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Company Name
Performance Evaluation

Employee Name: Department:

Emp ID: Process Name:

Designation: Immediate Supervisor:

Date of Joining: Manager:

Evaluation Period: Department Head:

Appraisee Photo: Appraisal WEF:

Q1. State the main understanding of your task and your responsibilities?

Q2. What do you consider to be your most important achievement of past year?

Q3. What do you consider to be your most important task in the year?

Q4. Indicate the facilitating and the hindering factors in your overall performance round the year?
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Facilitating Factor Hindering Factor

Organization Perspective

Personal Perspective

List below the essentials functions of the position, and/or projects for which the employee is
evaluated:

Responsibility KRA’s

Rating Standards
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Not Applicable 0 The employee is not required to perform in a specific rating factor, and it cannot be
measured.

Unacceptable 1 Work performance is inadequate and inferior to the standards of performance for the
position. Performance at this level cannot be allowed to continue.

Improvement Needed 2 Work performance does not consistently meet the standards of performance for the
position. Serious efforts is needed to improve performance.

Meets Expectations 3 Work performance consistently meets the standards of performance for the position

Exceeds Expectations 4 Work performance consistently above the standards of performance for the position

Outstanding 5 Work performance consistently superior to standards required for the job.

Technical Skills (Effectiveness with which the employee applies job knowledge and skill to job
assignments)
N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Job Knowledge

Analyzes Problems

Provide suggestions for

work Improvement

Employs Tools of the job

Competently

Follows Proper Safety

Procedures
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Quality of Work (Manner in which the employee completes job assignments)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Accuracy/Precision

Thoroughness/Neatness

Reliability

Responsiveness to Requests
for Service

Follow-Through/Follow-Up

Judgment / Decision Making

Interpersonal Skills (Effectiveness of employee's interactions with others and as a team participant)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

With Co-workers

With Supervisors

With Other staffs and

Managers

Team Participation

Team Contributions

Commitment to team success

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Communication skills (If applicable to the job)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Written Expression

Oral Expression

Share Information Willingly

Tact and Diplomacy

Voice and Accent (If required)

Approach to Work (Characteristics the employee demonstrate while performing job assignments)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Actively Seeks ways to
Streamline Processes

Open to new Ideas and

Approaches

Initiative

Planning and Organization

Flexible/Adaptable

Follows Instructions

Seeks Additional training &

development

Attendance

Discipline and Decorum

Positive Attitude

Honesty and Fairness

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Quality of work (Employee's success in producing the required amount of work)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Priority Setting

Amount of Work Completed

Work Completed on Schedule

Supervisory/Leadership Skills (Apply only to employee who is a Manager, Supervisor, or lead)

N/A-0 U-1 IN-2 ME-3 EE-4 O-5 RATING FACTORS Comments

Support of VCCI Efforts/Programs

Trains and develops staff

Properly Aligns Responsibility,

Accountability, Authority

Evaluates Staff Regularly

Faces Performance Problems Squarely

Supports responsible Risk taking

Control Costs and maximizes

Resources
Instills pride in Performance service,
Innovation & Quality
Sets High standards for Self, As Well as
Others
Supports Useful Debate &
Disagreement

Welcome Constructive Criticism

Fosters Respect for Facts, Data, and

Objective Analysis
Uses Analytical Tools and Models for
Process Improvements
Supports Experimentation &
Brainstorming That Leads to Innovation
and Learning
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Overall Performance Rating

Technical Skills

Quality of Work

Interpersonal Skills

Communication Skills

Approach To Work

Quantity of Work

Total

Exceeds
Improvement Needed Meets Expectations Outstanding (4.6-
Unacceptable (0-1.0) Expectations (3.1-
(1.1-2.0) (2.1-3.0) 5.0)
4.5)

Work performance is
Work performance does
inadequate and inferior Work performance Work performance Work performance
not consistently meet the
to the standards of consistently meets consistently above consistently
standards of performance
performance for the the standards of the standards of superior to
for the position. Serious
position. Performance at performance for the performance for the standards required
efforts are needed to
this level cannot be position. position. for the job
improve performance.
allowed to continue.

Check in the box above describes the employee's overall performance rating.

Supervisor's Comments (additional comments may be attached)

Manager's Comments/Reactions

Employee Comments/Reactions
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Dept Head Comments

Actions Plans/Training and development Goals

(If applicable, summarize any specific projects, performance objectives, or training and development for the next review period)

HR Manager Comments

Employee Signature: Date:

I have read and discussed this evaluation with my supervisor and I understand its contents. My signature means been advised of my
performance status and does not necessarily imply that I agree with either the appraisal or the contents.

Next Appraisal will be due on: June/December

Supervisor Signature: Manager's Signature:

Date: Date:

Dept Head Signature: Reviewer Signature:

Date: Date: