Supervisors Observation Checklist

Subordinates 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 unscheduled 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) _______________________________________
LACK OF CAPACITY
Work requires greater effort
Jobs takes more time
Making bad decisions or using poor judgment
Errors in written communication\
Others (please specify) _______________________________________
JOB INEFFICIENCY
Missed deadlines
Unreliable, cannot be depended on
Difficulty following instructions
Complaints from customers
Others (please specify) _______________________________________
Designed by the Civil Service Commission

STRESSED (feeling pressured)

Physical symptoms, such as headaches, upset stomach, change in appetite, exhaustion, heart attacks,
etc.
Feeling worried, irritated, unable to cope and make decisions, being less creative, nail biting, xcessive
smoking and/or use of alcohol
Inability to sustain concentration, difficulty in thinking clearly and forgetfulness
Lower job satisfaction, communication breakdown and a focus on unproductive tasks
Rapid emotional shifts; argumentative and confrontational
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) _______________________________________
UNDERLOAD AND BOREDOM IN THE JOB
Switches over to work-related topics as soon as the boss or colleagues are around (as if doing
something)
May come early in the morning and leave the workplace late, pretending to work long hours
The work is postponed to longer periods of time (procrastinating)
Files are taken home without being worked on
Make noise with the working material to appear to be busy
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) _______________________________________

RESISTANCE TO CHANGE
Grumbling and complaint in airing discomfort
Passive refusal and covert action
No follow-through to agreed upon next steps
Lack of leadership or direction on initiative
Others (please specify) _______________________________________
OTHER ISSUES (you may add other issues as you see fit in your Agency)
_______________________________________
_______________________________________
_______________________________________
_______________________________________
______________________________________
Signature over Printed Name of Supervisor
Designed by the Civil Service Commission

Date: _______________