A Sikder 3Daw WCH
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- CITY OF DELRAY BEACH I ��
EMPLOYEE PERFORMANCE EVALUATION �
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NUT E, Pursuant to federal regulation, absences designated as FMLA leave are not to be relied upon in
assessing an employee's attendancelreliahility, or in otherwise disciplining or counseling the employee.
PERFORMANCE FACTORS
CHECK ONE: Please provide comments for all six Performance
Factors.
3. QUALITYMOB KNOWLEDGE:
®Meets Expectations ❑ Does Not Meet Expectations
Understands job requirements, demonstrates
required job skills and technical knowledge as
Comments: FF Sikder demonstrates a desire and enthusiasm to
it relates to position. Work product is timely
learn required job skills.
and accurate.
2. JUDGMENT AND COMPLIANCE WITH
1RMeets Expectations ❑ Does Not Meet Expectations
POLICIES: Decision-making and problem -
solving abilities. Complies with rules, policies
Comments: FF Sikder complies with department rules & policies as
and procedures as described in the department
observed during this assessment period.
and City's policies.
3. PRODUCTIVITY AND RELIABILITY:
Meets Expectations ❑ Does Not Meet Expectations
Produces acceptable volume of work and meets
commitments. Does not use excessive sick
Comments: FF Sikder demonstrates a willingness to work and does
time (excludes FMLA covered time).
not shirk from any task or chore.
4. CUSTOMER SERVICE: Ability to get along
®Meets Expectations ❑ Does Not Meet Expectations
with both internal and external customers.
Comments: FF Sikder is friendly, enthusiastic and demonstrates a
positive attitude to both the internal & external customer.
5. SAFETY: Committed to working safely, uses
®Meets Expectations ❑ Does Not Meet Expectations
personal safety equipment appropriately;
follows safety rules and regulations.
Comments: FF Sikder appears to be safety conscious and aware of
safety rules & regulations.
6. INITIATIVE AND FLEXIBILITY: Self-
®Meets Expectations ❑ Does Not Meet Expectations
starting ability, resourcefulness, and creativity
as applied to the duties of the position. Open to
Comments: FF Sikder requires little direction to complete assigned
change, new ideas and responsibilities,
tasks and chores. FF Sikder appears to be a hard worker and self-
elfHandles
Handlespressure and adj ast plans to meet
starter.
than 'n needs.
DOES THE EMPLOYEES OVERALL
® YES ❑ NO
PERFORMANCE MEET EXPECTATIONS?
(Overall rating is "NO" if employee received a total of 2 or more
" Does Not Meet Expectations" rating in any category).
Note: An employee whose overall paLormance Does Nof Meet Expectations" is not eliglble for a merit increase and employee will be
placed on a Performance Improvement Plan follow-up e►ulaadons conducted every (30) days.
Formulate with the employee his/her performance goals for the next rating period. State how often
you will review his/her progress and what training or assistance you wril provide to help this
employee reach his/her goals. The employee is responsible to schedule the review session with the
evaluator.
TO BE COMPL--ETED BY EMPLOYEE: Answer the following questions and return this form to your
supervisor.
MAJOR ACCOMPLISHMENT(S): What performance goals have you achieved during this rating
period?
I have graduated recruit class, and started the step program, and have accomplished 1 of PO modules.
EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for
other employees to develop their knowledge and skills?
Ive worked with new medics on shift in the performance of protocols and patient care.
SUPPORT ?WEEDED, What type of guidance or other support do you need from your supervisor to
improve your performance during the neixt rating period?
Continued support and guidance from my supervisors.
SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new
developments in your field?
Signing up for advanced sterni course.
CITY OF DELRAY BEACH - EMPLOYEE PERFORMANCE EVALUATION
PARAMEDIC
EMPLOYEE. I have reviewed the evaluation and it has been discussed with me. I have been encouraged to make
comments. I understand that my signature does not imply agreement with the evaluation.
Employee Name (please print): Arifa Sikder
Ernployee's Signature Date: Q —a6 —L S1
EMPLOYEE COMMENTS:
I really appreciate my step trainer and mentor captain going above and beyond for me to have a successful
probationary year.
DISCUSSION ON FUTURE PERFORMANCE GOALS:
PRIORITY#1: Successfully complete STEP program.
OBJECTIVE: Follow through with remediation recommendations provided by Paramedic Adams.
OBJECTIVE: Dedicate time to enhance paramedic skills and study protocols.
PRIORITY #2: Successfully complete mandatory Performance Objectives.
OBJECTIVE: Dedicate time to practice and perform objectives.
OBJECTIVE: Schedule assessments and evaluation.
EVALUATOR: I have discussed this performance evaluation with the employee.
Name (Printed) Mike Wise Title: Fine Captain
Signature: Date:2123/2015
BATTALION CHIEF:
Name (Printed) {` 1 f
Signature: Date: J` (� '✓
ASSISTANT Cg F-
Name (Printed) A-Ziv n L.
Signature: { `' 1, /�== _ _ Date: �/s If
FIRE CHIEF:
Name (Printed) t'k N'q�
Signature: VO nyt� Date: -77