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Sample Role Evaluation Checklist (cont’d)

Role Evaluation Checklist
Job Action Sheet (JAS) Criteria: Clinic Manager (Flu Scenario)

Part II. Job Action Evaluation

Mission: Oversee all POD functions. Met Not Not N/A Comments/
Met Observed Recommendations
10. Ensured that time and attendance X
were communicated to mass care unit
leader using appropriate forms.
11. Maintained written log of all X Fell behind in this
activities and communications.

12. Briefed the assistant clinic man- X
agers—clinical services and logistics
—on POD issues on a periodic basis.

13. Ensured that issues of concern X
were related to mass care unit leader
ASAP.

14. Monitored staff for signs of X
stress and fatigue.

15. Monitored supplies. X Resulted in failure of
supply chain

16. Prepared end-of-shift report for X
mass care director and incoming
clinic manager.

17. Planned for the possibility of X
extended deployment.

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