Cnic 5300 Form PDF Details

The Cnic 5300 form is a United States Navy form that is used to track the inventory of medical supplies. The form is used by the United States Navy Medical Logistics Department and the Naval Hospital Corps. The Cnic 5300 form was last revised on November 1, 2017. The form is used to track items such as bandages, dressings, ointments, and other medical supplies. The Cnic 5300 form can be used to order new medical supplies or track medical supply usage. The form is filled out by hand or electronically.

QuestionAnswer
Form NameCnic 5300 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namescnic non appropriated fund employee performance rating form, cnic 5300 pdf, employee motivation and job performance in somalia, cnic non appropriated fund employee performance ratings form

Form Preview Example

CNI C NON- APPROPRI ATED FUND EMPLOYEE PERFORMANCE RATI NG FORM

1.

Name (Last, First, MI )

 

 

 

 

 

2. Last 4 SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Position Title, Pay Plan, Series, Grade

(e.g., Clerk, NF-0000-01)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Name and Location of NAF Activity (e.g., CNI C N-9 NSA Mid South)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Reason for Rating and Rating Period

 

 

 

 

 

From:

 

 

To:

 

 

90 Day

I nterim

Annual

Separation/ Close Out

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Rating elements

 

 

Outstanding

 

Highly

Satisfactory

Minimally

Unsatisfactory

 

 

 

 

Satisfactory

Satisfactory

 

 

 

 

 

 

 

 

 

a. Quality of Work

 

 

 

 

 

 

 

 

 

 

 

b.Productivity

c.Dependability

d.Working Relationships (peers & supervisor)

e.Customer/ Patron Relations

f. Leadership*

g. Management/ Coaching Effectiveness *

* Supervisory rating only

7. Overall Performance Rating (A rating of Unsatisfactory in any one element results in an Unsatisfactory Overall Rating)

Outstanding

Highly Satisfactory

Satisfactory

Minimally Satisfactory

Unsatisfactory

8. a. Pay I ncrease:

Yes

Amount: $

No

b. Performance Award:

Yes

Amount: $

No

 

c. Time Off Award:

Yes

Hours: =

No

 

9. Supervisors Remarks: (Separate sheet may be attached.)

 

 

 

 

 

 

 

 

 

10.

Rater’s Signature

 

 

 

Date

 

 

 

 

 

 

11.

Approving Official’s Signature

 

 

 

Date

 

 

12a. Employee Signature (I ndicates receipt and that rating has been discussed with employee.)

Date

 

 

 

12b. Date Discussed and Copy of Completed Evaluation Package Provided to Employee:

 

Date

 

 

 

 

 

CNI C 5300

 

 

 

Page 1 of 4

( I nstructions for completion on reverse)

1,2,3,4,5

Self-Explanatory

 

 

 

 

6

 

* Rate non-supervisors using elements a. through e. Rate supervisors using a. through g.

 

 

 

NOTE: A rating of “Unsatisfactory” must be delayed and a Letter of Caution must be issued

 

 

 

 

 

 

 

 

 

 

RATI NG ELEMENTS

Outstanding

 

Highly Satisfactory

Satisfactory

Minimally

Unsatisfactory

 

 

Satisfactory

 

 

 

 

 

 

 

 

a. Quality of Work

Ahead of plan

 

On plan producing

On or nearly on plan

On or nearly on plan and

Tasks are often late and

 

 

 

producing desired effect

 

desired effect with

with no serious

meets standards after

do not meet standards

Consider thoroughness,

with little supervision.

 

little supervision.

deficiencies and

feedback & corrections;

after feedback or guided

accuracy, & effectiveness.

Exceptionally thorough

 

Thorough and

moderate supervision.

Requires supervision.

practice. Shows a lack of

Completes or assists in

and accurate. Adheres

 

accurate. Adheres to

Generally accurate.

Work needs

attention to detail and

completing goals &

to policy, identifies

 

policy, identifies

Adheres to policy..

improvement.

needs serious

objectives; adherence to

improvements.

 

improvements.

 

Adheres to policy.

improvement. Does not

policy

 

 

 

 

 

 

follow policy.

b. Productivity

 

Handles extraordinary

 

Above average volume

Work volume meets

Volume of work meets

Work volume does not

 

 

 

volume of work. Highly

 

of work Efficient.

all and may exceeds

minimal standards.

meet minimal standards.

Consider completion of

efficient.

 

 

some standards.

I mprovement desired.

