PERFORMANCE APPRAISAL For : Staff

Name of Appraisee: Department:

___________________________ Designation:

_______________________________ ________________________ Confirmation Annual Review

__________________________________ ___________ to ___________

Service Start Date: P!rpose of Revie":

Appraisal Perio From:

Name an Designation of Appraiser: _____________________________________________________________ Nat!re of Relations#ip: ________________________________________________________________________

XYZ Company seeks corporate value of higher significance, pursuing innovative $!alit% in the areas of C!stomers& Emplo%ees& Societ%& Pro !cts& 'ec#nolog%& Management and Fairness

When completing the form, you are required to support your rating with comments in the spaces provided for each category. For statements that do not apply to the person eing evaluated, please mark !"ot #pplica le$ %"#&. Comments should e specific %including e'amples& and e'planatory. (f your evaluation and recommendations cannot e adequately covered in the space provided, you should prepare an attachment to this appraisal form. )erformance for each category is graded into the following* Outstanding Very Good Good !air $eeds %mprovement &nsatisfactory ( points ) points * points + points , point - point Performance is exceptional and far exceeds expectations. Consistently demonstrates excellent standards. Performance is consistent and exceeds expectations. Performance is consistent. Clearly meets job re uirements. Performance is satisfactory. "eets minimum re uirements of t#e job. Performance is inconsistent. "eets re uirements of t#e job occasionally. Performance does not meet minimum re uirements of t#e job.

Outstanding

PAR' I Foc!sC!stomer
+. /.

C.S'OMERS
Follows instructions to the satisfaction of superiors #ims to develop good relations with internal and e'ternal customers , ,

Very Good

Good

!air

$eeds %mprove ment

&nsatisf actory

$ot Applicable

. .

/ /

+ +

0 0

"# "#

PAR' II 'eam"or0
..

EMPLO/EES
# le and willing to work effectively with others in a team , . / + 0 "#

S0illsComm!nication

-.

Communicates effectively to share information and1or skills with colleagues

"#

PAR' III Conscio!snessCost

,.

SOCIE'/
2ses practices that save company resources and minimise wastage , . / + 0 "#

Comments

Outstanding

PAR' I1 'ec#nical S0ills2o3 4no"le ge5

3.

PROD.C'S AND SER1ICES

)ossesses knowledge of work procedures and requirements of 4o 6hows technical competence1skill in area of speciali7ation ,

Very Good

Good

!air

$eeds %mprove ment

&nsatisf actory

$ot Applicable

"#

5.

"#

6or0 Attit! e

8. :.

9isplays commitment to work )lans and organi7es work effectively

, , , , ,

. . . . .

/ / / / /

+ + + + +

0 0 0 0 0

"# "# "# "# "#

+0. (s proactive and displays initiative ++. ;as a sense of urgency in acting on work matters +/. 9isplays a willingness to learn

6or07!alit% of

+.. (s accurate, thorough and careful with work performed

"#

6or07!antit% of

+-. (s a le to handle a reasona le volume of work

"#

Safet%

+,. <nsures careful work ha its that comply with safety requirements

"#

Comments

Outstanding

Very Good

Good

!air

$eeds %mprove ment

&nsatisf actory

$ot Applicable

ImprovementProcess

+3. 6eeks to continually improve processes and work methods

"#

PAR' 1I Pro3lem Solving

MANA8EMEN' 9 to 3e complete for staff "it# s!pervisor% !ties onl%:

+5. ;elps resolve staff pro lems on work=related matters +8. ;andles pro lem situations effectively , , . . / / + + 0 0 "# "#

StaffS!pervision5 Motivation of

+:. (s a positive role model for other staff /+. <ffectively supervises work of su ordinates

, ,

. .

/ /

+ +

0 0

"# "#

PAR' 1II P!nct!alit%Atten ance5

FAIRNESS
, , . . / / + + 0 0 "# "#

//. ;as good attendance /.. (s punctual

Depen

/-. (s a le to work with limited supervision

"#

Responsi3ilit% a3ilit%5

/,. (s trustworthy, relia le

responsi le

and

, ,

. .

/ /

+ +

0 0

"# "#

/3. (s adapta le and willing to accept new responsi ilities

Comments

Eval!ation

!ormula Total Score >otal 6cores X +00 ? "um er of @uestions #nswered X ,

'core

8ra ing

:0?= +00?

O!tstan ing )erformance is e'ceptional and far e'ceeds e'pectations. e'cellent standards in all 4o requirements.

Consistently demonstrates

53?=8:?

1er% 8oo )erformance is consistent, and e'ceeds e'pectations in all situations. 8oo )erformance is consistent. Clearly meets essential requirements of 4o . Fair )erformance is satisfactory. Aeets requirements of the 4o .

30?=5,?

-,?=,:?

.+?=--?

Nee s Improvement )erformance is inconsistent. Aeets requirements of the 4o occasionally. 6upervision and training is required for most pro lem areas. .nsatisfactor% )erformance does not meet the minimum requirements of the 4o .

0?=.0?

8ro"t# an Development
%i& Bist the appraiseeCs strengths

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

%ii& Bist the areas for improvement

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

%iii&

What specific plans of action, including training, will e taken to help the appraisee in their current 4o or for possi le advancement in the companyD

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Ac#ievement
%i& 9escri e the appraiseeCs areas of additional responsi ilities and1or other work=related achievements

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Recommen ations
>ermination <'tension of pro ation 6uita le for confirmation %w.e.f. FFFFFFFFFFFFFFF& "ormal increment of 6GFFFFFFFF "o salary increment Consider for merit increment >ransfer to other types of work Eeady for promotion ;as potential for promotion, ut not ready now Hthers* FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF

Hther Eemarks*

FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF

FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF 6ignature of #ppraiser

FFFFFFFFFFFFFFFFFFFFFFFF 9ate

Revie" 3% Co!ntersigning A!t#orit%

Comments y countersigning authority %if any&*

FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF

___________________
"ame of countersigning authority

_____________________
9esignation of countersigning authority

_________________
6ignature

_________
9ate

;.MAN RESO.RCE DEPAR'MEN'<S .SE )resent 6alary* "ew 6alary* Comments* FFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFF 9ate of Bast (ncrement* <ffective 9ate* FFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFF

FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFF

FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF 6ignature of Aanaging 9irector

FFFFFFFFFFFFFFFFF 9ate