1. Department of Homeland Security
Performance Management Ratings Calculator
PRIVACY ACT STATEMENT: Authority: 49 U.S.C. § 114(n). Principal Purpose(s): This Information will be used to document your performance appraisal and to certify that the Rating Officlal has
discussed your performance appraisal with you. Routine Use(s): This Information may be shared In response to a request for discovery or for appearance of a witness, Information that is relevant to the
subject matter Involved In a pending judicial or administrative proceeding, or for routine uses identified In the Office of Personnel Management's System Of Records, OPM/GOVT-2 Employee Performance
File System ~ecord~. Disclosure: Voluntary.
Performance Annraisal - Ratinn Summarv and Calculation Sheet
,. ' Emj>loyee;s Interim Rating for ·F¥'~bi6:' · ,Employee's Name. Empl~yee Identification Nuinb~r (8uto pOpu/a~eCJ based on po/fits eimeiJ) ..
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JAMERSON, KEITH Exceeded Expectations
Organization • . ',
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Po~itic)n
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"./". Perfo~man'c;e Perio~ " ''- " _. ... ..
DHS-TSA-(LAS)
Master Transportation Security Officer
10/1/15 9/30/16(MTSO-BDO)
!Annual Appraisal xxxxx Interim Rating Start End
Performance Goals
: ·, ·,
Poin~C~ufri.'
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GOAL# Brief Description
.. Weight
Performance Rating
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(piCk from list) populated)
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1 MTSO-BDO Goal 1 -Screening 50.00% 4 - Exceeded Expectations 2.000
2 MTSO-BDO Goal 2 -Public Trust 15.00% 4 - Exceeded Expectations 0.600 ..
3 MTSO-BDO Goal 3 -Job Knowledge/Skills 15.00% '4 - Exceeded Expectations 0.600
4 MTSO-BDO Goal 4 -Reports 20.00% 4 - Exceeded Expectations 0.800 .. :, i•
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5
6
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10 •'
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To,.~al 100.00% <=Weights must total 100% 4.000 "
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Competencies
e'rief Descriptiiin :Weight
.. ·i - '•
Competency # Performance Rating,(piCk.from Points (au.to
(eo{!y competency name from l;'erformance Piaf!).
(auto
list) " populated)
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,: jJopuf~tea) ;, "-- '
,' ,._ : ',, .. ,:'./;1 Attention to Detail 16.67% 4 - Exceeded Expectations 0.667 ; ..2 Decisiveness 16.67% 4 - Exceeded Expectations 0.667 ..
3 Integrity/Honesty 16.67% 5 - Achieved Excellence 0.833
4 Interpersonal Skills 16.67% 5 - Achieved Excellence 0.833 .. .. .,
5 Oral Communication 16.67% 5 - Achieved Excellence 0.833 ",,
6 Teamwork 16.67% 5 - Achieved Excellence 0.833 •'
7 : ' '·
8
Total 100.00% " ~ ''t.'
4.667·,
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Rating Calculation
Catego,.Y
•,
.•· . . :;.. • ·'. Point:S Earried .O/oof~ting Points' 'rowitril: Rat!ng
- ... '. '' ~
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Performance Goals 4.000 60% 2.4
Competencies 4.667 40% 1.866666667
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·r ., " ·' Total 4.266666667
Rating of Record (or Interim Rating, as appropriate)
-;c
Point Scale
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i,
·: ,SummarY,.Riltin,11 De~!'riptiOns Ratin~. oM~ecord (or Interim Riitfngj . ·
4.5 or more Achieved Excellence
3.5 - 4.4 Exceeded Expectations
Exceeded Expectations
3.0 -3.4 Achieved Expectations
< 3.0 Unacceptable
. ' i ' . •' . I ·~:
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The Interim Evaluation discussion occurred. -ex ~
Reviewing Official PRINTED NAME and Signature ____4a,._,,lu.;l3_,t.._~.......,:..l_,____(.,""'--''--=-=:.....:c...:'""----t--------------- Date
Reviewing Official
::~n::::lalPRINTED NAME and Slgnature~o~·~r~t(~~Jo~~B.~~N~~v~·'...:':eJv~'.'.'.___Ji=~:....:=--~t...~~=::::=:::::_______ Date -1?-'fhv
Rating Official / F'comments: /r
Employee PRINTED NAME and Signature Date
(Employee nsfgnaturenacknowledges discussion an necessarily agreement with the final rating assi
Employee
Comments:
2016 Performance Period
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2. Department of Homeland Security
Employee Performance Plan and Appraisal Form
Performance Plan Acknowledgements & Comments
This acknowledges the start of the employee performance plan and the employee appraisal period.
I certify that the performance goals have been reviewed and approved by th.e Reviewing Official.
