Continuing Care Safety Association



Frontline Worker Performance AppraisalName:Position: Facility:Employee Start Date:Date of Appraisal:Department:5-ExceptionalPerformance is consistently superior and significantly exceeds position requirements5-Exceptional4-Highly Effective3-Proficient2-Inconsistent1-UnsatisfactoryN/A-Not Applicable4-Highly EffectivePerformance frequently exceeds position requirements3-ProficientPerformance consistently meets position requirements2-InconsistentPerformance meets some, but not all position requirements1-UnsatisfactoryPerformance consistently fails to meet minimum position requirements; employee lacks skills required or fails to utilize necessary skillsN/A-Not ApplicableEmployee has not been in position long enough to have demonstrated the essential elements of the position and will be reviewed at a later agreed upon date OR employee does not engage in the task as part of his or her dutiesSafetyPlaces safety of self, others, property, equipment, vehicles as a top priorityFollows established safety policies and safe work practicesParticipates positively in the safety program: involved in inspections when expected, reports safety concerns, etcWears appropriate personal protective equipmentHas the appropriate level of knowledge of all organizational safety topics: WHMIS, Musculoskeletal Injury Prevention, Emergency Procedures, First Aid, etcFollows procedures regarding emergency responseCan identify the location of safety equipmentSafety Comments ................
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