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Da SilvaCITY OF DELRAY BEACH lzvlis 1'a,L,4 EMPLOYEE PERFORMANCE EVALUATION PARAMEDIC ursuan o e era regu a ion, a sences esigna e as eave are no o be relied upon in assessing an employee's attendance/reliability, or in otherwise disciplining or counseling the employee. PERFORMANCE FACTORS CHECK ONE: Please provide comments for all six Performance Factors. 1. QUALITY/JOB KNOWLEDGE: ®Meets Expectations ❑ Does Not Meet Expectations Understands job requirements, demonstrates required job skills and technical knowledge as Comments: Roland completes tasks on calls quickly and with good it relates to position. Work product is timely demonstration of job knowledge. and accurate. 2. JUDGMENT AND COMPLIANCE WITH ®Meets Expectations ❑ Does Not Meet Expectations POLICIES: Decision-making and problem - solving abilities. Complies with rules, policies Comments: Roland follows rules and policies while working in the and procedures as described in the department station as well as while responding to emergency calls. 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: Roland can be relied on to complete tasks asked of him time (excludes FMLA covered time). on duty. 4. CUSTOMER SERVICE: Ability to get along ©Meets Expectations ❑ Does Not Meet Expectations with both internal and external customers. Comments: Roland has a good attitude while talking to the public as well as in the station with his coworkers. . SAFETY: Committed to working safely; uses ®Meets Expectations ❑ Does Not Meet Expectations personal safety equipment appropriately; follows safety rules and regulations. Comments: Roland can be relied upon to make safety a consideration while operating on emergency calls. 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: Roland is willing to learn new skills and try to apply change, new ideas and responsibilities. them to training as well as on calls. Handles pressure and adjust plans to meet changing needs. DOES THE EMPLOYEES OVERALL M YES ❑ NO PERFORMANCE MEET EXPECTATIONS? (Overall rating is "NO" if employee received a total of 2 or more I " Does Not Meet Expectations" rating in any category). ivmc: hn employee wnose overall nerrormance -noes ivot meet cxpectaaons" 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 yon 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. 'fO BE COMPLETED BY EMPLOYEE: Answer the following questions and return this form to your supervisor. MAJOR ACCOMPLISILMENT(S): What performance goals have, you achieved during this rating Period? h/J, biggest cornrruu egoal bets heen to h<._ghle In j>Z e qte pec v<rlr i ?ilh rent_ god <+17_r j_n eecs_m?, al/ r.alls. Attnntin r doe receue cern Tcnlc,,w,,, an uccorn lishnacnt 1 ryas spud o this nr5't �eor as ,use! as�llcn, na r?ar1 tmzc af_<nrun re�•crec rhel7_the�ma,,,vlsar slaJad_] vorotr t,@ ro bE —an efj6,, i_e /rµearnE c_and am con ortablc_with anv_sitrmtivn i naa, uu! m Esc°7 irt.,T haip.g icer! nitn,4� �ti/retrcrrce t1 rerr runrrugg, calls ani! have been, t�enc ici<t(lo ntv crcati_ EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided f?rr other employees to develop their knowledge and skills? C)n „an rrnc_tratiring_tlLd also routr tra?&, ltarz hour shm ruwd,rny stir/!s_ared nn r;.:rki/!s. Contcnovd Roum_c,_sunnort has been benclicial fn nae mad on, poers, Also a-arking with newer s tai nrensbers has heen beneficial SUPPORT ,. 'ORT 'YEF.[)E;D: What type of guidance or other support do you need from your supervisor to improve your performance during the next rating period? L thrice r eedbeck,_ both nr,. hire awl Lt "ath,e_! sit!! c nirinure to /em n on a tlzr !} htnis_tiircf / tlq p qr tleere run ,n Iqt that I h+n ey t xt v�xience. t xould ae reciirtr eedbeck eonr MI,sr(pcn !stir so Lan Irur•n �•rrrn nr>> rni,ctnkcs anr�,als<r tinraia w�Fren 1 h+mc:,crnn�let�•r/ circ rask�cicrrl SELF-DEVELOPMEN•r: What methods/programsleourses, ete. are you using to keep abreast of new, developments in your field'' 7,zrrEc�tsolnlimzc/rvrocolrEr+cw_t�tinit9r;e�twitli_r�nrcEa�i�r�tnca<t�aerszmrdreskin�crlrracarlresti�ora.c hal c all beell I;p,! fav r_that /hare ke t ctbrcast n nav skills, A,hn ci nzn up for �tlnss s, to irn r ni e n ovem/l F;tmalr�d re brad a cctirearst wr'!7 r�Lsq_nve m heater TnC as a iru is�hfEr.