Education
Other Requirements:
Occasional:(0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr)
Frequent:(1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr)
Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr)
NOTE: An asterisk (*) indicates that the item is an essential function.
Physical Demand | Met Level | Examples of similar activity intensity |
Sedentary to Light | 0 - 3.5 | Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. |
Medium | 3.6 - 6.3 | House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). |
Heavy to Very Heavy | > 6.4 | Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. |
*Please use the following to determine the rating for Section I and Section II:
Based on the above, the rating for Section I and Section II is:
*Please use the following to determine the rating for Section III:
Based on the above, the rating for Section III is:
Based on the rating for combined Section I and II, and rating for Section III, please select the overall rating for this evaluation period using the outline below.
Exceeds Expectations: Demonstrates exceptional behaviors and exceeds position requirements. Willingly accepts additional responsibilities. Demonstrates expertise in relevant skills and utilizes knowledge to support overall department/organizational goals
Meets Expectations: Achieves and may occasionally exceed performance expectations while demonstrating expected behaviors.
Does Not Meet Expectations: Performance improvement is needed in one or more areas of expected behaviors or job results.
*Please select the appropriate Overall Performance Summary rating for the review:
Reviewer recommendation for further development and training for purposes of preparing for additional responsibilities or for the improvement of current job performance:
If disciplined during this review period, indicate reason: (note: if multiple reasons apply, please select “Other”)
Note: If suspended for any reason during the fiscal year, employee will not be eligible for any increase.
Acknowledgement of Code of Conduct : My signature below indicates that I acknowledge that I have received and have read a copy of the Butler Health System Code of Conduct Policy. I know that additional copies are available to me through the company intranet or that I may also receive a copy by requesting one from my manager, the Human Resources Department, or from the Corporate Compliance Officer. I agree to abide by this policy and if there is anything I don’t understand I will contact my manager or the Corporate Compliance Officer at Ext. 5924 for clarification. I also verify that I am not aware of any conduct or action on the part of any Butler Health System or Butler Memorial Hospital employee, staff member or supplier of goods or services that I reasonably believe is or could be a violation of the Butler Health System Code of Conduct. If I wish to report any concern or action, I may do so by placing a call to the Compliance Hotline by dialing 1-855-661-0965.