 

assignments, & effectiveness

 

 

 

 

 

 

of work performed. Volume

 

 

 

 

 

 

of work & ability to meet or

 

 

 

 

 

 

exceeding deadlines.

 

 

 

 

 

 

c. Dependability:

Difficult assignments

 

Demonstrates

Demonstrates good,

Demonstrates sound

Regularly fails to complete

 

 

 

handled intelligently and

 

performance that

sound performance

performance that meets

assignments on time or

Consider reliability,

effectively. Complicated

 

exceeds expectations

that meets

organizational goals.

with little degree of

timeliness, capableness,

or controversial

 

in critical areas.

organizational goals.

Carries out assignments

accuracy. Needs constant

competency, efficiency, and

subjects are presented

 

Develops/ implements

Supports workable,

with written direction and

supervision and counseling.

conscientiousness of work

or explained effectively

 

workable, cost

cost effective

supervision. Works on

 

performed.

 

so desired outcomes

 

effective solutions to

approaches to

non-difficult assignments

 

 

 

 

are achieved. Solution

 

meet organizational

projects and change

only.

 

 

 

 

oriented. Succeeds

 

goals.

initiatives.

Requires assistance with

 

 

 

 

with basic direction and

 

Works with minimal

Responsive to direct

prioritizing and

 

 

 

 

without direct

 

direct supervision.

supervision.

scheduling.

 

 

 

 

supervision.

 

 

 

 

 

d. Working Relationships

Recognized as a

 

Practices constructive

I s polite, respectful

Avoids taking

Blames, labels and

 

 

 

problem solver. Exerts

 

problem-solving and is

and develops

assignments on team

generalizes. Tendency to

Consider interest,

 

and demonstrates a

 

able to build

working relationships

efforts. Attitude

withhold help,

enthusiasm, team- work,

major positive

 

confidence in team

with others. Able to

prevents productive

information, or resources

willingness, behavior,

influence, by example,

 

members.

work well with others

relationships. Goes

from others.

flexibility, & cooperation

on program

 

Actively listens to

to solve problems

along to get along on

Complains without

 

 

 

implementation.

 

others. Reports up

and find solutions.

most issues. Has

following channels. Often

 

 

 

Contributes

 

and down routinely

Agrees to lead or

potential to be a

does not verify facts or

 

 

 

substantially to

 

with all team

take assignments

productive team

speaks without knowledge

 

 

 

organizational growth

 

members. Fosters a

when asked by

member but may lack

– contributing to rumors

 

 

 

and cohesiveness.

 

polite, respectful and

management. I s

the motivation.

and morale problems.

 

 

 

Highly respected by

 

trusting relationship

able to offer

 

Typically waits for others

 

 

 

supervisors and peers.

 

with others and

opposing views.

 

to act. Rigid point of

 

 

 

I mproves cooperation

 

between others.

Accepts decisions of

 

view. Not a team player.

 

 

 

among participants in

 

Assumes the lead

majority with

 

 

 

 

 

the work and prevents

 

often.

reservations.

 

 

 

 

 

misunderstandings.

 

 

 

 

 

e.

Customer/ Patron

Able to work through

 

Actions & attitude

Actions and attitude

Actions and attitude

Actions & attitude harm

 

Relations

 

complicated and

 

greatly enhance area

contribute to positive

may contribute to

relationships & generate

 

 

 

controversial issues with

 

of responsibility on a

feedback.

positive feedback at

complaints.

Responsive to customer

internal/ external

 

regular basis

 

times but there is room

 

needs. Demonstrates

customers.

 

 

 

for improvement.

 

attentiveness & courtesy.

 

 

 

 

 

 

Maintains accurate

 

 

 

 

 

 

knowledge relative to

 

 

 

 

 

 

products, services, policies &

 

 

 

 

 

 

procedures.

 

 

 

 

 

 

 

f.

Leadership

 

Able to establish and

 

Able to complete short

Completes short and

Completes short and

Avoids some assignments.