��aranredic_ CITY OFDELRAI'BEAC'H - E::tiIPLOI'EE'PER/'OR.4t4NCL'EfALUATION PARANIFDIC EMPLOFEE: I have reviewed the evaluation and it has been discussed with me. I have been encouraged to tmike comments. I understand that my signature does not hnply agreement with the evaluation. Employee Name (please print): Roland DaSilva Employee's Signahrre Date. �- - I am pleased with my progression and improvement through my second year, I am very happy with the positive feedback I receive from my supervisors. Any help that I have needed, has been immediately addressed and positive attitudes from my co-workers have made my career at DBFR very enjoyable. DISCUSSION ON FUTURE PERFORMANCE COALS: PRIORITY#I: Acquire certificates which allow me to he more beneficial to the department and my community_ i OBJECTIVE: taldng classes from outside vendors, and training from within when available. OBJECTIVE: -continue reading material which may benefit my knowledge with changes in profession. PRIORITY#Z: Continued city and zone familiarization. _ OBJECTIVE: _ Being able to navigate efficiently in all G zones with little or no reference _ 1 OBJECTIVE: Knowing the quickest route to take when responding code 3 EVALUATOR: I have discussed this performance evaluation with the employee. Name (Printed) Curtis Jepsen Title: Captain Signature:_ _ Date:1313015 BATTALION CHIEF: Name (Prnrtcd - S4,natum Date: ASS ISTAANT CII IEF: m Nae (Printed) .... (Jti1t C/� 1 Signature:... .- —Date: -----.-......_Tr...--- --- FIRE �¢(Z tt �S FIRE CHIEF: co I t X11-3 Jas OEMYBWH CITY OF DELRAY BEACH I 1 e EMPLOYEE PERFORMANCE EVALUATION 1993 DAD AAA Mr' 2OD1 EMPLOYEE NAME: Roland DaSilva CHECK ONE: Please provide comments for all six Performance EMPLOYEE# 103474 POSITION: Paramedic GRADE: 223 DEPARTMENT: Fire SICK HOURS USED: O TARDIES: b REVIEW PERIOD: 06/10/13 — 09/10/13 TYPE: ANNUAL ❑ PROBATIONARY ® 3 Month NOTE: Pursuant to federal regulation, absences. aesignarea as rm� leave µre nu, to ye an v vv'c attan agcy rvliahijiw, nr in ntharwi v dicrinlininQ nr rrn n ¢jinn by emnZnvvv PERFORMANCE FACTORS CHECK ONE: Please provide comments for all six Performance Factors. ®Meets Expectations ❑ Does Not Meet Expectations E: Understands job 1. QUALITY/JOB KNOWL:required requirements, demonstratejob skills andtechnical Comments Paramedic DaSilva meets expectations for lob skills and knowledge as it s to position. Work technical knowledge for his experience leve[ As he gains more product is t mely and accur *perience and becomes more confident I expect his skills and technical knowledge will both also increase. He has performed very well thus far on his Probation¢ Per ormance Ob'ectives. JUDGMENT AND COMPLIANCE WITH NMeets Expectations ❑ Does Not Meet Expectations POLICIES: Decision-making and problem -solving pr Comments Paramedic DaSilva complies with all rules, policies, and abilities. Complies with rules, policies and Procedures He has limited instances to utilize his decision-making and procedures as described in the department and problem solving abilities thus far. City's policies. 3. PRODUCTIVITY AND RELIABILITY: NMeets Expectations ❑ Does Not Meet Expectations Produces acceptable volume of work and meets Comments: Paramedic DaSilva exceeds expectations regardine volume commitments. Does not use excessive sick time of work He takes it upon himself to insure that all station duties are (excludes FMLA covered time), done and initiates other protects on his own. He has used no sick time and is consistently at work 45 minutes early. 4. CUSTOMER SERVICE: Ability to get along with NMeets Expectations ❑ Does Not Meet Expectations both internal and external customers. Comments: Has good rapport with the patients and citizens and pets along well with all co-workers. SAFETY: Committed to working safely; uses ®Meets Expectations ❑ Does Not Meet Expectations personal safety equipment appropriately; follows Comments: Follows all safety rules and regulations and has had no safety rules and regulations. accidents. INITIATIVE AND FLEXIBILITY: Self-starting NMeets Expectations El Does Not Meet Expectations ability, resourcefulness, and creativity as applied to Comments: Paramedic DaSllva takes the initiative upon himself to ko the duties of the position. Open to change, new over equipment study protocols or S.O.R's during any of his free -time. ideas and responsibilities. Handles pressure and -- — -He is eager to train and has a strong desire to excel in anything he does. adjust plans to meet changing 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 performance "Does Not