FORMULIR PENILAIAN KERJA KARYAWAN

DATA PEGAWAI

Nama Pegawai :
Jabatan :
Unit/Bagian :

EVALUASI PENILAIAN

No Instrumen Penilaian Point

1. Kualitas Kerja
2. Kuantitas Kerja
3. Inisiatif
4. Disiplin
5. Tanggung Jawab
6. Motivasi
7. Kerjasama
8. Pemahaman Terhadap Tugas
9. Penyesuaian Diri
10. Kepemimpinan
11. Pemecahan Masalah
12. Pengambilan Keputusan

Total Nilai Rata-Rata

NB : Penilaian mulai dari 0 – 100

Grade : A = 100 - 90 (Sangat Memuaskan)
B = 89 - 75 (Memuaskan)
C = 74 - 60 (Cukup Memuaskan)
D = 59 - 0 (Tidak Memuaskan)

Kesimpulan Hasil Evaluasi Perilaku Karyawan Selama Periode Kerja :

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 FORMULIR PENILAIAN KERJA KARYAWAN

Penilaian Minimal Kerja Karyawan :

Penilaian minimal yang harus terpenuhi untuk (=) atau (≥) Grade C = 74 - 60
melanjutkan kontrak kerja Masa Orientasi (3 Bulan)

Penilaian minimal yang harus terpenuhi untuk (=) atau (≥) Grade B = 75 - 89
melanjutkan kontrak kerja 1 Tahun (12 Bulan)

Penilaian minimal yang harus terpenuhi untuk (=) atau (≥) Grade A = 90 - 100
melanjutkan menjadi karyawan tetap

KESIMPULAN :
Dapat disarankan :
Masih dapat disarankan :
Tidak dapat disarankan :

Catatan : .............................................................................................................................................
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Tasikmalaya, ……………………………. 20….

Pemohon, Mengetahui, Menyetujui,

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