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    Performance Appraisal Form Safety Officer

    Uploaded by

    Frank Abuda
    The document is a performance appraisal form for a Safety Officer that contains 4 parts: 1) An appraisal of the officer's basic work responsibilities related to safety inspections, reporting, adherence to standards, and knowledge of safe work procedures. 2) An evaluation of adherence to corporate values like leadership, initiative, dependability, and attitude. 3) A calculation of overall performance score based on combining scores from parts 1 and 2. 4) Sections for the supervisor's observations, employee's response, and signatures to document the performance discussion.

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    © All Rights Reserved
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    Performance Appraisal Form Safety Officer

    Uploaded by

    Frank Abuda
    2K views3 pages
    The document is a performance appraisal form for a Safety Officer that contains 4 parts: 1) An appraisal of the officer's basic work responsibilities related to safety inspections, reporting, adherence to standards, and knowledge of safe work procedures. 2) An evaluation of adherence to corporate values like leadership, initiative, dependability, and attitude. 3) A calculation of overall performance score based on combining scores from parts 1 and 2. 4) Sections for the supervisor's observations, employee's response, and signatures to document the performance discussion.

    Original Title

    HR_Performance Appraisal

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    The document is a performance appraisal form for a Safety Officer that contains 4 parts: 1) An appraisal of the officer's basic work responsibilities related to safety inspections, reporting, adherence to standards, and knowledge of safe work procedures. 2) An evaluation of adherence to corporate values like leadership, initiative, dependability, and attitude. 3) A calculation of overall performance score based on combining scores from parts 1 and 2. 4) Sections for the supervisor's observations, employee's response, and signatures to document the performance discussion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views3 pages

    Performance Appraisal Form Safety Officer

    Uploaded by

    Frank Abuda
    The document is a performance appraisal form for a Safety Officer that contains 4 parts: 1) An appraisal of the officer's basic work responsibilities related to safety inspections, reporting, adherence to standards, and knowledge of safe work procedures. 2) An evaluation of adherence to corporate values like leadership, initiative, dependability, and attitude. 3) A calculation of overall performance score based on combining scores from parts 1 and 2. 4) Sections for the supervisor's observations, employee's response, and signatures to document the performance discussion.

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    Performance Appraisal Form

    SAFETY OFFICER

    Name: _______________________________ Period: ____________________________

    Basic Work Responsibilities

    1. Takes lead in day-to-day implementation of safety.


    a. In charge of planning the activities for the day/week.
    2. Conducts toolbox meeting and ensures that all information are cascaded to all
    concerned.
    3. Takes charge of manning:
    a. Ensures that daily manning is sufficient to guaranty safe distribution of task or
    based on set standards.
    b. Takes lead in Safety Programs in coordination with HR and Safety Head.
    4. Coordinates with “CONTRACTOR” operations and works hand-in-hand with
    “SUBCONTACTOR”
    5. Prepares and submits on time all required Safety and Health Reports.
    6. Continues to create or improve Safety and Health Checklists
    7. Takes lead in the implementation of Safe Work Procedures for“CONTRACTOR”.
    8. Ensures that Safety and Health Procedures has met the standards set by
    “CONTRACTOR”.
    a. Authorizes Review of Standard Procedure if fails to meet standards on the safety
    inspection.

    Rating Degree Rating Score

    Superior 5
    Satisfactory 4
    Needs Improvement 3
    Below Average 2
    Does not meet requirement 1

    1
    Part 1: Appraisal of Basic Work Responsibilities
    Key Result Area Score Remarks
    1. Safety Inspection (is there a
    systematic plan employed in the
    day-to-day safety inspection)
    2. Quantity and Clarity of reports
    (are the required reports
    submitted on time)
    3. Cycle time – the ability to start
    and finish the job on time
    without the need for a follow-up

    4. Knowledge - Adherence to SWP


    5. Adherence to Safety Standards
    and Compliance Reports
    Score (total/5) __________

    Part 2: Adherence to Corporate Values


    Corporate Value Score Remarks
    1. Leadership
    2. Initiative (does things
    independently without the need
    of further coaching from
    superiors)
    3. Dependability / Industry
    4. Attitude towards work – follows
    Code of Discipline; No violation
    record
    5. Attendance / punctuality
    6. Promotes teamwork. Works
    harmoniously with all the
    integral member of the team –
    team leaders, safety supervisors,
    safety officers and workers

    Score (total/5) __________

    Part III: Appraisal of Over-all Performance


    Particulars Score % Weight Weighted Score
    2
    1. Total weighted score for part I 50%
    2. Total weighted score for part II 50%
    Over-all performance appraisal score 100%
    Equivalent Rating Degree ___________

    Part IV: Performance Discussion


    Supervisor’s Observation Employee’s Response

    ______________________________ _______________________________
    Name and Signature of Rater Name and Signature of Ratee

    ______________________________
    Date of Discussion

    Noted by:

    ______________________________ _______________________________
    Name and Signature Name and Signature

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