Meet Expectations" is not eugtbte for a meru Increase ana 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 ACCOMPLISBAIENT(S): -What performance -goals -have youachievedduring this rating I have gained practical experience and become more comfortable on scene and am gaining confidence in iny kills and abilities I feel more comfortable with my report and documenting in the CHART method. Through training and practice I feel I have a much more thorough knowledge of the equipment and its operation on the Medic Unit Engine and also the Brush Truck I also feel I have improved on my proficiency with my Performance Objectives that are required during my probation. EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for other employees to develop their knowledge and skills? Worked with other probationary employees on Performance Objectives. SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to improve your performance during the next rating period? Continued training opportunities and appropriate feedback both negative and positive. SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new developments in your field? EMS Jane Protocol Review SOP Review Medical Equipment review with co-workers and Advanced Airway Class CITY OFDELRA YBEACH - 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): Roland DaSilva Employee's SignatureDate: 9/8/2013 EMPLOYEE COMMENTS: i time at Delray Beach Fire Rescue, since hired, has been a great experience. The challenge of anew career comes with copious counts of information and positively dealing with the feedback from my co-workers. I am pleasellwith my progress and could 't be happier with the guidance and support of my crew and the department. I believe I am adjusting appropriately, learning om my mistakes and improving every shift. I understand there is a lot to learn with this career and am excited and willtnk for f the challenges to come. PRIORITY#1: Become more comfortable and more assertive on EMS calls. OBJECTIVE: As I gain practical experience and get feedback from my co-workers and supervisor, I will incorporate learned for future situations OBJECTIVE: Study protocols PRIORITY#2: Become more familiar and proficient with mapping and routing OBJECTIVE: Spend time off duty driving through the city and becoming more comfortable with developments OBJECTIVE: Study ma )book EVALUATOR: I have discussed this performance evaluation with the employee. Name (Printed) Chris Zidar Title: Captain 1 Signature: Date:9/9/2013 L BATTALION RAF: `C � A" Name (Printed)\�ot1"n� ate: Signature \ ((� 1 ASSISTANT CHIEF: Name (Printed) : (-''l� Signature: f N �o Date: 'N7i�I (3 FIRE CHIEF: Name (Printed)�Co rly%oY' Signature: ! ///*ti C Date: 9(1^311 3 '�R"�Y'BECH by*%4 / 7 CITY OF DELRAY BEACH EMPLOYEE PERFORMANCE EVALUATION 1993 PARAMEDIC zoai E: RolandDaSilva CHECK ONE: Please provide comments for all six Performance EMPLOYEE# 103474 medic GRADE: 223 FDEPARTMENT:Fire SICK HOURS USED: 0 TARDIE5: 0 : 09/10/13-12/10/13 TYPE: ANNUAL ❑ PROBATIONARY ® 6 Month NOTE: Pursuant toJeaerat reguiarion, aosences uesegreutc__----._o — 'szxttendancefreiabilii�or-in etlserwise disei ' PERFORMANCE FACTORS CHECK ONE: Please provide comments for all six Performance Factors. ®Meets Expectations ❑Does Not Meet Expectations Comments• Paramedic DaSilva meets expectations for iob skills and 1. QUALITY/JOB KN=Understandserstands job requ rements, demonskills and technical knowledgeition. Workproduct is timely andtechnical knowledge for his experience level. As he gains more experience and becomes more confident I expect his skills and technical knowledge will both also increase He has performed very well thus far on his Prabationa P11f, Ob'ectives. JUDGMENT AND COMPLIANCE WITH ®Meets Expectations ❑ Does Not Meet Expectations POLICIES: Decision-making and problem -solving abilities. Complies with rules, policies and procedures as described in the department and City's policies. Comments Paramedic DaSilva complies with all rules, policies, and procedures He has limited instances to utilize his decision-making and problem solving abilities thus far. PRODUCTIVITY AND eets Expectations ❑ Does Not Meet Expectations Produces acceptable volume of commitments. Does not use exmments: (excludes FMLA covered t me). Tioi Paramedic Da5ilva exceeds expectations regarding volume work He takes it upon himself to insure that all station duties are ne and initiates other proiects on his awn. He has used no sick time d is consistently at work 45 minutes early. CUSTOMER SERVICE: Ability to geaongw Meets Expectations ❑ Does Not Meet Expectations both internal and external customers. Comments: Has good rapport with the patients and citizens and gets along well with all co-workers. 