Sample Staff Performance Appraisal Form Page 2

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1
Part 3 Performance Assessment
Rating (✓) (refer to guidelines on page 3)
Attendance
5( )
4( )
3( )
2( )
1( )
Job knowledge and skills
5( )
4( )
3( )
2( )
1( )
Quality of work
5( )
4( )
3( )
2( )
1( )
Initiative and motivation
5( )
4( )
3( )
2( )
1( )
Team work
5( )
4( )
3( )
2( )
1( )
General conduct
5( )
4( )
3( )
2( )
1( )
Discipline
5( )
4( )
3( )
2( )
1( )
Overall Performance Rating
Substantially
Does not
Exceeds job
Meets job
Partially meets job
exceeds job
meet most job
requirements
requirements
requirements
requirements
requirements
5( )
4( )
3( )
2( )
1( )
Special task taken up or commendation obtained by the appraisee during the appraisal period (to
be filled by the MC member / Supervisor)
Overall comments on performance (to be filled by the MC member / Supervisor)
1 The assessment aspects listed in the table are for illustration purposes only. The MC should draw up the assessment aspects, based on the nature and
requirement of the post, before conducting the performance appraisal.

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