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Comments: Jacob is right on target with his job skills and technical
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Comments: Jacob follows his protocols and makes sound decisions
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EMPLOYEE -PERFORMANCE EVALUATION
PAR-AMEDIC SSG
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NOTE_ Pursuant to federal regulalion, absences designated as FMLA leave are not,io be relied upon in [
assessing ai employee 's attendan ee/reliabilrty, or in otherwise disci linin or counseli,i the em to ee.
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: Jacob is right on target with his job skills and technical
it relates to position. Work product is timely
knowledge for a one year employee"
and accurate.
JUDGMENT AND COMPLIANCE WITH
0 Meets. Expectations ❑ Does Not Meet Expectations
POLICIES: Decision-making and problem -
solving abilities. Complies with rules, policies
Comments: Jacob follows his protocols and makes sound decisions
and procedures as described in the department
on calls.
and City's policies.
PRODUCTIVITY AND RELIABILITY:
®Meets Expectations ❑. Does Not -Meet Expectations
Produces acceptable volume of work and meets
commitirtents. Does not use excessive sick
Comments: Jacob has used zero sick time and completes his reports
time (excludes FMLA covered time).
on time.
4. CUSTOMER SERVICE: Ability to get along
®Meets Expectations ❑ Does_ Not Meet Expectations
with both internal and external customers.
Comments: Jacob is professional and gets along well with his 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: Jacob follows all safety and work rules:
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: Jacob adjusts -well to the ever changing duties that the
change, new ideas and responsibilities.
Ere service offers.
Handles pressure and adjust plans to meet
changing needs.
OES THE EMPLOYEES OVERALL
®YES ❑ NO
RFORMANCE MEET EXPECTATIONS?
F
(Overall rating is "NO" if employee received a total of 2 or [tore
" 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 4 Performance Improvement Plan follow-up evaluations conducted every (30) days.
Formulate with the employee his/her performance goals for the next rgting.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 ACCOMPLISEMENT(S): What performance goals have you achieved during this rating
period?
1 have completedall my modules assigned to me in recruit class, and prepared niyselffor the completion
of my -f, R-1 year of empIovnmemtt.
EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for
other employees to develop their knowledge and skills?
With the completion of my Iasi certification of DRI, me and the crews/ have worked with. have discuss
some of the training and operational procedures that I went -through and related into pass and discussed
alteration and possible challenges that we may face. Also me being a nurse any time 1 learn something
new or am exposed to a new or challenging medical treatment at the hospital l discuss iny.indings to the
crewto further educate. the people I'nm arotmd. through my experiences crud vice versa.
SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to
improve your performance during the next rating period?
-This. maybe the end of my first .year of employment but this field is ever changing and evolving with new
technology and challenge that, tine face. All t can ask for is for my supervisor to take an, active role in my
development throughout. my career. I learn new things each and every day and so far all my supervisor
have'beeh supportive in my development.
SELF -DEVELOPMENT: What methods/proerarns/courses_;. etc. are you using to keep abreast of new
developments in your field?
I have successfully completed DRI and joined the dive team here at DBFR. l am current in Hazmat
school and taking advantage.of all the opportunities to further my training and.knowledge of applicable
areas of my field.
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CITY OFDELRAYBEACH - 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 ' - t-):-J�c " terson N
Employee's Signature Date:
EMPLOYEE COM
O Signature;
FOR THIS E ALUATION:
I agree with the following evaluation, and looking fotnvard to my future here at Delray Beach Fire. Rescue.
DISCUSSION ON FUTURE PERFORMANCE GOALS:
PRIORITY#I: Improve overall knowledge and skids as a Fir4ighter/ParamediclRescuer
OBJECTIVE: Enroll in specialty classes to gain advanced level skills,
OBJECTIVE: Continue to learn from seasoned personnel in the department_ that are experienced in area
of expertise 1 lack:
PRIORITY#2: Become involved in the special operations aspect of this department
OBJECTIVE:. Successfully complete Hazmat Technician school
OBJECTIVE: Successfully complete certification necessary for the job at hand.
EVALUATOR: I have discussed this performance evaluation with the employee.
Name (Printed) Ilene Rose Title: Captain
Signature: i Date: /0
BATTALION CHHF:
Name (Printed) B/L, 64" -C,0 --
Signature:
i" `C,0 - `
Signature: Date:
ASSISTANT CHIE
Name (Printed) d L
Signature: Date:
FIRE CHIEF:
/1
Name (Printed) IA -00V
Signature: Date: