JABRONIS NYC PIZZA

PERFORMANCE EVALUATION

EMPLOYEE INFORMATION

Name: Employee Number:

Job Title:
Superior’s Name:
Hire Date:
Last Appraisal Date:

DEFINITION OF RATINGS

OUTSTANDING (5): Consistently exceeds all relevant performance standards. Provides

leadership, fosters teamwork, is highly productive, innovative, and responsive and generates
top quality work. Active in industry-related professional and/or community groups.

ABOVE AVERAGE (4): Consistently meets and often exceeds all relevant performance
standards. Shows initiative and versatility, works collaborately, has strong technical &
interpersonal skills or has achieved significant improvement in these areas.

AVERAGE (3): Meets all relevant performance standards. Seldom exceeds or falls short of
desired results or objective. Lacks appropriate level of skills or is inexperienced/still learning the
scope of the job.

BELOW AVERAGE (2): Sometimes meets the performance standards. Seldom exceeds and
often falls short of desired results. Performance has declined significantly, or employee has not
sustained adequate improvement, as required since the last performance review or
performance improvement plan.

POOR (1): Consistently falls short of performance standards.

INSTRUCTIONS

Rate the employee based on the definition of ratings.

Average the rates to get the descriptive rating.
(Organizational and planning skills, communication skills, information gathering and monitoring skills,
punctuality, efficiency, initiative, attention to detail and accuracy and adaptability.)
 JABRONIS NYC PIZZA

PART I. Performance and Behavioral Drivers

Organizational and Planning Skills Ratings Scale Notes

Is able to plan ahead
Does not have to be told what to do
Work execution is organized
Can work with little or less supervision
Communication Skills
Is able to express her/himself accurately in both verbal
and written form with colleagues
Able to respond and courtesy in dealing with internal
staff, external customers and vendors.
Information Gathering and Monitoring Skills/
Efficiency/ Attention to Detail and Accuracy/Expense
Management
Accomplishes/Submits assigned work on time
Is creative and resourceful in carrying out assigned
task
Work output is accurate
Work output exceeds expectations
Able to establish appropriate reporting and control
procedures
Able to operate efficient at low cost; staying
established budget
Initiative
Displays initiative
Is dependable in terms of work output
Works with the interest and good of the company in
mind
Adaptability
Relates well with others
Is not a source of conflict with the dept./organization
Punctuality
Is seldom absent on account of illness
Reports to work on time

AVERAGE SCORE: _____

Rating/Score Interpretation
5 Outstanding 95-100% Outstanding
4 Above Average 76-94% Above Average
3 Average 57-75% Average
2 Below Average 38-56% Below Average
1 Poor 19-37% Poor
 JABRONIS NYC PIZZA

PART II. Remarks and Next Appraisal Objectives

REMARKS (Strength, Milestones, Achievements, Weaknesses, Training Requirements, Career Development Plan,
Recommendations, etc.)

Top Three (3) to Five (5) S.M.A.R.T Objectives/Goals for the Next Appraisal (that support the
Departmental/Operational/Contingency/Tactical Strategy)

1.

2.

3.

5.

PART III. Acknowledgement and Approval

We (RATEE and RATER) have reviewed and discussed this Performance Evaluation Form. It is understood that failure to
meet the standards or any digression from the action plans, objectives, targets or measures herein may be subjected to an
appropriate learning and development intervention (otherwise corrective/disciplinary action). All information related to this
document is deemed strictly personal and confidential. Furthermore, the final rating of this appraisal may be modified
exclusively by the Management after Performance Calibration across business units or within functional group.

______________________________ _________________________________
Ratee’s Signature Over Printed Name Rater’s Signature Over Printed Name

Date: ________________________

_________________________________ _________________________________
Approver’s Signature Over Printed Name HR Rep’s Signature Over Printed Name

Date: ___________________________ Date: ____________________________