Performance Appraisal Form
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1
2Performance Appraisal
Employee Name____________________________________________
Title_________________________________
Department________________________________________________
Employee Payroll #_____________________
Reason for Review
Annual
Peer Appraisal
Unsatisfactory Performance
Merit
End of Introductory Period
Other________________________
Date Employee began present position_____/___/_____
Date of last appraisal_____/___/______
Scheduled appraisal date_____/___/______
Instructions: Carefully evaluate employee’s work performance in relation to the essential functions of the job. Check Rating box that indicates the employee’s
performance. Indicate N/A if not applicable. Assign points for each Rating within the Scale and write that number in the corresponding Points box. Points will be
totaled
and averaged for an overall performance score.
Definitions of Performance Ratings
O-Outstanding. Performance is exceptional in all areas and
I-Improvement Needed. Performance is deficient in certain
is recognizable as being far superior to others.
areas. Improvement is necessary.
V-Very Good. Results clearly exceed most position
U-Unsatisfactory. Results are generally unacceptable and
Requirements. Performance is high quality and is achieved on
require immediate improvement. No merit increase should be
a consistent basis.
Granted to individuals with this rating.
G-Good. Competent and dependable level of performance.
N/A-Not Applicable or too soon to rate.
Meets performance standards of the job.
General Factors
Rating
Scale
Supportive Details/Comments
O ¨
1.
Quality- The extent to which an employee’s
100-90
Points
____________________________________
O
V ¨
work is accurate, thorough and neat.
89-80
V
G ¨
79-70
____________________________________
G
I ¨
69-60
I
U ¨
Below 60
____________________________________
U
O ¨
2.
Productivity- The extent to which an
100-90
Points
____________________________________
V ¨
employee produces a significant volume
89-80
G ¨
of work efficiently in a specified period
79-70
____________________________________
¨
of time.
I
69-60
U ¨
Below 60
____________________________________
O ¨
3.
Job Knowledge- The extent to which
100-90
Points
____________________________________
V ¨
an employee possesses the practical/technical
89-80
G ¨
knowledge required on the job.
79-70
____________________________________
¨
I
69-60
U ¨
Below 60
____________________________________
O ¨
4.
Reliability- The extent to which an
100-90
Points
____________________________________
V ¨
employee can be relied upon regarding
89-80
G ¨
task completion and follow-up.
79-70
____________________________________
¨
I
69-60
U ¨
Below 60
____________________________________
O ¨
5.
Attendance- The extent to which an
100-90
Points
____________________________________
V ¨
employee is punctual, observes prescribed
89-80
G ¨
work break/meal periods and has an
79-70
____________________________________
I ¨
acceptable overall attendance record.
69-60
U ¨
Below 60
____________________________________
O ¨
6.
Independence- The extent to which and
100-90
Points
____________________________________
V ¨
employee performs work with little or
89-80
G ¨
no supervision.
79-70
____________________________________
I ¨
69-60
U ¨
Below 60
____________________________________
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