MIDLAND SCHOOL DISTRICT NO. 7
CUSTODIAL PERFORMANCE APPRAISAL
CUSTODIAN:SCHOOL:
PERSONAL CONFERENCE PLACEDATETIME
EXPLANATION OF RATING SCALE:
5Exceptional
4Above Average
3Average
2Below Average
1Poor
This form is provided to help in the evaluation of personnel, based on the overall parameters of assigned work, initiative and attitude.
A. ASSIGNED WORK
1. / Punctual for work / 5 / 4 / 3 / 2 / 1 / Often late.2. / Works until quitting time / 5 / 4 / 3 / 2 / 1 / Seldom works full day.
3. / Completes work assignment / 5 / 4 / 3 / 2 / 1 / Tapers off. Doesn’t complete work.
4. / Work is of high quality / 5 / 4 / 3 / 2 / 1 / Little concern for quality.
5. / Attentive to instructions / 5 / 4 / 3 / 2 / 1 / Pays little attention to instruction.
6. / Details of work complete / 5 / 4 / 3 / 2 / 1 / Not concerned with detail.
7. / Communicates with supervisor / 5 / 4 / 3 / 2 / 1 / Little communication.
8. / Expects to do a good job / 5 / 4 / 3 / 2 / 1 / Expects to “get by”.
9. / Completes work on time / 5 / 4 / 3 / 2 / 1 / Seldom completes job on time.
10. / Has District provided safety equipment at his/her work site (kidney belt, eye and ear protective devices, gloves) / 5 / 4 / 3 / 2 / 1 / Forgets to bring safety equipment to work
11. / Uses safety equipment/supplies in compliance with District safety initiatives for employees / 5 / 4 / 3 / 2 / 1 / Forgets or refuses to use safety equipment/supplies
12. / Cares for safety equipment / 5 / 4 / 3 / 2 / 1 / Does not care for or looses safety equipment
13. / Anticipates things to be done / 5 / 4 / 3 / 2 / 1 / Not interested in doing anything except his assigned work.
14. / Asks questions for explanation / 5 / 4 / 3 / 2 / 1 / Doesn’t seek clarification.
15. / Keeps combustibles properly stored / 5 / 4 / 3 / 2 / 1 / Careless in storage of combustibles.
16. / Recognizes need for fire and safety regulations / 5 / 4 / 3 / 2 / 1 / Little attention to regulations.
17. / Concerned with use of supplies / 5 / 4 / 3 / 2 / 1 / Wasteful.
18. / Takes PRIDE in doing well / 5 / 4 / 3 / 2 / 1 / Gets job done, to “get by”.
ASSIGNED WORK TOTAL
B.INITIATIVE
1. / Self-starter; goes ahead / 5 / 4 / 3 / 2 / 1 / Must be told to do things.2. / Organizes and plans work / 5 / 4 / 3 / 2 / 1 / Disorganized; seldom completes a task.
3. / Willing to do a little extra / 5 / 4 / 3 / 2 / 1 / Always wants extra pay for extra work.
4. / Completes work within work day / 5 / 4 / 3 / 2 / 1 / Drags out work; finish it tomorrow.
5. / Finds work to do when caught up / 5 / 4 / 3 / 2 / 1 / Loafs when caught up or hides.
6. / Assists others when needed / 5 / 4 / 3 / 2 / 1 / Does only his own work.
7. / Suggests improved ways to complete a task / 5 / 4 / 3 / 2 / 1 / Leaves things as they are.
8. / Strives to improve / 5 / 4 / 3 / 2 / 1 / Content with “as is” status; not concerned with improvement.
9. / Encourages “team work” to accomplish difficult task / 5 / 4 / 3 / 2 / 1 / Views task as “too difficult”; must be done by someone else.
10. / Willing to work on “special projects” / 5 / 4 / 3 / 2 / 1 / “Special projects” are for others does only “assigned work”.
INITIATIVE TOTAL
B.ATTITUDE
1. / Concern for proper care of equipment / 5 / 4 / 3 / 2 / 1 / Abusive to equipment.2. / Courteous, pleasant, cheerful / 5 / 4 / 3 / 2 / 1 / Brusque, short-tempered.
3. / Cooperative, flexible / 5 / 4 / 3 / 2 / 1 / Non-cooperative, inflexible.
4. / Works well with others / 5 / 4 / 3 / 2 / 1 / Difficult to work with.
5. / Looks for things to do / 5 / 4 / 3 / 2 / 1 / Not interested in other work.
6. / Expresses interest in areas other than those assigned / 5 / 4 / 3 / 2 / 1 / Attends to assigned areas only.
7. / Reports problems to supervisor / 5 / 4 / 3 / 2 / 1 / Does not communicate job problems.
8. / Accepts suggestions willingly / 5 / 4 / 3 / 2 / 1 / Argumentative toward suggestions.
9. / Flexible to change / 5 / 4 / 3 / 2 / 1 / Resists change.
10. / Positive to constructive criticism / 5 / 4 / 3 / 2 / 1 / Defensive to criticism.
11. / Willing to experiment / 5 / 4 / 3 / 2 / 1 / Resists different methods.
12. / Non-complainer / 5 / 4 / 3 / 2 / 1 / Chronic complainer.
13. / Always on the job / 5 / 4 / 3 / 2 / 1 / Frequently absent.
14. / Shows respect to authority / 5 / 4 / 3 / 2 / 1 / Disrespectful to authority.
15. / Expresses loyalty to employer / 5 / 4 / 3 / 2 / 1 / No concern with loyalty.
16. / Accepts responsibility / 5 / 4 / 3 / 2 / 1 / Avoids responsibility.
17. / Honest and straight-forward / 5 / 4 / 3 / 2 / 1 / Devious.
18. / Truthful / 5 / 4 / 3 / 2 / 1 / Avoids complete truth.
19. / Understands difficult situation / 5 / 4 / 3 / 2 / 1 / Little concern for problems.
20. / Acknowledges authority / 5 / 4 / 3 / 2 / 1 / Little respect for supervisory personnel.
ATTITUDE TOTAL
SUMMARY SCORES
Assigned work
Initiative
Attitude
TOTAL
Check the appropriate box in determining the employee’s overall performance.
203-225Exceptional_____is performing at an exceptional level
180-202Above Average_____is performing at an above average level
135-179Average_____is performing at an average level
90-134Below Average_____is performing at a below average level
89 or lessUnacceptable_____is performing at an unacceptable level
WORK DUTIES AND RESPONSIBILITIES
a) List, in order of importance, the employee’s strengths and concerns in the performance of his job. Include improvements or lack of improvements over last year’s performance.
STRENGTHS
CONCERNS
c) Employee’s comments:
D) Where would you place this employee on a scale of one-to-ten when you consider his/her individual day-to-day overall performance compared with all the other employees reporting to you?
(low) 1---2---3---4---5---6---7---8---9---10 (high)
HAS THIS REPORT BEEN DISCUSSED WITH THE EMPLOYEE?Yes ( )No ( )
If no, why?
______/ ______Employee’s Signature/Date / Supervisor’s Signature/Date
______
Superintendent/Date
Retyped 05/97
Revised 10/2000