5. SAFETY: Committed to working safely; uses ®Meets Expectations ❑ Does Not Meet Expectations personal safety equipment appropriately; follows safety rules and regulations. Comments: Follows all safep� rules and regulations and has had no accidents. INITIATIVE AND FLEXIBILITY: Self-starting ®Meets Expectations ❑ Does Not Meet Expectations ability, resourcefulness, and creativity as applied to the duties of the position. Open to change, new ideas and responsibilities. Handles pressure and adjust plans to meet changing needs. Comments: Paramedic DaSilva takes the initiative upon himself to go over equipment study protocols or S O.A's during any of his free -time. He is eager to train and has a strong desire to excel in anything he does. DOES THE EMPLOYEES OVERALL PERFORMANCE MEET EXPECTATIONS? ® YES ❑ NO (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 Ivor sneer axpectauuna w nit cugevlc w rt-. . » 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 ACCOMPLISHNIENT(S): What performance goals have you achieved during this rating I have gained even more practical experience and become more comfortable on scene and am gaining confidence in my skills and abilities I continue to become more comfortable with my report and documenting in the CHART method Through training and practice I feel I have a much more thorough knowledge of the equipment and its operation on the Medic Unit Engine and also the Brush Truck. I also feel I have improved on my proficient with ith my Performance Objectives that are required during my probation. EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for other employees to develop their knowledge and skills? Continuous training with other probationary employees on Performance Objectives. SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to improve your performance during the next rating period? Continued training opportunities and appropriate feedback both negative and positive. SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new developments in your field? EIy9 Jane Protocol Review SOP Review Medical Equipment review with co-workers and Advanced Airway Class Taking time after calls to sit with my STEP trainer and review what I could did well on previous call as well as what to improve on Also going out of service every shift for an hour to at my hands on equipment I have vet had a chance to use and going over scenarios. CITYOFDELRAYBEACH - 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): Roland Da5ilva Employee's Signatures Date: 12/10/2013 EMPLOYEE COMMENTS: om my mistakes and improving every shift I understand there is a lot to learn with this career and am excited and willing for 7 the challenges to come. )N FUTURE PEI GOALS: PRIORITY#1: Become more comfortable and more assertive on EMS calls. OBJECTIVE: As I Bain practical experience and get feedback from my co -worriers anu suuery sur wui a cu uu a« learned for future situations OBJECTIVE: Study protocols PRIORITY42: Become more familiar and proficient with mapping and routine OBJECTIVE: Spend time off duty driving through the city and becoming more comfortable with developments OBJECTIVE: Study mapbook EVALUATOR: I have discussed this performance evaluation with the employee. Name (Printed) Chris Zidar Title: Captain Signature: BATTALION CHIEF: Name (Printed) h l- Date:12/10/2013 Name (Printed) ' Jll1 l 2)t (ice__ Signature: Date: FIRE CHIEF: Name (Printed) o Harp• (��� DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation Station Assignment/ Unit > 4 //d/-7 Officer: Zl1 (,j/ Grading Period: Month/ Shift Rating Instructions: T Rate observed behavior with reference to the scale below. Specific comments are req ke_d for all ratings. Check N/A space if not observed or not applicable. This form must be turned into the B.C. for review and forwarded to the Training Division for record keeping. These evaluations should be completed for each month the probationary firefighter has worked. Appearance: 1. General Appearance 1 2 1 3 Comments: Attitude: 2. Acceptance of Criticism 3. Attitude Toward Fire Service ©©©"314©CM ©©©U©cm 4. Department Policy and Procedures 1 2 3 4 5 N/A 5. Reflected in Verbal/ Written Tests 1 2 1 3L 1 4 5 / 6. Reflected in Fi d Performance Skills 1 2 al 4 5 N/A Comments 1i/^ / cl a . .4171- _ Ipa,:e �ro Gi�/if rformance: 7. Use of Map Books: Orientation Skills 1 1 1 2 014 Comments: / /1L 8. Routine Form Accuracy and Completeness V I 1 1 2 1 3 4 1 5 N/A /2"/A /{9C//I�n DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation 9. Report Writing: Organization/ Detail 10. Report Writing: Level of Usage/ Grammar/ Spelling/ Neatness 11. Report Writing: Appropriate T/'''�/T1a Used Cnmmanta,_.. J.ln„1__S.fiY.