15 Sapphire St.

DBP
Subd., Pulang Lupa 2,
Las Piñas City
Telefax No.: 829-1724
Human Resources Department
TECHNICAL EVALUATION FORM FOR UTILITY AND LIAISON OFFICER Control No.:
Name: _ Date of Appraisal: __ ________________
Position: __ Department: _ ______________________
Appraisal Period: _ Purpose of Appraisal: ( ) Quarterly Appraisal
Appraiser’s Name: _______ ( ) Promotion

Guide for Value Factor Rating

This form is divided into two parts: Key Result Area and Work Ethics/Attitude. KRA refers to quantifiable output of the employee and WEA
refers to the behavior and characteristics the employee has to exhibit in order to perform efficiently in his job. Please provide objective rating
using the 1-10 scale below:
1 - FAILED Employee not fit for the job
2 - LACK OF ABILITY Performance was consistently below expectations.
3 - POOR Employee is willing but unable even with supervision; Willing but unable
4 - UNACCEPTABLE Performance failed to meet expectations, and/or one or more of the most critical goals were not met.
5 - UNSATISFACTORY Failure to meet expectations but employee may be trained and needs constant supervision; Employee is willing and trainable
6 - AVERAGE Lower than Satisfactory; Non-Productive but trainable
7 - GOOD Ordinary kind of performance quality; With room for improvements given the proper training and supervision
8 - VERY GOOD With minor error/s but satisfied with results; Expected results are being met, serving the right purpose or end
9 - SUPERIOR Exceeds expectation; Accomplishing tasks almost every time to a high level degree
10 - EXCELENT Beyond performance standards consistently delivers above level performance

KEY RESULT AREA 35% WEIGHT RATING

Employee completes all assignments.
 Keeps the floors clean by sweeping, mopping, or scrubbing
 Maintains clean and neat environment like stairway and hallways
 Gathers trash and emptying it in the main containers 10%
 Keeps bathrooms clean and well-stocked
 Keeps the water dispenser filled with water.
 Maintains the premises tidy
 Cleans the windows, glass partitions, and mirrors
 Maintains clean meeting rooms and auditoriums 5%
 Ensures that fans are clean and properly working
 Monitors utility stocks
 Request supplies and equipment needed for cleaning and maintenance duties 5%
 Timely conducts thorough cleaning
The employee consistently meets deadlines.
 Deposits, transacts encashment of money with bank
 Delivers sample products to different clients
 Submits Documents to Philhealth like ER2, M1a, etc.,
 Submits documents to SSS like R1a, Sickness Notification, Maternity 1&2 5%
 Submits documents to BIR like Form 1902, 2305, 1905
 Pays Philhealth Contribution to RCBC Bank
 Return to HR/Finance payment receipts

Maintains a safe and healthy workplace.

 Frequently disinfect common areas
 Ensures that spills on the floor are immediately clean
 Monitors building security and safety by performing such tasks as locking doors after operating 10%
hours and checking electrical appliance use to ensure that hazards are not created.
 Makes adjustments and minor repairs
 Reports and notify immediate head and generate CMR
Flexibility, Credibility and Dependability 15%
All daily, weekly and monthly tasks are complete and thorough 5%
Willingly accepts a variety of responsibilities 5%
 Informing immediate head when more supplies are needed.
 Assists other utility in heavy duties like lifting/transferring of equipment, serving snacks to visitors
and seminar attendees.
 Sets up, arrange, and remove decorations, tables, chairs, ladders, and scaffolding to prepare
 facilities for events such as banquets and meetings.
Displays openness to learning and applying new skills. 1%
Works well with others to achieve the organization's goals. 1%
Is resourceful and generally seeks work process improvements. 1%
Flexibility of Schedule 1%
Can work with minimal supervision while keeping the immediate head informed 1%

Criteria Weight Total Rating

Key Results Area 15%
Work Ethics/Attitude 15%
Technical Evaluation 50%
HR Evaluation (Attendance & Company Policy) 8%
Plans & Programs with attendance 12%
TOTAL 100%
Extra Mile (EXECOM ONLY) 5%

Appraisal Result:

Rating prepared by: In consultation with: