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Maintenance Staff Appraisal Form - FacilitiesNet

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Performance Review - <strong>Maintenance</strong> EmployeeReview Date:Employee Name Employee Number Employment DateDepartment Shift Job Title SupervisorActive Reprimands (dates, if any)A.B.AverageI. SafetyFollows established safety procedures as outlined in C. Contributes to safety performance:Job Safety Analysis [JSA]... Completes work in accordance with all applicable codes andFollows lockout/tagout procedures regulations, such as OSHA, NEC, and NFPAHandles hazardous materials properly Supports departmental safety goalsUses personal protective equipment [PPE] as required Points out safety violations/unsafe acts.Performs required periodic safety checks Makes safety recommendationsFollows confined space procedures . Leads by setting safe working exampleMaintains clean, orderly work area:D. Accident record (if any):Comments:A.Follows established methods and procedures:II. Quality of WorkC. Communicates relevant information:.. Completes paperwork and provides feedback on work ordersPerforms work according to craft standards and PM checklistsShares concerns and problems before they intensifyB. Performs work in a skilled, professional.Looks for and makes suggestions for improvementmanner:Passes on appropriate information at shift changeAverage. Work rarely has to be completed with helpfrom others. Seeks root cause of failure to avoid repeats and product quality. Is through in his/her work . Understands the relationship between maintenance quality. Completes assigned tasks, including clean-up . Helps to achieve quality goalsof work site and start-up of equipmentComments:D. Contributes to Plant Quality Goals:Points out potential quality concerns.Uses good judgment in making quality decisionsKeeps waste to a minimumIII. ProductivityA. Uses time wisely: B.Contributes to Department Productivity Goals:Average. Works at a good pace an completes Helps to achieve goals, such as schedule completionwork in a timely manner. Puts forth extra effort when neededDoes not abuse personal time and breaks . Uses good judgment in making decisions affecting productivityComments:IV. Technical SkillsA. Demonstrates knowledge of job:C. Uses technical skills to Department's advantage:B.Average.Knows and follows Standard Operating Procedures Offers new ideas and proceduresRecognizes out-of-control conditions and takes . Is innovative and inventiveappropriate action. Assists and advises newer and lower-skilled team membersUses equipment, machines, tools, and materials properly when needed.Has good understanding of plant production processesDemonstrates craft proficiency appropriate for currentD. Accepts proficiency training and cross-training:job level.Receptive to suggestions for technical skills improvementPlans, organizes, and schedules activities effectively:Attends classes and seminars as requested to improvepersonal skills. Uses available resources well . Receptive to changes in Department or jobComments:A.AverageV. Training Performance [for employees actively working toward promotion to a higher job level]Self-Study:. Attends assigned study periods . Passes seminars on the first attempt, indicating a sincere desirewithout being remindedto learn the subject matter and keep travel expenses at.Passes closed book tests on the first attempt a minimumCompletes self-study courses within . Receives positive feedback from instructorsthe normal study time recommendedby the publisher (e.g., 20 hours). Seeks appropriate assistance on alltraining concernsComments:B.C.Technical SeminarsOn-the-Job. Demonstrates applicable practical skills associated with thecourses being studied. Demonstrates a teaching attitude toward the leadership oflower-skilled craft personnel


VI. AttendanceA. Reports to work and departs from work as scheduled: B. Absenteeism:Average. Number of times tardy in past year: . Percent absenteeism in past year:Comments:A.VII. Working with Team SkillsPractices good working-together skills: C.Demonstrates communication skills:. Focuses on the situation, issue, or behavior, not Gives and receives feedback with honesty, patience, and respectthe individual. Listens attentivelyHelps maintain the self-confidence and self-esteem . Participates positively in meetingsof co-workers. Maintains good relationships with co-workers andsupervisor. Takes initiative to make things better. Puts forth extra effort when needed, including workingovertime when requested, filling in when needed onoff-shifts, etc.B. Demonstrates problem-solving skills:. Persuasively makes his or her pointD. Fosters positive working relationships:Admits mistakesSets a good exampleEncourages group members.Supports group decisionsDisplays a positive attitude.Able to resolve issues with others when dealing with conflicts Sets aside personal preferences to work to group's advantageParticipates in brainstorming problems . Displays an open mind to others' suggestionsAverage Comments:Job OpportunitiesA. Is the employee interested in promotional consideration?B. Is the employee aware of the Job Opportunity and Counseling procedure?C. If interested in job improvement, what suggestions do you have that will improve this employee's chances?Comments:YesYesNoNoJob Safety Analysis and Job DescriptionMy Job Safety Analysis (JSA), including lockout/tagout and confined Employee signature Supervisor Initialsspace requirements, has been reviewed with me:My Job Description has been reviewed with me:Hazard Communication has been covered with me:Comments:Employee's Reaction and Written Comments:Overall Job <strong>Appraisal</strong> Rating [1 - 5]:Employee Signature Date Appraised by DateReviewed byDepartment Manager Date Next Level Manager DateHuman Resource Manager Date Plant Manager Date

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