HomeMy WebLinkAboutFD-17A - Probationary Firefighter Evaluation ReportFD-17A
FRESNO FIRE DEPARTMENT
PROBATIONARY FIREFIGHTER EVALUATION REPORT
Member:
Date
Assignment:
Captain:
Period Covered:
to:
Evaluation #:
QUALITY OF INFORMATION
Number of shifts captain worked with probationary firefighter during this evaluation period:
Number of shifts probationary firefighter missed (i.e., illness, vacation, holiday, etc.):
Number of times this probationary firefighter was late during this evaluation period:
Number of shift trades the probationary firefighter had during this evaluation period:
RATING CATEGORY
ABOVE STANDARD
STANDARD
*BELOW STANDARD
N/A
Place an X in the appropriate box.
*A rating of Below Standard must be addressed by a Performance Improvement Plan.
1.
PERFORMANCE AT MEDICAL-AID AND RESCUE EMERGENCIES
a)
Demonstrates knowledge and implementation of patient assessment
☐☐
☐☐
b)Demonstrates operational readiness and cohesion with First Responder units ☐☐☐☐
c)Demonstrates knowledge and operation of medical equipment
☐☐
☐☐
d)Demonstrates knowledge of EMS protocols☐☐☐☐
2.
PERFORMANCE DURING FIRE GROUND OPERATIONSa)Demonstrates knowledge of fire ground Individual Performance Evolutions (IPEs) and Company Performance Evolutions (CPEs)☐☐☐☐b)Follows
direction and performs safely and as directed by the company/chief officer☐☐☐☐c)Demonstrates operational readiness and appropriate skills in various fire ground functions (ventilation,
overhaul, salvage, rescue, etc.)
☐☐
☐☐
d)Performs firefighting functions in a safe manner and according to policy☐☐☐☐
3.
COMMUNICATION/PUBLIC RELATIONSa)Demonstrates effective communication skills with supervisors and public as specified in Administrative Manual 109.009, Rules and Regulations, Duty
of all Members, Section 10 and 109.011, Rules and Regulations, General Conduct, Sections 12 and 13.☐☐☐☐b)Completes all written assignments in a timely and efficient manner☐☐☐☐c)Handl
es public relations matters as specified
☐☐
☐☐
4.
PARTICIPATION IN DRILL AND TRAINING FUNCTIONSa)Actively participates and assists instructors and members while maintaining safe practices ☐☐☐☐
b)FFD Training assignments current and entries made☐☐☐☐c)Safely and proficiently operates equipment☐☐☐☐d)Performance during simulated emergency incidents☐☐☐☐e)Prepares
and delivers accurate station schools☐☐☐☐f)Task book progression☐☐☐☐
5.PHYSICAL FITNESS ACTIVITIESa)Actively participates in Department Physical Fitness Program
☐☐
☐☐
b)Physically capable of successfully performing and completing fire ground, rescue, and EMS activities ☐☐☐☐
6.
PERFORMANCE OF STATION MAINTENANCE DUTIESa)Actively and efficiently participates in station and facility maintenance duties as assigned☐☐☐☐b)Plans, organizes, and completes
work effectively☐☐☐☐c)Initiates assigned duties with minimal supervision☐☐☐☐
RATING CATEGORY
ABOVE STANDARD
STANDARD
*BELOW STANDARD
N/A
Place an X in the appropriate box.
*A rating of Below Standard must be addressed by a Performance Improvement Plan.
7.
PERFORMANCE OF EQUIPMENT MAINTENANCE DUTIES
a)
Actively and efficiently participates in routine equipment maintenance as assigned
☐☐
☐☐
b)Properly cares for equipment during fire ground operations and ensures all equipment is maintained in a ready condition☐☐☐☐
c)Mechanical dexterity☐☐☐☐8.OBSERVANCE OF CITY/DEPARTMENT RULES, REGULATIONS, AND POLICIES
a)
Demonstrates the conduct specified in the Administrative Manual 109.011, Rules and Regulations, General Conduct
☐☐
☐☐
b)Demonstrates knowledge of City and Department manuals, procedures, rules and regulations☐☐☐☐
c)Demonstrates knowledge of all directives, special notices, and Department communications☐☐☐☐d)Personal appearance conforms to uniform guidelines☐☐☐☐e)Wears appropriate
PPE☐☐☐
☐
Evaluator’s Comments:
Click or tap here to enter text.
Status of any Performance Improvement Plan(s) from last rating period:
Click or tap here to enter text.
*Performance Improvement Plan for next rating period: If applicable, see attached ☐.On-Duty Battalion Chief signature for Performance Improvement Plan:Member Comments:
Signature of Member:Date:
Assignment:
☐ I agree with evaluation☐ I disagree with evaluation☐ I request a review with next higher levelSignature of Evaluator:Rank:
Date:
Signature of Battalion Chief
Date
Signature of Training Chief:
Date:
Signature of Operations Chief:
Date:
Signature of Personnel Chief:
Date:
Signature of Fire Chief:
Date:
Performance History Reflecting Need for Improvement:
Identify below (in bullet format) areas which are Below Standard. Reference the policy(s) and plan for each area of improvement identified.
Area(s) of needed improvement:
Policy:
Plan of action for improvement:
The above factors indicate a problem(s) which needs to be rectified immediately. To facilitate improvement, a PIP is being implemented to assist Probationary Rank First Last Name in
complying with Fresno Fire Department rules, regulations, policies, procedures and/or supervisor expectations.
The signatures below acknowledge receipt of this document and its contents. If Probationary Rank First Last Name has any questions regarding this PIP, he/she is to contact his/her primary
supervisor for clarification. This PIP will remain as part of Probationary Rank First Last Name’s personnel file pending satisfactory completion.
Probationary Member
Supervisor
Date
Critical Incident or Safety Violation:
Identify below (in bullet format) events or violations occurring during the probationary month which would be considered critical incidents or safety violations. Reference the policy(s)
and plan for each area of improvement identified.
Incident(s) or Safety Violation(s):
Policy:
Plan of action for improvement:
The above factors indicate a problem(s) which needs to be rectified immediately. To facilitate improvement, a PIP is being implemented to assist Probationary Rank First Last Name in
complying with Fresno Fire Department rules, regulations, policies, procedures, and/or supervisor expectations.
The signatures below acknowledge receipt of this document and its contents. If Probationary Rank First Last Name has any questions regarding this PIP, he/she is to contact his/her primary
supervisor for clarification. This PIP will remain as part of Probationary Rank First Last Name’s personnel file pending satisfactory completion.
Probationary Member
Supervisor
Date