Agency Strategic HR Plan Toolkit

Supervisor's Observation Checklist Subordinate's Name: Position/Designation: Department/Office: No of years: ____ in the position;

____ in the office;

____ in the agency

Directions: Check any of the following observations that apply to the employee identified above. ABSENTEEISM AND TARDINESS Repeated absences, particularly if they follow a pattern Frequent unschedule short-term absences (with or without medical explanation) Lateness at work; especially on Monday mornings; and/or returning from Lunch Requesting to leave work early for various reasons Others (please specify) ________________________________________________________________ "ON-THE-JOB" ABSENTEEISM Continued absences from post more than job requires - "goofing off" Long coffee and lunch breaks Repeated undealt-with physical illness on the job (e.g. always suffering from headache but do not drink medicines or consult doctor) Spends excessive amount of time on the telephone Leaving work area more than necessary (e.g., frequent trips to water fountain and bathroom) Others (please specify) ________________________________________________________________ LOW MORALE Lack of enthusiasm to work Increasing number of errors in work Body language signals resignation, weakness, boredom, and disinterest Frequent complaints from the customers and colleagues Others (please specify) ________________________________________________________________ JOB INEFFICIENCY Missed deadlines Unreliable, cannot be depended on Difficulty following instructions Complaints from customer Others (please specify) ________________________________________________________________ BURNOUT (totally depleted of energy) Loss of interest in and commitment to work Loss of confidence and diminished self-esteem Avoid clients/colleagues or limiting involvement/participation in group/team work Loss of quality in the performance of the job, often work harder, but accomplish less Feeling extremely tired and exhausted most mornings and become more fatigued, tired, or worn out by the end of the day Others (please specify) ________________________________________________________________ POOR EMPLOYEE RELATIONSHIP Blames others for problems Actively criticize the Agency and its policies Complaints from co-workers, supervisors, other staff Lying and exaggerating Unreasonable resentments Others (please specify) ________________________________________________________________ OTHER ISSUES (you may add other issues as you see fit in your Agency) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Signature over Printed Name of Supervisor

Date: ______________________