JOB PERFORMANCE EVALUATION FORM

Name: _____________________________________________________________

Evaluation Period:

Title: Date: ____________________

PERFORMANCE PLANNING AND RESULTS

Performance Review

 Use a current job description.

 Rate the person's level of performance, using the definitions below.

 Review with employee each performance factor used to evaluate his/her work performance.

 Give an overall rating in the space provided, using the definitions below as a guide.

Performance Rating Definitions

The following ratings must be used to ensure commonality of language and consistency on
overall ratings: (There should be supporting comments to justify ratings of “Outstanding” “Below Expectations,
and “Unsatisfactory”)

(5) Outstanding Performance is consistently superior

(4) Exceeds Expectations Performance is routinely above job requirements

(3) Meets Expectations Performance is regularly competent and dependable

(2) Below Expectations Performance fails to meet job requirements on a frequent basis

(1) Unsatisfactory Performance is consistently unacceptable

Performance Factors (use job description as basis of this evaluation).

Knowledge of Work - Consider employee's skill level, Outstanding

knowledge and understanding of all phases of the job and
those requiring improved skills and/or experience. Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Planning and Organizing - Consider how well the Outstanding
employee defines goals for personal performance; how well
work tasks are organized and priorities established; and the Exceeds Expectations
amount of supervision required to achieve it. Meets Expectations
Below Expectations
Unsatisfactory
NA
Client Responsiveness - Measures responsiveness and Outstanding
courtesy in dealing with internal staff, external clients and
supply sellers; employee projects a courteous manner. Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Quality of Work - Consider the accuracy and thoroughness Outstanding
in completing work assignments. Consider the individual's
ability to self-identify and correct errors. Take into Exceeds Expectations
consideration incomplete assignments. Meets Expectations
Below Expectations
Unsatisfactory
NA
Quantity of Work - Consider the volume of work Outstanding
completed in relation to assigned responsibilities. Consider Exceeds Expectations
the ability to meet and stay on schedule and the proper use Meets Expectations
of work time. Below Expectations
Unsatisfactory
NA
Dependability - Consider how well employee complies Outstanding
with instructions and performs under unusual Exceeds Expectations
circumstances; consider record of attendance and Meets Expectations
punctuality. Below Expectations
Unsatisfactory
NA

Outstanding
Acceptance of Responsibility - Consider the manner in Exceeds Expectations
which the employee accepts new and varied work Meets Expectations
assignments, and assumes personal responsibility for Below Expectations
completion. Unsatisfactory
NA
Self-Initiative - Consider how well employee demonstrates Outstanding
resourcefulness, independent thinking, and the extent to Exceeds Expectations
which employee seeks additional challenges and Meets Expectations
opportunities on their own. Below Expectations
Unsatisfactory
NA

Teamwork - Consider how well this individual gets along Outstanding

with fellow employees, respects the rights of other Exceeds Expectations
employees and shows a cooperative spirit. Meets Expectations
Below Expectations
Unsatisfactory
NA
Safety - Consider this individual's work habits and attitudes Outstanding
as they apply to working safely. Consider their contribution Exceeds Expectations
to accident prevention, safety awareness and ability to care Meets Expectations
for equipment and keep workspace safe and tidy. Below Expectations
Unsatisfactory
NA
Overall Rating Outstanding
Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Employees Comments:

JOB DESCRIPTION REVIEW SECTION: (Please check the appropriate box.)

  Employee job description has been reviewed during this evaluation and no changes are
recommended to the job description at this time.

 Employee job description has been reviewed during this evaluation and modifications
have been proposed to the job description.

Employee Date

Evaluated by Date