[104-10291-10004.pdf — page 187]
# SECRET# FITNESS REPORT## GENERAL**SECTION A**1. NAMEBlade Carnes J.2. DATE OF BIRTH20 February 19233. SEX   M4. GRADEAI-95. SERVICE DESIGNATIONDI6. OFFICIAL POSITION TITLERecords Mgt. Officer7. OFF/DIV/DR OF ASSIGNMENTAMI/FI-Staff8. CAREER STAFF STATUSNOT ELIGIBLEMEMBERDEFERRED9. TYPE OF REPORTREASSIGNMENT/SUPERVISORPENDINGDECLINEDDENIEDINITIALANNUALREASSIGNMENT/EMPLOYER10. DATE REPORT DUE IN O.P.21 October 195911. REPORTING PERIODJuly 58-58 Sep 59SPECIAL (Specify)**SECTION B EVALUATION OF PERFORMANCE OF SPECIFIC DUTIES**List up to six of the most important specific duties performed during the rating period. Insert rating number which best describes the manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees with supervisory responsibilities MUST be rated on their ability to supervise (Indicate number of employees supervised).1 - Unsatisfactory 2 - Barely adequate 3 - Acceptable 4 - Competent 5 - Excellent 6 - Superior 7 - OutstandingSPECIFIC DUTY NO. 1RATING NO.SPECIFIC DUTY NO. 4RATING NO.Liaison with RID, DDP/RMO, DDP/MMU other Division records officers, etc, re implementation of records mgt.6Assistance to FE personnel in problems of retention and retirement of records5SPECIFIC DUTY NO. 2RATING NO.SPECIFIC DUTY NO. 5RATING NO.Training and assistance for FE personnel in records mgt procedures4Guidance to field records officers6SPECIFIC DUTY NO. 3RATING NO.SPECIFIC DUTY NO. 6RATING NO.Planning and development of Division vital materials program4Guidance in all records problems5**SECTION C EVALUATION OF OVERALL PERFORMANCE IN CURRENT POSITION**Take into account everything about the employee which influences his effectiveness in his current position - performance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits or habits, particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period, place the rating number in the box corresponding to the statement which most accurately reflects his level of performance.1 - Performance in many important respects fails to meet requirements.2 - Performance meets most requirements but is deficient in one or more important respects.3 - Performance clearly meets basic requirements.4 - Performance clearly exceeds basic requirements.5 - Performance in every important respect is superior.6 - Performance in every respect is outstanding.RATING NO.5**SECTION D DESCRIPTION OF THE EMPLOYEE**In the rating boxes below, check (X) the degree to which each characteristic applies to the employee1 - Least possible degree 2 - Limited degree 3 - Normal degree 4 - Above average degree 5 - Outstanding degree| CHARACTERISTICS                                                 | NOT APPLICABLE | NOT OBSERVED |  1  |  2  |  3  |  4  |  5  || --------------------------------------------------------------- | -------------- | ------------ | :-: | :-: | :-: | :-: | :-: || GETS THINGS DONE                                                |                |              |     |     |     |     |  X  || RESOURCEFUL                                                     |                |              |     |     |     |  X  |     || ACCEPTS RESPONSIBILITIES                                        |                |              |     |     |     |     |  X  || CAN MAKE DECISIONS ON HIS OWN WHEN NEED ARISES                  |                |              |     |     |     |     |  X  || DOES HIS JOB WITHOUT STRONG SUPPORT                             |                |              |     |  X  |     |     |     || FACILITATES SMOOTH OPERATION OF HIS OFFICE                      |                |              |     |     |     |  X  |     || WRITES EFFECTIVELY                                              |                |              |     |     |  X  |     |     || SECURITY CUNSCIOUS                                              |                |              |     |     |     |     |  X  || THINKS CLEARLY                                                  |                |              |     |     |     |  X  |     || DISCIPLINE IN ORIGINATING, MAINTAINING AND DISPOSING OF RECORDS |                |              |     |     |     |     |  X  || OTHER (Specify):                                                |                |              |     |     |     |     |     |SEE SECTION "E" ON REVERSE SIDEFORM 0-50 45 OBSOLETE PREVIOUS EDITIONSSECRET(4)