Rating Official's Printed Name and Signature----------------------- Date _____
Rating Official Comments:
I have discussed my performance plan with my Rating Official.
Employee Signature--------------------- Date_·_____
Employee Comments:
Mid-Cycle Review Acknowledgements
At least one formal mid-cycle review is required during the appraisal period.
I certify that the mandatory formal mid-cycle progress review and discussion occurred.
Rating Official's Printed Name and Signature----------------------- Date _____
Rating Official Comments:
Employee Signature--------------------- Date _____
Employee Comments:
Progress Review Acknowledgements & Comments (optional)
This section is provided for any additional progress reviews that may occur throughout the performance cycle.
A progress review discussion occurred.
Employee Signature--------------------------- Date _____
Employee Comments:
Rating Official's Printed Name and Signature----------------------- Date _____
Rating Official Comments:
Interim Evaluation Acknowledgements & Comments (as appropriate)
An Interim Evaluation is defined as a narrative description of an employee's performance as measured against the performance
expectations set forth in a Performance Plan. Under certain circumstances supervisors will prepare "Interim Evaluations" of
performance prior to the conclusion of the Rating Cycle. Please consult your Human resources Office for an explanation of when
Interim Evaluations are to be prepared. Interim Evaluations will be considered by employees' permanent supervisors-of- record
when preparing a final Ratings of Record.
OHS Form 355 (9/15) - TSA SV-1802-F (MTSO-BDO) Page 7 of 8

3. TOPS 2016 Mid-Year Progress Review Numeric Values - BOO
Date: 02/29/2016 Employee: JAMERSON. KEITH BDO
RatingOfficial: ALVIEDO, RONALDO B. SBDO IReviewingOfficial:WEEKLY, ROBERT BDA TSM
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all 4
ofthe Exceeded Expectations performance standards and some but not all ofthe Achieved Excellence
performance standards for Attention to Detail. Through my observation and feedbackI received from the
SBDOs and your fellow BDOs, you have met the requirements for Exceeded Expectation rating. You
1 Attention to Detail recognized and accurately assess multiple environmental baseline simultaneously under unusual or changing
circumstance and/or involving multiple variables. Confer and concur with your partner to complete all related
reports in an accurate and timely manner. Provide precise observations ofbehaviors and associated thresholds.
2 Decisiveness
3 Integrity/Honesty
4 Interpersonal Skills
5 Oral Communcation
6 Teamwork
During the first halfofTOPS 2016.performance period, BDO Keith Jamerson has consistently demonstrated all
ofthe Exceeded Expectations performance standards and some but not all ofthe Achieved Excellence
performance standards for Decisiveness. Through my observation and feedback I received from the SBDOs
and your fellow BDOs, you have met the requirements for Exceeded Expectation rating. You used BDA SOP,
directives and policies to exercise goodjudgment and encourage good judgment in others by making effective
and timely decisions. Consistently seeks the input and interest of all those affected when making sound
decisions and provides management and stakeholders with accurate well thought out information as well as
possible solutions to emerging situations. Does not allow cultural differences or assumptions to influence the
decision making process.
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all ofthe Achieved
Excellence performance standards for Integrity/Honesty. Through my observation and feedback I received from the SBDOs and your
fellow ]3DOs, you have met the requirements for Achieved Excellence rating. You tell the truth and is consistently honest in the
dealing with internal and external personnel. Keeps promises and commitments made to others. Does not share SSI material with those
who do not have a need to know. Does not share private information or gossip about fellow employees. Sets the example by modeling
desired practices and standards in his own behavior. Takes ownership ofall his does. Demonstrates and encourages others to do the
right thing in difficult situations. Encourages his fellow employees to earn trust and respect through consistent honesty in interactions
with internal and external stakeholders.
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all of
the Achieved Excellence performance standards for Interpersonal Skills. Through my observation and feedback I
received from the SBDOs and your fellow BDOs, you have met the requirements for Achieved Excellence rating.
You are tactful, polite and sensitive and treat others with dignity and respect in all situations; works with
stakeholders to built relationships that foster mutually beneficial outcomes and support TSA's mission and goals.
Responds appropriately to the needs and feelings ofco workers, passengers and stakeholders. Offers assistance to
others and/or demonstrates effective interpersonal skills while handling challenging passenger situations/problems.
Shares relevant and useful informations. Supports the TSA core values Team Spirit.
