Instructions
This form is a supplement to your departmental PFDP form.
(Please comment on all negative answers on the back of this sheet.)
Employee's Name ___________________________
Supervisor's Name____________________
Department __________________________________________________________
General
Number of direct reports _________ Number of indirect reports
Are all required PFDPs done?
Were the PFDPs completed in a timely manner (within 30 days of due date)?
Time and Attendance - are all time records current and accurate?
Have flexible schedule arrangements been reviewed semi-annually?
Employee development
Did the PFDPs include staff development plans Y N
Follow up on prior training Y N
Were employees' position descriptions reviewed and updated Y N
Have employees been scheduled for required training Y N
How did you obtain the information to answer the above questions?
Communication
Communicates effectively with staff Y N other departments Y N
Example:
How did you obtain the information to answer the above questions?
Goal Setting and Planning
Sets goals for department Y N and for each person Y N
Explains mission of unit and how goals fit Y N
Supports change and transition Y N
How did you obtain the information to answer the above questions?
Employee Relations
Fosters a respectful workplace, treats staff as responsible adults Y N
Manages conflict, helping employees work through it Y N
Fairly interprets and applies policies Y N
Administers disciplinary action if needed Y N
How did you obtain the information to answer the above questions?
Team Building and/or Coaching Efforts
Fosters team work Y N
Climate is inclusive Y N
Rewards employees Y N
Supplies the correct level of supervision Y N
How did you obtain the information to answer the above questions?
Safety
- Employees in my area have received all appropriate safety training as required by Federal, State and College regulations (for example: Hazard Communications Training). Y N
- Reviewed all work related accidents and initiated corrective action where appropriate. Y N ___
- Provided personal protective equipment to employees, as needed. Y N
How did you obtain the information to answer the above questions?
Budget Questions (Please complete for those employees that are budget administrators)
- Does he/she have independent authority to spend against the budget(s)?
- Is he/she responsible for preparing the projected new budget(s) for the department/area?
- Was the area/department budget overspent or under spent this and the prior fiscal year? By what percentage?
- Will the department spending be within budget for the current year?
- Is there a major increase or decrease anticipated in the budget for next year? By what percentage?
Comments(use additional sheet if needed)