Anda di halaman 1dari 3

Performance Page 1 of 3

Review Form #8

Employee’s Name_______________________ Supervisor’s Name_______________________

Date __________________________________ Date of Last Performance Review___________

Instructions: Please complete each part of each question and discuss with the employee during
the performance review meeting. Use a separate sheet for Parts I, III, and IV.

PART I – POSITION DEFINITION

1. Describe the employee’s duties and responsibilities and indicate the relative priorities
of key elements.

2. Describe any changes that have occurred in the employee’s position since his or her
last performance discussion.

PART II – PERFORMANCE FACTORS

1. Is a willing worker in assigned responsibilities


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

2. Demonstrates skill and proficiency in carrying out assignments


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

3. Strives to improve work methods as a means toward greater efficiency


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

4. Is willing to take on additional responsibilities


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

5. Requires minimal supervision


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory
Performance Page 2 of 3
Review Form #8

6. Holds self accountable for assigned responsibilities; sees tasks through to


completion
 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

7. Makes sound and timely decisions – analyzes facts and reaches logical conclusions
 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

8. Works well with supervision, independently, or as part of a team


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

9. Is a reliable employee (attendance, punctuality)


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

10. Represents department well when dealing with others


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

PART III – PERFORMANCE SUMMARY

1. List aspects of the employee’s approach that contribute to his or her effectiveness.

2. List aspects of employee’s approach which require improvement for greater


effectiveness.

3. Is the employee ready for increased responsibility? If yes, please explain.

4. Does the employee require additional training? If yes, please explain.


Performance Page 3 of 3
Review Form #8

Overall rating of employee:


 Outstanding  Average
 Excellent  Marginal
 Above average  Unsatisfactory

PART IV – DEVELOPMENT PLAN

List actions or activities to be taken by employee and supervisor to improve the employee’s
effectiveness in the current position.

List actions or activities to be taken by the employee as part of his/her professional


development.