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all ofthe
Achieved Excellence performance standards for Oral Communication. Through my observation and feedback I received
from the SBDOs and your fellow BDOs, you have met the requirements for Achieved Excellence rating. You served as a
role model for others to listen to and clarify information effectively to resolve observed behaviors and/or appearance
factors and to confirm or dispel the presence ofunusual items through casual Resolution Conversation (RC). Considers all
factors while communicating effectively should there be difficult situations, to clarify the problem and identify
appropriate actions/procedures and to provide clear, convincing and appropriate responses. Listen to fellow BDOs'
perspectives with regard to the impact ofmanagement decisions and communicates those perspectives to management in
a professional and unbiased manner. Shares technical BDA expertise with fellow BDOs and consistently provides and
outstanding communication model for others to emulate."
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all ofthe
Achieved Excellence performance standards for Teamwork. Through my observation and feedback I received from
the SBDOs and your fellow BDOs, you have met the requirements for Achieved Excellence rating. You take a lead
role to work cooperatively with others. Offers additional feedback to ensure that team goals and TSA objectives are
achieved. Proactively share relevant, useful, critical information and knowledge with your fellow BDOs. Used
expertise to assist the team to reach share goals. Promote and facilitate cooperative and professional work
relationships between and among internal and external stakeholders. Communicate clearly and in a consistent manner
with fellow BDOs and TSOs.
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4. TOPS 2016 Mid-Year Progress Review Numeric Values • BOO
Employee: JAMERSON, KEITH
Peeformance Goals
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1
2
3
4
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently demonstrated all of
the Exceeded Expectations performance standards and some but not all ofthe Achieved Excellence performance
standards for performance standards for Performance Goal #1. Through my observation and feedback I received
from the SBDOs and your fellow BDOs, you have met the requirements for Exceeded Expectation rating. You
have Zero documented violation ofthe BDA SOP or OD that has the potential to present and immediate and/or
Risk Based Security 1 significant risk to the security ofthe transportation network. Through any action or inaction has not cause a
security breach. Reports security and SOP violations immediately. Responds appropriately to any situation that
arises. Maintains situational awareness ofthreat mitigations. Demonstrates mastery ofall duties and requires
minimal supervision.
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently
demonstrated all ofthe Exceeded Expectations performance standards and some but not all ofthe
Achieved Excellence performance standards for performance standards for Performance Goal #2.
Through my observation and feedback I received from the SBDOs and your fellow BDOs, you
Workforce Engagement have met the requirements for Exceeded Expectation rating. You actively foster public trust and
credibility by providing responsive service to stakeholders and in accordance with TSA directives
at all times through collaboration with screening operations. Demonstrates ethical and appropriate
behavior. Maintains a positive demeanor, command presence and awareness while on duty and in
the view ofthe public. Diffuses potentially disruptive situations promptly and tactfully.
During the first half ofTOPS 2016 performance period, BDO Keith Jamerson has
consistently demonstrated all ofthe Exceeded Expectations performance standards and
some but not all ofthe Achieved Excellence performance standards for performance
standards for Performance Goal #3. Through my observation and feedback I received from
Risk Based Security the SBDOs and your fellow BDOs, you have met the requirements for Exceeded
Expectation rating. You seek information on current TSA strategies, initiatives, policies and
technologies and shares it with his fellow BDOs. Assist with the application ofnew or
recurrent learning objectives. Completes assigns mandatory classroom and OLC training.
During the first halfofTOPS 2016 performance period, BDO Keith Jamerson has consistently
demonstrated all ofthe Exceeded Expectations performance standards and some but not all ofthe
Achieved Excellence performance standards for performance standards for Performance Goal #4.
Through my observation and feedback I received from the SBDOs and your fellow BDOs, you have met
Organizational Efficiency
the requirements for Exceeded Expectation rating. You complete BDA related reports, BEAM and BDA
Notebook and data entries with no supervision necessary, as described in the BDA SOP. Complete
administrative duties, record keeping and other official documents to standards.
This worksheet is used tO d,otument the employee's performance to-date, opportunities for development, and performance expect~tions
for the remainder of.the performance period. For each competency and goal, the Rating Official will also assign a numeric vaiue;
~eflecting the employee's performance to-date, as compared to performance expectations. Note that the mid-year nume;ic v~lues are
'not averaged with the annual appraisal numeric values (i.e., not calculated.as part of the final rating of record). It is si~ply aski~g ·
yourself, "If this were the Annual Appraisal, how would I rate this employee?" Where required, the employee stilfhas opportunity to
improve and developmental needs arid.expectations should be dcoumented on this form. The possible numeric values ar'e: ·
5 - Achieved Excell~nce · , ,
4 - Exceeded Expect~tions
3 - Acli!eved Expectations
1 - Unacceptable
A copy·of this completed form should be given to the employee upon completion of the mid-cycle review. The original shouid be attached
to the employee's OHS Performance Plan and Apprai!!al Form. ,,
Page 2 of 2
Numeric
Value
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