PT ABC Form No.

: HR & GA/FM/25
Rev. No : 00
Rev. Date :
EMPLOYEE PERFORMANCE APPRAISAL FORM Issued Date : 25/05/2015

APPRAISAL PERIOD : April 2018 to March 2019

OBJECTIVE:

To provide feedback to the appraise and help him/her to improve performance.

To serve as an input for remuneration and reward decision.
To help establish performance objectives for the next 12 months.
To measure employee's potential to assign additional responsibility.

PROCEDURE:

Before filling up this form, schedule a private meeting with the employee to discuss his/her performance.
Allow employee to outline his/her performance. Listen attentively and mention what you agree and disagree and why.
If the employee’s performance is below the standards, explore the reasons.
Emphasize improvement planning and mutual problem-solving.
Discuss & agree Key Result Areas for the next appraisal period.
Set clear, specific, realistic, meaningful and measurable objectives for employee to follow.

GUIDELINES :

This appraisal will become an important part of the appraisee's record. You are requested to give maximum attention and care.
Assess the employee in relation to the requirements of his/her present position only.
Please assess the employee on his/her performance during the entire appraisal period and not upon isolated incidents.
Consider each dimension independently, uninfluenced by the rating you give to other factors.

Name : Employee No. :

Date of Joining : Date of Birth :

Qualification :

Designation : Department :

Location : Appraiser :

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PERFORMANCE RATING SHEET
NAME OF EMPLOYEE:

RATING RATING CODE COMMENTS MULTIPLIER

EXCELLENT E MERITS SPECIAL RECOGNITION 5
VERY GOOD VG DOES MORE THAN JOB REQUIREMENTS 4
GOOD G MEET NORMAL REQUIREMENTS OF THE JOB MOST OF THE TIME 3
SATISFACTORY S MEETS NORMAL REQUIREMENTS OF THE JOB OCCASIONALLY 2
POOR P FAILS TO MEET THE REQUIREMENTS OF THE JOB/ POSITION 1

PLEASE GIVE THE RATING WHICH DESCRIBES THE PERFORMANCE OF EMPLOYEE ON THE FOLLOWING ATTRIBUTES.
SR. ATTRIBUTES SELF RATING SUPERIOR’S RATING REVIEWER’S RATING MULTIPLIER ABSOL.
NO. CODE SUPPORTING COMMENTS CODE SUPPORTING CODE SUPPORTING Ref. Rating & VALUE SCORE
Above Table (WEIGHTAGE)
(d) COMMENTS COMMENTS
(a) (b) (c) (e) (f) (g) (h) (i) (j) (k)=(i) x (j)

1 JOB OUTPUT: Actual level of

Performance / Quality of work
desired for the position & 35
accomplishment of KRAs / Goals
2 TIME MANAGEMENT: Effective
utilization of office hours for
Productive work & achievement of 4
assigned tasks in set time target.
3 COST MANAGEMENT: Cost
Savings/Management of allotted
funds for organizational progress 4
4 JOB KNOWLEDGE: Familiarity with
systems/ procedures / advances in
functional area & day-to-day 15
application of the same
5 LEADERSHIP SKILLS: Ability to
lead a team give directions & 4
guidance
6 ATTENDANCE & PUNCTUALITY:
Record of Absenteeism/Late coming/
Plan Leave in Advance 3
ATTRIBUTES SELF RATING SUPERIOR’S RATING REVIEWER’S RATING

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 CODE SUPPORTING COMMENTS CODE SUPPORTING CODE SUPPORTING MULTIPLIER ABSOL. SCORE
(d) COMMENTS COMMENTS Ref.Rating & VALUE
(b) (c) (e) (f) (g) (h) Above Table (WEIGHTAGE) (k)=(i) x (j)
(i) (j)

7 PLANNING: Ability to plan work and

meet the targeted schedule 8

8 FOLLOW-UP: Self generated follow-

up of directives, decisions & 3
schedules
9 DEVELOPMENT OF
SUBORDINATES: Encourage
subordinates to complete tasks on 4
their own. Provide direction & give
them timely feedback
10 TEAMWORK: Team player &
relationships with Superiors, peers & 3
subordinates
11 CUSTOMER FOCUS:
Understanding of Customer 8
requirements (both internal &
external) and response to it.
12 CREATIVITY: Suggestions / Actions
to improve the overall progress of 3
the Company / Dept.
13 COMMUNICATION: Skills
demonstrated in giving job
instructions, writing reports, handling 3
communication and meetings both
internal & external.
14 ATTITUDE: Extent of enthusiasm &
commitment towards work, people 3
and organization & its policies /
procedures
TOTAL FINAL SCORE (OUT OF 500) :
PERCENTAGE SCORE = (TOTAL FINAL SCORE x 100 / 500):

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 NAME OF THE EMPLOYEE:

1. WHAT ARE THE APPRAISEE’S MOST PROMINENT STRONG/WEAK POINTS?

STRONG POINTS:

WEAK POINTS:

PERFORMANCE COUNSELING:

2. HAS THE APPRAISEE SHOWN ANY IMPROVEMENT SINCE LAST APPRAISAL?

3. EXPECTATIONS:

APPRAISEE’S EXPECTATIONS FROM ORGANISATION /SUPERIOR ACTIONS AGREED UPON BY SUPERIOR / HOD

APPRAISEE’S SIGNATURE APPRAISER’S SIGNATURE

DATE: DATE:

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OVERALL PERFORMANCE RATING
NAME OF THE EMPLOYEE:

Please encircle the proposed rating based on the above scoring. This is to be completed at the time of review between appraiser and reviewer.

PERCENTAGE SCORE PERFORMANCE CATEGORY PROPOSED RATING

90 % & Above EXCELLENT P1
76 % to 89 % VERY GOOD P2
56 % to 75 % GOOD P3
36 % to 55 % SATISFACTORY P4
35% and Below POOR P5

RECOMMENDATIONS:

(A) FOR PROMOTION - YES/NO. IF YES, FOR THE POSITION OF :

(B) SALARY CORRECTION – YES/NO. IF YES, PLEASE JUSTIFY.: (To be recommended by Reviewer only).

(C) ADDITIONAL COMMENTS, IF ANY:

APPRAISER’S SIGNATURE REVIEWER’S SIGNATURE

DATE: DATE:

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TRAINING NEED IDENTIFICATION FOR APRIL 2019 to MARCH 2020

NAME OF THE EMPLOYEE :

Behavioral Training Needs (Appraiser to tick the program required.)

1 Supervisory Skills 13 Analytical Skills

2 Leadership Skills 14 Presentation Skills
3 Innovation & Creativity 15 Grooming & Etiquette
Change & Grow Personal Effectiveness
4 16
(Change Management) (Presentation Skills, Grooming & Etiquette, English Language)
Interpersonal Skills
5 Interviewing Skills 17
( including Conflict Management)
6 Customer Relationship Management 18 Assertiveness Skills
7 Influencing & Persuasion Skills 19 Managerial Skills
8 Operational Effectiveness 20 Effective Communication
9 Key Account Management 21 Cross Cultural Awareness
10 Channel Management 22 Coaching & Mentoring
11 Internal Customer Sensitivity 23 Negotiation Skills
12 Strategic Business Planning & Execution 24 Managing Sales Strategy.

Technical Training Needs (Appraiser to tick the program required.)

1 QMS 9 Design of Experiments (DOE)

2 EMS 10 Advanced Product Quality Planning (APQP)
3 OHSAS 11 Utilities Training (Maintenance)
4 IMS 12 Internal Auditor Training
5 FMEA 13 Train-The-Trainer
6 New Product Development Process (NPDP) 14 TPM
7 Statistical Quality Control (SQC) 15 Kaizen
8 Testing Tools & Applications 16 QC Tools

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 Additional Training Requirement (Please list any specific topic, seminar, workshop or course that the role / person requires)

Technical Behavioral
1 1

2 2

3 3

4 4

5 5

APPRAISEE’S SIGNATURE: APPRAISER’S SIGNATURE:

DATE: DATE:

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