 

 

 

complete short and long

 

and long term team

long term team goals

long term assignments

Needs direct supervision

Consider ability to establish

term team goals and

 

goals and objectives;

and objectives with

with direct supervision

and coaching with most

goals and objectives;

objectives; maintains

 

works to establish

coaching; works to

and with coaching; Has

assignments. Does not

leadership of subordinates;

effective relationships

 

effective relationships

maintain effective

difficulty maintaining

develop productive and

relationships with peers in

with peers in program

 

with peers in program

relationships with

productive and effective

effective relationships with

program area; effective

and Command area; is

 

area; tries to be pro-

peers in workplace

relationships with

others in the workplace.

management of area of

pro-active in managing

 

active in managing

area; tries to be pro-

others; manages

Often passes problems or

responsibility

 

area of responsibility

 

problems or

active in managing

problems or complaints

complaints off or ignores

 

 

 

(i.e., anticipates

 

complaints before they

problems or

by passing them off to

them. Allows small

 

 

 

shortfalls; potential

 

occur. Regarded as

complaints before or

others to resolve.

problems to grow into

 

 

 

crises and resolves

 

an effective and

as they occur.

Allows small problems

more difficult problems.

 

 

 

potential Program/

 

responsive leader by

Regarded as a

to grow into more

 

 

 

 

people problems before

 

others.

responsive leader by

difficult problems

 

 

 

 

they occur.); regarded

 

 

peers and the

 

 

 

 

 

as highly effective and

 

 

program workforce.

 

 

 

 

 

responsive by program

 

 

 

 

 

 

 

 

customers. Revered as

 

 

 

 

 

 

 

 

an effective leader by

 

 

 

 

 

 

 

 

others.

 

 

 

 

 

g.

Managerial/ Coaching

To be completed for incumbents in all supervisory/ management positions. Consider ability to get work completed through and by

 

Effectiveness

subordinates, delegation, fairness, communication, effectiveness in motivating subordinates, building an effective and diverse work

 

 

 

team, earning and maintaining respect of subordinates, and development of subordinates. Take into consideration any contributions

 

 

 

to the Mission and Goals of the organization and to what degree did the person being rated use their management and coaching

 

 

 

skills in those contributions.

 

 

 

 

 

 

 

 

 

 

 

 

 

7 . Overall Performance Rating (A rating of Unsatisfactory in any one element results in an Unsatisfactory Overall Rating)

Check one of the five ratings after completing item 6.

8 . a/ b/ c - Pay I ncrease/ Aw ard: Pay increases and awards are not automatic, and are subject to local cost controls, policies and bargaining unit agreements. Check appropriate block and include recommended amount. Pay increases and awards should be effective the first full pay period after the Approving Official approves and signs the rating form. This requires timely discussion of the appraisal and any award with the employee.

9 . Supervisor Remarks: Provide a brief narrative that supports the ratings, note special accomplishments and provide goals for the next rating period. A separate sheet may be attached to the performance rating form.

10 . Rater’s Signature: Supervisor should not sign until the rating and any award/ pay increase decisions have been discussed with the Approving Official.

11 . Approving Official’s Signature: Designation is a local decision; however, the Approving Official should be at least one level above that of the signing supervisor/ rater. Approving Official reviews the evaluation and makes changes if considered appropriate.

12a. Employee’s Signature and Date: Discussion between the supervisor/ rater and employee should not be held until Approving Official has reviewed, approved and signed the rating. I n the discussion, the supervisor represents management’s view of the employee’s performance.

12b. Date Discussed and Copy of Completed Evaluation Given to Employee: Copy must be provided to employee within two weeks.

CNI C 5300

Page 3 of 4

CNI C NON- APPROPRI ATED FUND EMPLOYEE PERFORMANCE RATI NG FORM, co n t in u ed

INDIVIDUAL DEVELOPMENT PLAN (IDP)

CNIC Mission

Deliver Effective and Efficient Readiness from the Shore

FFR N9 Statement

1a.

Name (LAST, FIRST, MIDDLE INITIAL)

 

2. Current Position Title, Series and Grade:

 

 

 

_______________________________________________________

1b.

SSN: xxx-xx-0000 (Last 4 only)

 

Regular Full Time

Regular Part Time

 

 

 

Flexible Schedule

Other _________________________

 

 

 

 

 

3.

Organization:

4. Date of Appointment to Position:

 

5.Performance Period for IDP:

From_________________ to __________________

6.Goals that support the mission of

a.

b.

c.

d.

e.

(use separate sheet if needed)

7.Learning opportunities to refresh, or acquire, skills used to accomplish goals(do not include Navy required training):

a.

b.

c.

8.Conferences, seminars, workshops courses or college classes requested for professional development. (Include date and associated costs for registrations):

a.

b.

c.

8.Remarks:

9.Employee’s Signature: (Concurred by employee) Date:

10.Supervisor’s Signature: (Concurred by supervisor) Date: