicles in a safe manner 6. Exercises proper care in the use of tools, machines, equipment and materials Accident Experience: Number of avoidable accidents: Number of unavoidable accidents: 7 Other U:UNSATISFACTORY NI:NEEDS IMPROVEMENT MR:MEETS REQUIREMENTS ER: EXCEEDS REQUIREMENTS N/A: NOT APPLICABLE

4 F SUPERVISORY ABILITY (If Applicable) U* NI* MR ER* N/A COMMENTS Effectively plans and coordinates the work of others. Delegates duties and responsibilities to subordinates; provides thorough and clear instructions and follows up as appropriate. Motivates and supports subordinates to greater efforts and improved work methods while inspiring respect and maintaining morale of department, division or unit and equipment in a safe manner. Observes performance of subordinates; keeps subordinates advised of the quality of their performance; prepares timely well documented performance appraisals; recognizes and develops abilities of subordinates Develops, establishes and applies goals of the work unit. 6. Selects and manages employees in a manner which demonstrates knowledge and sensitivity to current legislation governing work force management, with special attention to affirmative action goals. 7 Other U:UNSATISFACTORY NI:NEEDS IMPROVEMENT MR:MEETS REQUIREMENTS ER: EXCEEDS REQUIREMENTS N/A: NOT APPLICABLE

5 OVERALL APPRAISAL: Overall rating should reflect Categories A through F. * UNSATISFACTORY * NEEDS IMPROVEMENT * MEETS REQUIREMENTS *EXCEEDSREQUIREMENTS APPRAISER S COMMENTS: (To be filled out at time prepared.) Include the following: (1) facts and specific performance information; (2) results achieved; (3) list major strengths and weaknesses of employee; (4) recommendations, including supervisor s plan to improve employee s performance, and (5) goals and objectives. SIGNATURE OF APPRAISER PRINT NAME & TITLE

6 EMPLOYEE CERTIFICATION I Agree With the Appraiser I Do Not Agree With the Appraiser In signing this report, I acknowledge that I have reviewed this appraisal and discussed the contents with the appraiser. I understand that I have the right to add my comments regarding the performance appraisal should I so wish. EMPLOYEE SIGNATURE EMPLOYEE COMMENTS: REVIEWER/BATTALION CHIEF CERTIFICATION: I certify that I have reviewed this appraisal. REVIEWER/BATTALION CHIEF SIGNATURE REVIEWER/BATTALION CHIEF COMMENTS: TITLE DEPUTY CHIEF CERTIFICATION: I certify that I have reviewed this appraisal. DEPUTY CHIEF SIGNATURE DEPUTY CHIEF COMMENTS: TITLE FIRE CHIEF CERTIFICATION: I certify that I have reviewed this appraisal. FIRE CHIEF SIGNATURE FIRE CHIEF COMMENTS: TITLE Received by Human Resources Department: CITY MANAGER SIGNATURE SIGNATURE Form Revised 03/02/2007