1. Annual Review - 2/11/2016
Name:
Clock #:
Position:
Start Date:
Review Begin Date:
Review End Date:
Short, Brandon
131713
Digital/Laser Print Operator
9/26/2014
1/1/2015
12/31/2015
Performance Evaluation
This is an Annual Review for Press, Digital/Laser Print Technician
For:
Short, Brandon
Finished On:
2/11/2016
Competencies
Communication: Effectively communicates critical information to the next shift, operators, supervisor or managers in their
respective areas and other business areas when necessary.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Communicates very well, excellent.
Teamwork: Finds common ground and solves problems for the good of all; represents his/her own interest and yet is fair to
other groups; solves problems with peers with a minimum of noise; is seen as a team player and is cooperative; easily gains trust
and support of peers; encourages collaboration; is candid with peers.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Very much a team player. best I have on shift.
Initiative: Comes forward to present new ideas; looks for the next work/project; does not need to be told what to do next.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Does not have to be prompted, ever.
CI/Safety: Actively supports Continuous Improvement, Safety and Managing Daily Improvement (MDI) initiatives; participates
in 6S audits, Total Productive maintenance (TPM) and Pre-Flight checklists; uses Root Cause Analysis (RCA) to effectively
eliminate barriers and improve safety and productivity.
Unsatisfactory Needs Development Effective Advanced Outstanding
Work Quality: Completes tasks within the required timeframe while maintaining accuracy and attention to detail.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Brandon runs hard and on the edge but his quality is very good.
Annual Review - Page 1 of 5
2. Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; acts with the
customer in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
Unsatisfactory Needs Development Effective Advanced Outstanding
Problem Solving: Uses logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for
answers; can see hidden problems; looks beyond the obvious and doesn’t stop at the first answers.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Super smart, excellent problem solver.
Job Knowledge/Responsibilities: Has knowledge and skills necessary to perform daily requirements; makes an effort to
understand and execute their roles and responsibilities.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Best we have on the digital platform.
Self-Awareness: Knows personal strengths, weaknesses, opportunities, and limits; seeks feedback; gains insights from mistakes;
is open to criticism; isn’t defensive; is receptive to talking about shortcomings.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Brandon knows himself and his limitations and pushes to exceed them.
Accountability: Has goals and a clear understanding of what is necessary to hit results; is constantly and consistently meeting
deadlines and goals throughout the year, steadfastly pushes self and others for results.
Unsatisfactory Needs Development Effective Advanced Outstanding
Innovation: Comes up with a variety of solutions; identifies how possible solutions are strong or weak; thinking “outside the
box” even if this sometimes may go against popular opinion; works with and seeks the opinions of others to reach a creative
solution.
Unsatisfactory Needs Development Effective Advanced Outstanding
Comment: Constantly working on a better way.
Annual Review - Page 2 of 5
3. Results
SAM Score: Our goal is to achieve a Safety Accountability Measurement (SAM) score of 100%. General guidelines for scoring
are as follows: 100= 5, 90 -99=4, 89-80=3, 79-70=2, Below 70=1.
Unsatisfactory Needs Development Effective Advanced Outstanding
SAM Score SAM Measure
Year:
Score:
2015
100%
Safety Warnings: 100% Think Safe Quizzes Completed: 100%
Safety Engagement: 150%
Professional Development: Has the employee focused on any personal development, taken training classes, or special projects
within their field?
Unsatisfactory Needs Development Effective Advanced Outstanding
Training Plan
Course Name Hours Completed Date
Lockout/Tagout Training 2.0 Yes 2/13/2015
Lockout Tagout Practical 1.0 Yes 2/17/2015
CBT-Versailles Plant Safety 1.0 Yes 2/28/2015
CBT-Global Harmonization Stnd 1.0 Yes 3/11/2015
CBT-Safe Policy Review 1.0 Yes 8/13/2015
Storeroom Parts Checkout 101 0.5 Yes 9/7/2015
CBT-Crane Safety for Operators 0.0 Yes 10/3/2015
CBT-General Machine Safe Guard 1.0 Yes 10/4/2015
CBT-Elect. Safety Awareness 1.0 Yes 10/17/2015
CBT-Personal Protective Equip 1.0 Yes 10/17/2015
General Performance Considerations
Employee Record Management System Module
Recognition, Reminder, and Warning Summary
Reminders:
Verbal Warnings:
0
1
Written Warnings:
Disciplinary Lay Off:
0
0
Last Chance Agreements:
Recognitions:
0
0
Attendance Module
Annual Review - Page 3 of 5
4. Occurrences Through 12/31/2015
30 Days: 180 Days:
90 Days: 365 Days:
1.5 2.5
1.5 8
12/15/2015 - Late
12/5/2015 - Sick
8/19/2015 - Absent
6/16/2015 - Absent
5/26/2015 - Late
5/21/2015 - Left Early
4/14/2015 - Absent
3/21/2015 - Late
3/8/2015 - Sick
3/7/2015 - Sick
1/19/2015 - Sick
Annual Review - Page 4 of 5
5. Goals
Goals
Date Goal Latest Comment
1/13/2016 Push the press speeds wide open. 800 ft.
Annual Review - Page 5 of 5
6. 057
Annual Review Acknowledgement
Employee Name: Short, Brandon 131713
(Employee ID)
Job Title: Digital/Laser Print Operator
Supervisor Name: Norton, Jaime 76466
(Supervisor ID)
Review Name: Annual Review for Press, Digital/Laser Print Technician
Date of Review: 2/11/2016
I acknowledge that my Supervisor has reviewed this performance evaluation with me:
Employee Signature: Electronically Acknowledged Date: 2/11/2016
Supervisor Signature: Electronically Acknowledged Date: 2/11/2016
Comment:
I want to focus on Qualty in the upcoming year and advance mine.