Perfomance Appraisal Form , Attachment 7.25

PERFOMANCE APPRAISAL FORM , ATTACHMENT 7.25

Name / : / Date of Evaluation / :
Company / : / Date Employed / :
Department/Division / : / Length of Service in Present Job / :
Job Title / : / Appraised by
(State Job Title) / :

TO BE COMPLETED BY JOB HOLDER

A. List any additional qualification obtained since the last performance appraisal.

______

B. Are you currently pursuing any course or preparing for any other exam? If so, please state course, exam and level.

______

C. List below the main duties performed. (Use continuation sheet if necessary)

______

Duties / Superior to comment, if different

1. PERFORMANCE BARRIERS (if any)

Give details of significant barriers that stood in the way of your performance. They could be things such as competing priorities, job procedures, work flow, inadequate resources, training, knowledge or skill deficiency, the problem within the work/project, or any others.

______

2. TRAINING AND DEVELOPMENT NEEDS

Do you feel you will benefit from any training or development programme?

______

3. CAREER DEVELOPMENT GOALS

What career goals do you have?

______

PERFOMANCE APPRAISAL FORM , ATTACHMENT 7.25

NO / FACTORS / PERFORMANCE RATINGS
SELECT AND INSERT RATING ( ON A SCALE OF 1 TO 5) IN THE 'SCORE' COLUMN
5 / 4 / 3 / 2 / 1 / SCORE
1 / JOB KNOWLEDGE Understanding in all
Phases of work / Expert in own job and several others / Expert but limited to own job / Knows job fairly well / Improvement necessary, just gets by / Inadequate knowledge
2 / RESPONSIBILITY Willingness to assume and
Carry out assigned jobs and
To be accountable for his
Results and actions / Strong sense of responsibility / Needs very little supervision. Can usually be depended upon / Requires average or normal supervision. Accepts accountability / Requires considerable supervision. Does not always follow directions / Requires constant supervision. Difficulty in following directions
3 / QUALITY OF WORK Performances in meeting
Phases of work / Exceptionally high quality / Does a good job / Rejects and errors are rare / Just gets by / Careless
4 / INITIATIVE Thinks constructively and
Originates action / Thinks and acts constructively most of the time / Very resourceful. Requires minimum guidance / Good decisions and actions but requires some guidance / Rarely suggests ideas. Requires frequent instructions / Requires detailed instructions
5 / COMMUNICATION The ability to convey
Ideas and suggestions / Excellent communicator and listener / Good skills in communication and listens well / Generally keeps supervisors and others properly informed / Some occasions of conveying wrong or insufficient information / Poor in communicating with superiors, subordinates, colleagues and others
6 / JUDGEMENT Ability to decide correct
Course of action(s) when
some choices have to be
made / Uses very good judgement in making decisions and taking appropriate action / Decisions made and actions taken are sound with good results / Can be relied upon to take sensible action / Frequent occasions of misjudgement / Cannot be depended upon
7 / POTENTIAL Ability to grow, lead and
teach / Exceptional possibilities / Bright future growth / Has the potential to grow / Future growth doubtful / Has no more growth
8 / COOPERATION Willingness to co-operate
And carry out instructions / Goes really out of his way to ensure no 'hiccups' / A good team player / Co-operative / Passive resistance / Poor co-operation, argumentative
9 / QUANTITY OF WORK Output of satisfactory
work / Exceptionally fast, output high / Usually does more than expected / Frequently turns out more than required amount / Turns out required amount but seldom more / Slow output. Seldom meets required amount
10 / SAFETY & Interest in and attitude
HOUSEKEEPING towards housekeeping,
work safety and
preventing accidents / A role model to the others / Conscientious about safety and housekeeping / Does a normal job in these respects. No reminders required. / Has to be reminded of safety and house keeping. Sometimes neglectful / Does not adhere to safety and house keeping rules and regulations. Could be a hazard to himself and others
11 / ADAPTABILITY Ability to learn and adapt
to changes / Learns rapidly, adjusts and grasps changes quickly / Short period for mental adjustments / Normal ability routine work / Learns slowly, reluctant to change / Prefers old methods, does not remember instructions
12 / PERSONALITY Ability to work well and
get along with superiors,
peers and subordinates / Winning personality / Well liked and respected / Gets along with colleagues and others / May be difficult to get along with / Always disagreeable
13 / ATTENDANCE Consumption of medical
Leave / No days lost / Less than half of entitlement / Within entitlement / Will soon exceed entitlement / Exceeds entitlement. Takes no pay leave
14 / PUNCTUALITY The promptness of
reporting for work / Always early and leaves late / Comes early and leaves late / Meets attendance requirement / Has trouble reporting on time / Always late for work
TOTAL SCORE
* AVERAGE TOTAL SCORE

OVERALL ASSESSMENT

POINTS / RATING / REMARKS : EXPLAIN ONLY IF THE OVERALL ASSESSMENT OF THE JOBHOLDER IS 1, 2 OR 5
5 / Excellent
4 / Above Average
3 / Satisfactory
2 / Below Average
1 / Substandard

General Comments by Job Holder

Please review and comment on the overall appraisal of your performance

______

Job Holder : ______Appraised by : ______

Date : ______Date : ______

PERFOMANCE APPRAISAL FORM , ATTACHMENT 7.25

TO BE COMPLETED JOINTLY BY APPRAISOR AND JOB HOLDER
Agreed Goal(s) and Objective(s) for the
Next Review period / Estimated Timing for Accomplishment of Each Task or Objective

Job Holder : ______Superior : ______

Date : ______Date : ______

PERFOMANCE APPRAISAL FORM , ATTACHMENT 7.25

PROMOTIONAL POSSIBILITIES

(To be completed by Appraiser and /or Department Head after Interview)

HAS CAPACITY FOR ADVANCEMENT, POSITION TO WHICH HE/SHE CAN ADVANCE

Ready Now ) ______
Ready About (State Time) ______
Needs More Experience ) ______
Needs Special Training ) ______
(Please specify slot you have ticked)
SATISFACTORY FOR PRESENT WORK ONLY

Strength ) ______
Main Weakness(es) ) ______
Special Training would be ) ______
Valuable (Please specify slot you have ticked)
UNSATISFACTORY
Main Weakness(es) : ______
How it can be remedied : ______
What work might be suitable :______
What action is planned : ______

REVIEWS

Appraised by

immediate Superior ______

Name Signature Date

Reviewed by ______

Name Signature Date

Approved by ______

Name Signature Date

GENERAL COMMENTS:

______

(Please tick the appropriate box)

NO YES QUANTUM/ EFFECTIVE

AMOUNT DATE

a. Promotion ______

b. Annual Increment ______

c. Merit Increment ______

d. Promotion Increment ______

e. Normal Bonus ______

f. Merit Bonus ______

Remarks (if any) : ______

______

RECOMMENDED BY APPROVED BY

Date : ______Date : ______