Gsdf Form 623 1A PDF Details

Are you searching for the right form to make sure you stay compliant with all regulations? Look no further. The GSDF Form 623 1A is an important document used by organizations in compliance with the General Safety Data Format (GSDF) standards. It provides a comprehensive summary of safety performance records and risks associated with certain activities, ensuring that businesses can take proactive steps to minimize damage from hazardous events and conditions. With this essential form, both organizations and employees are empowered to understand what each needs to do in order reduce risk associated with their daily operations. Keep reading for valuable information about the purpose, use cases, benefits, and limitations of GSDF Form 623 1A!

QuestionAnswer
Form NameGsdf Form 623 1A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names623 1a, RATER, SSN, enforces

Form Preview Example

 

 

Georgia State Defense Force

 

 

FORM

 

PERFORMANCE EVALUATION

623-1A

 

 

 

 

 

 

 

 

 

 

 

 

Rated Individual (Last, First, Middle):

SSN:

 

Rank/Grade:

Date:

 

 

 

 

 

 

 

 

Unit:

 

Position:

Period of Evaluation:

 

 

 

 

 

 

 

FROM:

TO:

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS: Comments must be based on performance and potential based on that performance. Promotion recommendations are prohibited. Consider or comment on enrollment/completion of job related education. Do not consider previous promotion recommendations, family activities, marital status, race, sex, ethnic origin, age or religion.

RATER: Focus your evaluation on what the individual did, how well he/she did it, and how the individual contributed to the mission. Write in “concise” bullet format. You may include recommendations for skill or educational development or assignment.

REVIEWER: Carefully review Raters’ evaluation. It should be accurate, unbiased, uninflated. If you disagree, you may ask the Rater to review the evaluation. You may not direct a change in the evaluation. Mark “Non-Concur” and explain. You may make recommendations for skill enhancement or assignment, not promotion.

 

 

RATING KEY Ö

 

 

1

 

2

 

 

3

 

 

 

 

 

 

Exceeds

Meets

Below

 

 

 

 

 

 

 

 

PERFORMANCE FACTORS

 

Standards

Standards

Standards

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Knowledge: Has knowledge, skill and ability to effectively and efficiently

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

perform all position tasks. Technical ability. Duty proficiency. MOS competency.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leadership Skills: Sets and enforces standards. Works well with all others. Fosters

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

teamwork. Self-confident. Sets good example. Planning and executing. Motivational.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Communications Skills: Listens, speaks, presents, and writes effectively.

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Organizational Skills: Plans, coordinates, schedules, and uses resources effectively.

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

Meets schedules. Maintains an organized workspace.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Responsibility & Accountability: Welfare and safety of others. Care and maintenance

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

of equipment. Encourages others to learn. Responsible and dependable.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motivation: Displays initiative. Always ready and eager to assist regardless of the task.

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Judgment and Decision-Making: Makes timely and accurate decisions. Uses logic in

 

 

 

 

 

 

 

 

 

 

 

 

 

decision making. Knows consequences. Retains composure in stressful situations.

1

 

 

2

 

 

 

3

 

 

 

Requires minimal supervision.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Drill Attendance: Number of drills attended?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exceeds = 10-12 drills + extra duty assignments

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

Meets = 10-12 drills

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Below = Less than 10 drills

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Annual Training: Attended and participated in Annual Training.

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Values: Loyalty, Duty, Respect, Selfless Service, Honor, Integrity, Personal Courage.

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Military Bearing & Fitness: Mental and physical ability. Endurance. Stamina. Displays

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

confidence and enthusiasm, professional, looks like a GSDF soldier.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Development: Maintains required annual updates to training certifications.

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seeks additional educational opportunities to continue development.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OVERALL EVALUATION

Ö

 

1

 

 

2

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GSDF FORM 623-1A, REV JUL 2004

RATING OFFICIAL (OIC / NOIC)

COMMENTS:

NAME:

 

RANK:

 

TITLE:

 

 

 

 

 

SIGNATURE:

 

 

 

DATE:

 

 

 

 

 

 

REVIEWING OFFICIAL (BDE / UNIT COMMANDER)

 

 

 

 

CONCUR

NON-CONCUR

 

 

COMMENTS:

 

 

 

 

 

 

 

 

 

NAME:

 

RANK:

 

TITLE:

 

 

 

 

 

SIGNATURE:

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

RATED INDIVIDUAL

 

 

 

 

 

COMMENTS:

 

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

DATE:

 

 

 

 

 

 

BRIEF SUMMARY OF NEW GOALS & OBJECTIVES

 

 

 

 

 

 

 

 

 

 

GSDF FORM 623-1A, REV JUL 2004

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GSDF completion process outlined (step 1)

2. Given that this array of fields is completed, you need to include the required particulars in Communications Skills Listens, Organizational Skills Plans, Responsibility Accountability, Motivation Displays initiative, Judgment and DecisionMaking Makes, Drill Attendance Number of drills, Annual Training Attended and, Values Loyalty Duty Respect, Military Bearing Fitness Mental, Yes, Yes, and Yes so that you can go to the third part.

Judgment and DecisionMaking Makes, Responsibility  Accountability, and Yes in GSDF

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Part # 4 of filling out GSDF

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Part no. 5 of submitting GSDF

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