J Sandoval 4onur
. CITY OF DELRAY BEACH
EMPLOYEE PERFORMANCE EVALUATION
PARAMEDIC
EMPLOYEE NAME: Jac ueline-Sandoval
EMPL OYEE## 588594
POSITION: Paramedic.
GRADE: 223
DEPARTMENT: Fire SICK HOURS USED: 0 TARDIES: 0.
REVIEW PERIOD: 12/19/14-007/15
TYPE: ANNUAL ❑ PROBATIONARY® 9 Month
NOTE.• Pursuant to federal regulation, absences designated as
assessing an employee's attendance/reliability, or in otherwise
PERFORMANCE FACTORS
CHECK ONE: Please provide comments for all six Performance
Factors.
1. QUALITY/JOB KNOWLEDGE: NMeets Expectations 0 Does Not Meet Expectations
Understands job requirements, demonstrates
required job skills and technical knowledge as Comments: FF Sandoval consistently completes taskslassignments
it relates to position. Work product is timely on time and demonstrates a good understanding of her job skills. She
and accurate. continues to improve herself and seeks out feedback from co-
workers.
JUDGMENT AND COMPLIANCE WITH NMeets Expectations El Does Not Meet Expectations
POLICIES: Decision-making and problem -
solving abilities. Complies with rules, policies Comments: FF Sandoval uses good judgment when problem solving.
and procedures as described in the department and making decisions while follows Dept/City policies. Click here
and City's policies. to enter text.
13. PRODUCTIVITY AND RELIABILITY: ®Meets Expectations ❑ Does Not Meet Expectations
Produces acceptable volume of work and meets
commitments. Does notuse excessive sick Comments: FF Sandoval produces good quality work and always'.
time (excludes FMLA covered time). stays busy. She is one of' the first people to offer assistance in.
completing tasks with others. Continued improvement is needed on
probationary sign off. FF Sandoval has successfully completed the 6
month probationaa skills checkoff, including the swim test.
4. CUSTOMER SERVICE: Ability to get along ®Meets Expectations_ ❑ Does Not Meet Expectations
with both internal and external customers.
Comments: FF Sandoval has a very good report with her crew
members, patients and citizens that she comes in contact with.
5. SAFETY: Committed to working safely; uses ®Meets Expectations ❑ Does Not Meet Expectations
personal safety equipment appropriately;
follows safety rules and regulations. Comments: FF Sandoval is very conscious of her safety and that of
her crew members and citizens.
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 Sandoval is a self-starter that requires little direction
change, new ideas and responsibilities. With her tasks. She adapts well to different responsibilities and is
Handles pressure and adjust plans to meet able to adjust to changes under stressful situations.
chanzins needs.
DOES THE EMPLOYEES OVERALL
N YES C1 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).
DOES THE EMPLOYEES OVERALL JIM YES ❑ NO
PERFORMANCE MEET EXPECTATIONS? 11 (Overall. rating is "NO" if employee received a total of 2 or more
" Does ot 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 jollow-up evaluariars condurted 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-CUNIPLE-TED-BY-ENfPLOYEE:-Answer the -following questions•and-return this -form -to your
supervisor.
MAJOR ACCOMPLISHMENT(S): What performance goals have you achieved during this rating
period?
Completing my 6th month sign offs.
EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for
other employees to develop their knowledge and skills?
Passing on what I have lem-ned and arperienced.
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 and experience during fire/EMS calls.
SELF -DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast of new
developments in your field?
iWagazines, emails, and books to help stay up to date on new and upcoming things. Haznun training.
CITY OFDELRA YBEACH - ESVIPLOYEEPERFORMANCEEVALUATION
PARAMEDIC
EMPLOYEE. 1 have reviewed the evaluation and it has been discussed with me. I have been encouraged to make
3
comments. l understand that my signature does not imply agreement with the evaluation.
Employee Name (please print):(,{Q/1�j�(���/�
Employee's SignatureDate:
EMPLOYEE COMMEM FORTH EVALUATION:
None at this time.
DISCUSSION ON FUTURE PERFORMANCE GOALS:
PRIORITY#l: Finish probation
OBJECTIVE: Complete probationary sign offs.
OBJECTIVE: Become more efficient in them.
PRIORITY#2: Continue to gain experience.
OBJECTIVE: Continue to review SOP's and Protocols.
OBJECTIVE: Education through onliiie learning and classes.
EVALUATOR: I have discussed this performance evaluation with the employee.
Name (Printed) s (� L4 Title: Iia -1
Signature: Date: 7 1
BATTALION CHIVF:
Name (Printed) _� C(�r/}
Signature: �L�.�/L Date:
ASSISTANT CHIEF:
Name (Printed) �� ov
Signature: .- Date: i5
FIRE CHIEF: �n1
Name (Printed) C. 9 ri nO ✓,
Signature: I '(/�l Date: 1 t5