Loading...
A Sikder 5Q0, CITY OF DELRAY BEACH EMPLOYEE PERFORMANCE EVALUATION D A D A A Xn"Trr paxh�;e�n 7943 IWI EMPLOYEE NAME: Arifa Sikder EMPLOYEE# 214971 POSITION: Paramedic GRADE: 223 DEPARTMENT: Fire SICK HOURS USED: D TARRIES: REVIEW PERIOD: 11/17/14 — 05/17/15 TYPE: ANNUAL ❑ PROBATIONARY ® 6 Month - - -- - - �- » •• •� ,�»�• �• • ��µ.��=�.�, VrtGVy aea'tgnatea as r-wj A leave are not to be relied upon in assessing an employee's attendance/reliability, or in otherwise disciplining or counseling the emploWe PERFORMANCE FACTORS CHECK ONE: Please provide comments for all six Performance Factors. 1. QUALITY/JOB KNOWLEDGE: ®Meets Expectations ❑ Does Not Meet Expectations I f Understands job requirements, demonstrates required job skills and technical knowledge as Comments: Paramedic Sikder has successfully completed the it relates to position. Work product is timely department STEP program under the supervision and evaluation of and accurate. Paramedic Tyler Adams. JUDGMENT AND COMPLIANCE WITH ®Meets Expectations ❑ Does Not Meet Expectations POLICIES: Decision-making and problem - solving abilities. Complies with rules, policies Comments: I have not worked with Paramedic Sikder during this and procedures as described in the department evaluation period. By having successfully completed the STEP and City's policies. Program, Paramedic Sikder would have to demonstrate competence in her decision-making and problem solving ability. Paramedic Sikder would have had to comply with department rules and policies to successfully complete the STEP Program. See Employee Performance Form attached by Captain Todd Lynch. 3. PRODUCTIVITY AND RELIABILITY: ®Meets Expectations ❑ Does Not Meet Expectations Produces acceptable volume of work and meets commitments. Does not use excessive sick Comments: There is no documentation that Paramedic Sikder has time (excludes FMLA covered time). used any Sick Time during this evaluation period. 4. CUSTOMER SERVICE: Ability to get along ®Meets Expectations ❑ Does Not Meet Expectations with both internal and external customers. Comments: I have not worked with Paramedic Sikder during this evaluation period. By having successfully completed the STEP Program, Paramedic Sikder would have to demonstrate positive customer service skills. SAFETY: Committed to working safely; uses ®Meets Expectations ❑ Does Not Meet Expectations personal safety equipment appropriately; follows safety rules and regulations. Comments: I have not worked with Paramedic Sikder during this evaluation period. By having successfully completed the STEP Program under the guidance of Paramedic Tyler Adams, Paramedic Sikder would have to demonstrate proficiency in compling with safety rules and regulations. 6. INITIATIVE AND FLEXIBILITY: Self- NMeets Expectations ❑ Does Not Meet Expectations starting ability, resourcefulness, and creativity as applied to the duties of the position. Open to By having successfully completed the STEP Program, Paramedic change, new ideas and res onsibilities. Sikder would be required to demonstrate the capability of being self- Handles pressure and adjust plans to meet motivated, resourceful and creative. Successful completion of the changing needs. STEP Program requires that the candidate demonstrate the ability to handle stress and be flexible. 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 Performance "Does Not Meet Expectations" is not eligible for a merit increase and employee will be placed on a Performance Improvement Plan follow-up evaluations 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 will provide to help this employee reach his/her goals. The employee is responsible to schedule the review session with the evaluator. TO BE COMPLETED BY EMPLOYEE: Answer the following questions and return this form to your supervisor. MAJOR ACCOMPLISAMENT(S): What performance goals have you achieved during this rating period? I have successfully completed the STEP Program. EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for other employees to develop their knowledge and skills? I have helped my co-workers learn the new protocols. SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to improve your performance during the next rating period? To continue to train me or prepare me with additional fire knowledge. SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new developments in your field? I plan on taking additional courses to enhance my knowledge and experience. CITY OF DELRAYBEACH - 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 Employee's Signature Date: 5/30/2015 EMPLOYEE COMMENTS: I'd like to thank Tyler Adams for the continuous support and all of his medical knowledge he has given me durfn STEP Program. DISCUSSION ON FUTURE PERFORMANCE GOALS: PRIORITY#1: Pass my Probationary Year. OBJECTIVE: Continue to gather knowledge from my peers and co-workers. OBJECTIVE: Successfully complete all of my probationary requirements. PRIORITY#2: Enhance my fire and EMS education and training. OBJECTIVE: Be aware of and register for training that will enhance my knowledge. OBJECTIVE: Take additional technical courses. EVALUATOR: I have discussed this performance evaluation with the employee. Name (Printed) Michael Wise Title: Fire Captain Signature: T t) 01 a.. t_ Date:5/30/2015 BATTALION CHIEF: Name (Printed) Signature: Date: ASSISTANTC�IIEF: �r Name (Printed)/LZ Signature: Date: FIRE CHIEF: Name (Printed) Co h h o r 6/sl,r Signature �i�jxu�� GG�'`"'� Date: w DELR,4Y BEACH FIRE -RESCUE DEPARTMENT EMPLOYEE PERFORMANCE FORM Employee Name: Arifs Sikder Date: 5/3/2015 Division/Battalion Job Title : Paramedic Date of Activity 5/3/2015 Description of Activity: As we discussed in our verbal counseling session/over�the past few shifts I Have noted a decline in your attention to detail. There have been several incidents recently to include incomplete narcotic log entries, not bringing stethoscope to patient with difficulty breathing, not completing assigned training assignments on time and to completion. All of these actions have been corrected after brought to your attention however at this point in your probation I would expect an increase not decrease in attention to detail. CoMments/Recommendations: Refocus attention to tasks and assignments. Use downtime to reinforce and refresh skills. Ask questions for things you do not understand. Employee Signature: — -A5> Date 5/3/2015 Supervisor Signature:�� Date: 5/3/2015 This form is not intended to be used for disciplinary purposes. It is intended to document employee performance both positive and negative as a part of employee development. Provide copies to Employee.