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Page 1: 131713_EVALUATION_02112016.PDF

Annual Review - 2/11/2016

Name:

Clock #:

Position:

Start Date:

Review Begin Date:

Review End Date:

Short, Brandon

131713

Digital/Laser Print Operator

9/26/2014

1/1/2015

12/31/2015

Performance EvaluationThis is an Annual Review for Press, Digital/Laser Print Technician

For:Short, BrandonFinished On:

2/11/2016

Competencies

Communication: Effectively communicates critical information to the next shift, operators, supervisor or managers in theirrespective areas and other business areas when necessary.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Communicates very well, excellent.

Teamwork: Finds common ground and solves problems for the good of all; represents his/her own interest and yet is fair toother groups; solves problems with peers with a minimum of noise; is seen as a team player and is cooperative; easily gains trustand support of peers; encourages collaboration; is candid with peers.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Very much a team player. best I have on shift.

Initiative: Comes forward to present new ideas; looks for the next work/project; does not need to be told what to do next.Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Does not have to be prompted, ever.

CI/Safety: Actively supports Continuous Improvement, Safety and Managing Daily Improvement (MDI) initiatives; participatesin 6S audits, Total Productive maintenance (TPM) and Pre-Flight checklists; uses Root Cause Analysis (RCA) to effectivelyeliminate barriers and improve safety and productivity.

Unsatisfactory Needs Development Effective Advanced Outstanding

Work Quality: Completes tasks within the required timeframe while maintaining accuracy and attention to detail.Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Brandon runs hard and on the edge but his quality is very good.

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Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; acts with thecustomer in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Unsatisfactory Needs Development Effective Advanced Outstanding

Problem Solving: Uses logic and methods to solve difficult problems with effective solutions; probes all fruitful sources foranswers; can see hidden problems; looks beyond the obvious and doesn’t stop at the first answers.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Super smart, excellent problem solver.

Job Knowledge/Responsibilities: Has knowledge and skills necessary to perform daily requirements; makes an effort tounderstand and execute their roles and responsibilities.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Best we have on the digital platform.

Self-Awareness: Knows personal strengths, weaknesses, opportunities, and limits; seeks feedback; gains insights from mistakes;is open to criticism; isn’t defensive; is receptive to talking about shortcomings.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Brandon knows himself and his limitations and pushes to exceed them.

Accountability: Has goals and a clear understanding of what is necessary to hit results; is constantly and consistently meetingdeadlines and goals throughout the year, steadfastly pushes self and others for results.

Unsatisfactory Needs Development Effective Advanced Outstanding

Innovation: Comes up with a variety of solutions; identifies how possible solutions are strong or weak; thinking “outside thebox” even if this sometimes may go against popular opinion; works with and seeks the opinions of others to reach a creativesolution.

Unsatisfactory Needs Development Effective Advanced Outstanding

Comment: Constantly working on a better way.

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Results

SAM Score: Our goal is to achieve a Safety Accountability Measurement (SAM) score of 100%. General guidelines for scoringare as follows: 100= 5, 90 -99=4, 89-80=3, 79-70=2, Below 70=1.

Unsatisfactory Needs Development Effective Advanced Outstanding

SAM Score SAM MeasureYear:

Score:2015100%

Safety Warnings: 100% Think Safe Quizzes Completed: 100%Safety Engagement: 150%

Professional Development: Has the employee focused on any personal development, taken training classes, or special projectswithin their field?

Unsatisfactory Needs Development Effective Advanced Outstanding

Training PlanCourse Name Hours Completed DateLockout/Tagout Training 2.0 Yes 2/13/2015Lockout Tagout Practical 1.0 Yes 2/17/2015CBT-Versailles Plant Safety 1.0 Yes 2/28/2015CBT-Global Harmonization Stnd 1.0 Yes 3/11/2015CBT-Safe Policy Review 1.0 Yes 8/13/2015Storeroom Parts Checkout 101 0.5 Yes 9/7/2015CBT-Crane Safety for Operators 0.0 Yes 10/3/2015CBT-General Machine Safe Guard 1.0 Yes 10/4/2015CBT-Elect. Safety Awareness 1.0 Yes 10/17/2015CBT-Personal Protective Equip 1.0 Yes 10/17/2015

General Performance Considerations

Employee Record Management System Module

Recognition, Reminder, and Warning SummaryReminders:

Verbal Warnings:01

Written Warnings:Disciplinary Lay Off:

00

Last Chance Agreements:Recognitions:

00

Attendance Module

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Occurrences Through 12/31/201530 Days: 180 Days:90 Days: 365 Days:

1.5 2.51.5 8

12/15/2015 - Late12/5/2015 - Sick8/19/2015 - Absent6/16/2015 - Absent5/26/2015 - Late5/21/2015 - Left Early4/14/2015 - Absent3/21/2015 - Late3/8/2015 - Sick3/7/2015 - Sick1/19/2015 - Sick

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Goals

GoalsDate Goal Latest Comment

1/13/2016 Push the press speeds wide open. 800 ft.

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057

Annual Review Acknowledgement

Employee Name: Short, Brandon 131713(Employee ID)

Job Title: Digital/Laser Print Operator

Supervisor Name: Norton, Jaime 76466(Supervisor ID)

Review Name: Annual Review for Press, Digital/Laser Print Technician

Date of Review: 2/11/2016

I acknowledge that my Supervisor has reviewed this performance evaluation with me:

Employee Signature: Electronically Acknowledged Date: 2/11/2016

Supervisor Signature: Electronically Acknowledged Date: 2/11/2016

Comment:

I want to focus on Qualty in the upcoming year and advance mine.