PERFORMANCE APPRAISAL

For : Staf

Name of Appraisee:
___________________________ Designation:
_______________________________
Department:__________________________________
Appraisal Period From:

Service Start Date:________________________

___________ to ___________

Purpose

of

Review:

Confirmation
Annual Review

Name

and
Designation
of
_____________________________________________________________

Nature of Relationship:

Appraiser:

________________________________________________________________________

XYZ Company seeks corporate value of higher significance, pursuing innovative quality
in the areas of Customers, Employees, Society, Products, Technology,
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 being evaluated, please
mark Not Applicable (NA). Comments should be specific (including examples) and explanatory. If
your evaluation and recommendations cannot be adequately covered in the space provided, you
should prepare an attachment to this appraisal form.
Performance for each category is graded into the following:
Outstanding
Consistently

5 points Performance is exceptional and far exceeds expectations.

demonstrates excellent standards.

Very Good

4 points Performance is consistent and exceeds expectations.

Good

3 points Performance is consistent. Clearly meets job requirements.

Fair
the job.

2 points Performance is satisfactory. Meets minimum requirements of

Needs
Improvement
occasionally.

1 point

Performance is inconsistent.

Meets requirements of the job

Unsatisfactory 0 point

Performance does not meet minimum requirements of the job.

WWW.EXPLOREHR.ORG

Outstandi

FocusCustomer

PART I

CUSTOMERS

Teamwork
Communication Skills

Good

Fai
r

Needs
Improv
ement

Unsati
sfacto
ry

Not
Applica
ble

Goo

1. Follows instructions to the

satisfaction of superiors

NA

2. Aims to develop good

relations with internal and
external customers

NA

3. Able and willing to work

effectively with others in a
team

NA

4. Communicates effectively to
share information and/or
skills with colleagues

NA

NA

PART II

EMPLOYEES

PART III
ConsciousnessCost

Ver

SOCIETY

5. Uses practices that save

company resources and
minimise wastage

WWW.EXPLOREHR.ORG

Comments

Outstandi

WorkQuality of

Work Attitude

Technical SkillsJob Knowledge/

PART IV

PRODUCTS AND
SERVICES

Ver

Good

Fai
r

Needs
Improv
ement

Unsati
sfacto
ry

Not
Applica
ble

Goo

6. Possesses knowledge of work

procedures and requirements
of job

NA

7. Shows technical
competence/skill in area of
specialization

NA

8. Displays commitment to work

NA

9. Plans and organizes work

effectively

NA

10. Is proactive and displays

initiative

NA

11. Has a sense of urgency in

acting on work matters

NA

12. Displays a willingness to learn

NA

13. Is accurate, thorough and

careful with work performed

NA

WWW.EXPLOREHR.ORG

WorkQuantity of
Safety

14. Is able to handle a reasonable

volume of work

NA

15. Ensures careful work habits

that comply with safety
requirements

NA

ImprovementProcess

Comments

16. Seeks to continually improve

processes and work methods

Superv

SolvingProblem

PART VI
only)

Outstandi

Very
Good

Goo
d

Fai
r

Needs
Improv
ement

Unsati
sfacto
ry

Not
Applica
ble

NA

MANAGEMENT ( to be completed for staf with supervisory duties

17. Helps resolve staff problems

on work-related matters

NA

18. Handles problem situations

effectively

NA

19. Is a positive role model for

other staff

NA

WWW.EXPLOREHR.ORG

Stafision/ Motivation of

21. Effectively supervises work of

subordinates

NA

NA

NA

24. Is able to work with limited

supervision

NA

25. Is trustworthy,
and reliable

NA

NA

ResponsibilityDependability/

PunctualityAttendance/

PART VII

FAIRNESS

22. Has good attendance

23. Is punctual

responsible

26. Is adaptable and willing to

accept new responsibilities

Comments

WWW.EXPLOREHR.ORG

Evaluation

Formula

Score

Total Score
Total Scores
X
100 %
Number of Questions Answered X 5

Grading

90%- 100%

Outstanding
Performance is exceptional and far exceeds expectations.
demonstrates excellent standards in all job requirements.

Consistently

76%-89%

Very Good
Performance is consistent, and exceeds expectations in all situations.

60%-75%

Good
Performance is consistent. Clearly meets essential requirements of job.

45%-59%

Fair
Performance is satisfactory. Meets requirements of the job.

31%-44%

Needs Improvement
Performance is inconsistent. Meets requirements of the job occasionally.
Supervision and training is required for most problem areas.

0%-30%

Unsatisfactory
Performance does not meet the minimum requirements of the job.

WWW.EXPLOREHR.ORG

Growth and Development

(i)

List the appraisees strengths

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(ii)

List the areas for improvement

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

(iii)

What specific plans of action, including training, will be taken to help the appraisee in
their current job or for possible advancement in the company?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Achievement
(i)

Describe the appraisees areas of additional responsibilities and/or other work-related

achievements

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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Recommendations

Termination
Extension of probation
Suitable for confirmation
(w.e.f. _______________)
Normal increment of S$________
No salary increment

Consider for merit increment

Transfer to other types of work

Ready for promotion
Has potential for promotion, but not ready now
Others: _____________________________________
_____________________________________

Other Remarks:

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

_________________________________
Signature of Appraiser

________________________
Date

Review by Countersigning Authority

Comments by countersigning authority (if any):

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

___________________
Name of countersigning
Date
authority

_____________________
Designation of
countersigning authority

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_________________
Signature

_________

HUMAN RESOURCE DEPARTMENTS USE

Present Salary:
New Salary:

____________________

____________________

Date of Last Increment:

Effective Date:

____________________

____________________

Comments:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________
Signature of Managing Director

_________________
Date

WWW.EXPLOREHR.ORG

10