�-fi'n/No..l.c 12. Field Performance: Non -Stress Conditions 13. Field PerformRnce: Moderate Stress Cond // Comments: y/y o%� S11jee hr 14. Safety V Comments: 16. Radio: Listens and, Comprehends Comments: -I lal)ll-i Relationships: 17. With Citizens/ General 18. With Company Officers/ Supervisors/ Command 19. With Fellow Firefighters ©©"yi'©EM ©©UFAMUEM 1 2 1 3 1"4'1 5 1 N/A 1 2 3 5 N/A 1 2 3 Z 4 Firefighter Signature: Officer Signature: B.C. Signature: Date: Date: Date: I DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation Station Assienment/ Unit #: Period: Month/ Shift #: �//„/%� %3 Rating Instructions: Rate observed behavior with reference to the scale below. Specific comments are required for all ratings. Check N/A space if not observed or not applicable. This form must be turned into the B.C. for review and forwarded to the Training Division for record keeping. These evaluations should be completed for each month the probationary firefighter has worked. Appearance: 1. General Appearance Comments:.Sinui Attitude: 2. Acceptance of Criticism 3. Attitude Toward Fire Service Knowledge: 4. Department Policy and Procedures 5. Reflected in Verbal/ Written Tests 6. Reflected in Field Performance Skills Comments ;F7*,b2r- IwA�h Pil1>f x Performance: 7. Use of Map Books: Orientation Skills 8. Routine Forms: Accuracy and f"©0© iWA .OR ©®®Mi© ©©©w-FA®CM ©©©I ©EM Knowledge: 4. Department Policy and Procedures 5. Reflected in Verbal/ Written Tests 6. Reflected in Field Performance Skills Comments ;F7*,b2r- IwA�h Pil1>f x Performance: 7. Use of Map Books: Orientation Skills 8. Routine Forms: Accuracy and f"©0© iWA .OR ©®®Mi© DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation 9. Report Writing: Organization/ Detail 1 2 ' 3 10. Report Writing: Level of Usage/ Grammar/ Spelling/ Neatness 1 2 34 5 N/A 11. Report Writing: Appropriate Time Used 1 2 4 1 5 N/A Comments: M,01,dV( as &fiv % rl S aCQ � 12. Field Performance: Non -Stress Conditions 1 1 2 1 3 L4/ 1 5 13. Field Performance: Moderate Stress Conditions 1 2 4 5 Comments: 14. Safety �l 1 2 3 5 Comments: //1/Aac.< 19.' lylef t4 a /& g' f 15. Problem Solvi/nn� DecisionMaking1 2 3 4 1 5 Comments: N/Jn1miil, I)VIliiv l5 ///J/*x a aw a y ah/w � 16. Radio: Listens and CompreWernds 1 2 "-S- 4/ 1 5 Comments: /aaoS 11,141 I//aa17_W1fr10l Relationships: 17. With Citizens/ General 1 2 3 4 5 N/A 18. With Company Officers/Supervisors/Command 1 2 3 4 5 N/A 19. With Fellow Firefighters 1 2 3 JK421 5 N/A f nn,montc- Firefighter Signature: 1 Officer Signature:,r. B.C. Signature: Date: /a/-? -? /� Date: w / Date: 15 DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation Rating Instructions: Rate observed behavior with reference to the scale below. Specific comments are required for all ratings. Check N/A space if not observed or not applicable. This form must be turned into the B.C. for review and forwarded to the Training Division for record keeping. These evaluations should be completed for each month the probationary firefighter has worked. Appearance: 1. General Appearance 1 1 2 1 3 Comments: Attitude: 2. Acceptance of Criticism 3. Attitude Toward� Fir//e Service Comments: ///fiF/2/OC 64 Knowledge: 4. Department Policy and Procedures S. Reflected in Verbal/ Written Tests 6. Reflected in Field Performance Skills Comments Aie &0, & .41vi�u die/d AI/+ a?g 15A Performance: 7. Use of Map Books: Orientation Skills Comments: --W��/Olow,; A/41 i 8. Routine Forms: Accuracy and ©0IWJMM ll_ I IuArmmmw 9! / / d 0 DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation 9. Report Writing: Organization/ Detail 10, Report Writing: Level of Usage/ Grammar/ Spelling/ Neatness 11. Report Writing: Appropriate Time Used Comments: /%/)i A42i/ ✓,r m illk m 12. Field Performance: Non -Stress Conditions 13. Field Performance: Moderate Stress Conditions /r = ©©©Rmw ="112101"W 14. Safety 1 1 2 n3 Comments: 15. Problem Solving/ DecisiovMiking u ✓,h 11 2 XI a 5 Comments://,{ryS�/io %1-,s %1���.s9 1�+i /�kr MO/'Go lV &I . *N llixk-a/ -a//) 16. Radio: Listafis and Comprehi(nds !// 4 1 5 Comments: / /j (2)d davit )4? a/ htil hos /4&1l ' llsi/A��Pc#V iW .$?%/l.06/ fi lCf 1.4 iY10/D c°C l/JUY/� Relationships: 17. With Citizens/ General F 12 3 4 5 18. With Company Officers/ Supervisors/ Command 1 2 3 5 19. With Fellow Firefighters 1 2 3 4 5 Comments: '14d LU/V// 17ly1/Ze19 /JqA-;373 Firefighter Signature: G% Date: Af Officer Signature: Date: B.C.Signature: Date: %, r DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation Firefighter: /JQ5//Yol Station Assignment/ Unit #: c,�'/J7r{Y/U// Y/ J Officer: Z 67Z Grading Period: Month/ Shift #: 7/p7�� 3 - Rating -Rating Instructions: Rate observed behavior with referenceto the scale below. specific comments are required for all ratings, Check N/A space if not observed or not applicable. This form must be turned into the B.C. for review and forwarded to the Training Division for record keeping. These evaluations should be completed for each month the probationary firefighter has worked. Appearance: 1. General Appearance r1 1 2 1 3 Comments: Attitude: 2. Acceptance of Criticism 3. Attitude Toward Fire Service Comments: 1 2 3 4)1 5 IN/A 1 1 2 1 3 4 5 1 N/A Knowledge: 4. Department Policy and Procedures 5. Reflected in Verbal/ Written Tests 6. Reflected in Field Performa/ " Performance Skills A7 , Comments l'smde A/kl Performance: 7. Use of Map Books: Orientation Skills Comments: 8. 1 "©DJD©CM nmunnw MMMAMM M. - IN - Im E a DELRAY BEACH FIRE RESCUE Probationary Firefighter Program Monthly Evaluation 9. Report Writing: Organization/ Detail 10. Report Writing: Level of Usage/ Grammar/ Spelling/ Neatness 11. Report Writing; Appropriate Time Used 12. Field Performance: Non -Stress Conditions 13. Field Performance: Moderate Stress Cond Comments: &?N101r /JI Ufm h,,75 [11 2 1 3 14 5 N/A �©©unrm ©©Wri0© MMUM V 14. Safety 1 2 4 1 5 1 N/A 15. Problem Solving/ Decision Making Comments: 16. Radio: Listens Comments: i P 1,eva?d "V or 121VO- '.,� 0//Val/0 Alm) Rellationshipif- 17. With Citizens/ General 18. With Company Officers/ Supervisors/ Command 19. With Fellow Firefi hters /� Comments: 7; .fid rlusn/� ll,l/ h I 1 1 2dV3A 4 1 5 1 1 2 Y3%A 4 1 5 1 1 2 3 4 1 5 N/A 1 2 1 3 JC45 N/A 1 1 2 1 3 4 5 1 N/A Firefighter Signature: Date: O 2 S//3 Officer Signature: o Date: 60 5 /3 B.C. Signature: Date: I ©©Wri0© MMUM V 14. Safety 1 2 4 1 5 1 N/A 15. Problem Solving/ Decision Making Comments: 16. Radio: Listens Comments: i P 1,eva?d "V or 121VO- '.,� 0//Val/0 Alm) Rellationshipif- 17. With Citizens/ General 18. With Company Officers/ Supervisors/ Command 19. With Fellow Firefi hters /� Comments: 7; .fid rlusn/� ll,l/ h I 1 1 2dV3A 4 1 5 1 1 2 Y3%A 4 1 5 1 1 2 3 4 1 5 N/A 1 2 1 3 JC45 N/A 1 1 2 1 3 4 5 1 N/A Firefighter Signature: Date: O 2 S//3 Officer Signature: o Date: 60 5 /3 B.C. Signature: Date: I FILE Enil&4 1 P 0 CITY OF DELRAY BEACH y 11611 EMPLOYEE PERFORMANCE EVALUATION nuL'/, PARAMEDIC EMPLOYEE NAME: Roland DaSilva EMPLOYEE# 103474 -- GRADE: 223 USED:0 TARDIES:O DEI�HAYWiB AIF i ,9,:, 2061 IlREVIEW PERIOD 06/10/13 03/10/14 I TYPE ANNUAL ❑ PROBATIONARY N 9 Month vrnTF esues leau€�re neE to be relte upon t assessing an employee's attendance/reliability, or in otherwise disciplining or counseling the employee. PERFORMANCE FACTORS QUALITY/JOB KNOWLEDGE: Understands job requirements, demonstrates required job skills and technical knowledge as it relates to position. Work product is timely and accurate. JUDGMENT AND COMPLIANCE WITH POLICIES: Decision-making and problem - solving abilities. Complies with rules, policies and procedures as described in the department and City's policies. PRODUCTIVITY AND RELIABILITY: Produces acceptable volume of work and meets commitments. Does not use excessive sick time (excludes FMLA covered time). CUSTOMER SERVICE: Ability to get along with both internal and external customers. SAFETY: Committed to working safely; uses personal safety equipment appropriately; follows safety rules and regulations. CHECK ONE: Please provide comments for all six Performance Factors. ®Meets Expectations ❑ Does Not Meet Expectations Comments: Roland is progressing well in his probationary period. His job skill level is excellent. ®Meets Expectations ❑ Does Not Meet Expectations Comments: Adheres to all policies and continues to learn. ©Meets Expectations ❑ Does Not Meet Expectations Comments: Roland consistently keeps busy throughout the shift and has not used any sick time. ®Meets Expectations ❑ Does Not Meet Expectations Comments: Roland interacts great with both our residents and his coworkers. ®Meets Expectations ❑ Does Not Meet Expectations Comments: Adheres to all policies INITIATIVE AND FLEXIBILITY:]Self-Meets Expectations ❑ Does Not Meet Expectations starting ability, resourcefulness, and cromments: Roland needs to very little direction complete tasks and as applied to the duties of the position. Oalways keeping busy during the shift. change, new ideas and responsiHandles pressure and adjust plans t changing needs. DOES THE EMPLOYEES OVERALLrF11PDoes YES ❑ NO PERFORMANCE MEET EXPECTATIONS?verall rating is "NO" if employee received a total of 2 or more Not Meet Expectations" rating in any category). Note: An employee whose overall erformance "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 ACCOMPLISHMENT(S): What performance goals have you achieved during this rating period? hUnued-te-became-more-eemfertlble-we day-w, have-bacm u7ffcrO--- proficient with my skills and utilize appropriate protocols effectively. EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for other employees to develop their knowledge and skills? Protocol reviews and going over both medical and fire scenarios with fellow employees. SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to improve your performance during the next rating period? Continued support from my coworkers and appropriate feedback. SELF -DEVELOPMENT: What methods/programs/courses, etc, are you using to keep abreast of new developments in your field? Ems Jane, Fire ground skills training, and continued protocol review. 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): //� �t `u.A�—�/ I-& -311 [6n " Employee's Signature y/ Date: EMPLOYEE COMMENTS Click here to enter text. I continue to learn everyday through running calls, discussing and reviewing protocols, and getting apprc feedback from my Captains and other coworkers. As a new employee I find myself becoming more and comfortable with department SOG's and working efficiently with everyone in the department. My knowledge city and its history continues to improve everyday. MR11URrvIuNq-a uvaL3: PRIORITY#1: City and zone familiarization. OBJECTIVE: Being able to navigate efficiently in all 6 zones with little or no reference. OBJECTIVE: Knowing the quickest route to take when responding code 3. PRIORITY#2: Protocol knowledge and Apparatus familiarity. OBJECTIVE: 100% proficiency of medical protocols without reference. OBJECTIVE: 100% proficiency of all suppression units. EVALUATOR: I have discussed : 's performance evaluation with the employee. yr Name (Printed) Title: /�ij h Signature: Date: BATTALION CHIEF: Name (Printed) ice, k�, jj,-� ASSISTANT Name (Printed) Fk rl �- I' Signature: %+ ( Date: vt Name (Printed) �( Signature: (lLuM (( of Date: `{'fid Pc'. %BH. -H CITY OF DELRAY BEACH i 1 EMPLOYEE PERFORMANCE EVALUATION 7993 2M11 PARANfEDIC PERFORMANCE FACTORS CHECS ONE: Please provide comments for all six Performance Factors. I. QUALITYfJOB ENOWLEDGE: Understands job I EMeets Expectations ❑ Does Not Meet Expectations requirements; demonstrates required job skills and Comments: Paramedic DaSilva has pros essed well during his technical knowledge as it relates to position. Work s mely and accurate, probationary period He began his career at Delray Fire Rescue with no experience and has transitioned into a Paramedic capable of making produc sound decisions on his own based on his knowledge and the practical skills he has learned while working here. JUDGMENT AND COMPLIANCE WIT& EMeets Expectations ❑ Does Not Meet Expectations POLICIES: Decision-making and problem-sohting ab l es. Complies with rules; policies and Comment: Paramedic DaSilva complies with all department policies and as described in the deparonent and Procedures Over the course of the last vear he has leaned to problem solve and make a2prooria`e decisions based on his knowledge of procedures City's policies. department policies and procedures and anptv them from the practical experience has gained. PRODUCTWT Y ATI) RELIABILITY: EMeets Expectations E, Does Not Meet Expectations Produces acceptable volume of work and meets Does me Comments: Paramedic DaEilva consistently stays bust throughout the shift and is a self-starter in reference to daily station duties. He can be counted comm men s. not use excessive sick (excludes FMLA covered time), or, to complete am Task assigned to him. I � 4. CUSTOMER SERN710E: Ability to get along v,7th EMeet Expectations ❑ Does Not Meet Expectations both internal and external customers. I Comments: Paramedic DaEilva has excellent report with patients and am other members of the public he comes into contact with He interacts well with his peers and is considered to be a team plaver by both his coworkers and his supervisors. SAFETY: Committed to working safely; uses E'Meetc Expectations Does Not Meet Expectations i personal safety equipment appropriately; follows Comments: Adheres to all policies and has no preventable accidents. safet<, roles and regulaflons. II,,=ALTIVE AND FLEYBILITY: Self-s-iartmg EMeets Expectations ❑ Does NotNieet Expectations ability, resourcefulness, anal creativirc as applied to j _ the duaes of the postcon. Open to change nets Comment: Paramedic DaSih;a w a self-starter and is eager to complete ideas and responsitraes. handles and am tasj,,. assi xed to him. He is a_pen to new ;deo and is mot aced to pressure learn adjust pians to meet cha—aging needs. DOES THE EMPLOYEES OVERALL E YES ElNO PERFORMANCE INET EXPECTATION—q? (Overall rating is "NO" if employee received a total of 2 or more " Does Not Meet Expectations" rating in any categorl-). , 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 everp (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 COMPLETER BY EMPLOYEE: Answer the following questions and return this form to your supervisor. MAJOR ACCONIPLISHMIEENT(S atng period? biggest performance goal has been to successfully complete my step program and be able to operate el'fectively with anv and all of my peers on all calls Being able to be an effective paramedic and be comfortable with any situation I may find mselfiin has been beneficial to my crew and my overall confidence atDBFR EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for other employees to develop their knowledge. One on one training and also group traininK have both sharpened my skills and my peer's skills. Continued ositive support has been beneficial to me and my peers. SUPPORT NEEDED: What type of guidance or other support do you need from your supernisor to improve your performance during the next rating period? I thrive off feedback both positive and negative I still have a lot to learn and know that there is a lot that I have vet to experience I would appreciate f eedback from my supervisor so I can learn from my mistakes and also know when I have colleted a task efficiently. SELF -DEVELOPMENT: What methodsiprograms/courses, etc, are you using to keep abreast of new developments in your field? EAE Jane protocol review, training with more experienced peers and asking a lot of questions have all been helpful wms that I have kept abreast of my skills. -41so sianingup for classes to improve mm overall knnowled e and efectNeness will also to better me as a firefighter/paramedic CITY OF DEL RAYBEA CH - EMPL0YEEPERFOR&LANCEEVALLATIOR' 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): Roland DaSilva Employee's Signature. --Date: 7/11/2014 I am pleased with the help and support I have received from my supervisors and peers in my first year. They have greatly helped me with the transition into this new position. Any help that I have needed has been immediately addressed and positive attitudes from others who have helped me along the way have made this, intimidating process, very enjoyable and a success. r U i uxJ11 r-Exrvtuvie NUE trUPIU�: PRIORITY#I: _Acquire certificates which allow me to be more beneficial to the department and my OBJECTIVE: taking classes from outside vendors, and training from within when available._ OBJECTIVE: _continue reading material which may benefit my knowledge with changes in our profession. PRIORTT`r'#2: Continued city and zone familiarization. _ OBJECTIVE: Being able to navigate efficiently in all 6 zones with little or no reference._ OBJECTIVE-. _Knowing the quickest route to take when responding code 3 EVALUATOR. I have discussed this performance evaluation with the employee. Name (Printed): , Chris Zid Title: Captain �l yJ�i t Mll/2014 SignatureDa I �' BA-TT_4-LIOItT CILF: Name (Printed) 4�E F,) Signanire: Date: ASSISTANT C=: i Name (Printed) r{ Sipatse: A- / — Bate',_ I FIRE CHIEF: Name (Printed) lll-(� Signature: Date: