‫نموذج تقييم األداء الوظيفي‬

PERFORMANCE EVALUATION FORM

Date : :‫التاريخ‬
Reference No : :‫رقم المرجع‬

Evaluation Period To: :‫الى‬ From: :‫من‬ ‫فترة التقييم‬

General Information ‫البيانات العامة‬

Employee Name: :‫اسم الموظف‬
Employee Number: :‫الرقم الوظيفي‬
Department :‫اإلدارة‬
Section :‫القسم‬
Appraised by: :‫اسم المسؤول‬

Reason For Appraisal ‫الهدف من تقييم األداء‬

 Periodic Appraisal ‫تقييم دوري‬ 
 Probation Period ‫فترة تجربة‬ 
 Promotion ‫ترقية‬ 
 Increment ‫عالوه‬ 
 : Others : ‫أسباب أخرى‬ 
‫مالحظات‬ ‫تقييم الرئيس المباشر‬ ‫تقييم الموظف‬ ‫عامل التقييم‬
Remarks Manager Rating Employee Rating Evaluation Factor
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫إنجاز العمل بالمستوى المطلوب‬
70-79  70-79  Accomplishment of the work
60-69  60-69  according to the required level
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫التعاون مع ومساعدة الزمالء‬
70-79  70-79  Cooperation and helping
60-69  60-69  colleagues
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫اإلخالص للشركة والمحافظة على مصالحها‬
70-79  70-79  Loyalty to the company and
60-69  60-69  preserving its interests
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫القدرة على استيعاب قواعد وأساليب العمل‬
70-79  70-79  Ability to understand work rules
60-69  60-69  and procedures
Below 60  Below 60 
90-100  90-100 
‫الدرجة‬ ‫الدرجة‬
80-89  80-89 
Grade Grade ‫الترتيب والنظام في العمل‬
70-79  70-79 
60-69  60-69  Regularity and discipline at work
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫االلتزام بأنظمة وسياسات الشركة‬
70-79  70-79  Observing company policies and
60-69  60-69  systems
Below 60  Below 60 

https://www.hrworld-sa.com/ HR-00, V1.0

 ‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫االهتمام بتطوير وتحسين مستوى العمل‬
70-79  70-79  Caring of work improvement and
60-69  60-69  development
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫المبادرة واالبتكار في العمل‬
70-79  70-79 
Initiative and creativity at work
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫القدرة على اتخاذ القرارات‬
70-79  70-79 
Ability for taking sound decisions
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100  ‫االجتهاد والتجاوب مع ضغط العمل‬
Grade 80-89  Grade 80-89  Working hard and responding to
70-79  70-79  work pressure
@engaalzahrani 60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫إنجاز العمل في الموعد المطلوب‬
70-79  70-79  Accomplishment the work
60-69  60-69  according to the required time
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫المحافظة على ممتلكات الشركة‬
70-79  70-79 
Preserving the company properties
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫القدرة على العمل دون مراقبة‬
70-79  70-79 
Ability to work without supervision
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫القدرة على تحمل مسؤولية أكبر‬
70-79  70-79  Ability to bear a larger
60-69  60-69  responsibility
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫احترام الغير‬
70-79  70-79 
Respecting others
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫تقبل توجيهات وانتقادات الرؤساء‬
70-79  70-79  Accepting directions and criticism
60-69  60-69  of one's manage
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫التصرف الشخصي‬
70-79  70-79 
Personal behavior
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫المظهر‬
70-79  70-79 
Appearance
60-69  60-69 
Below 60  Below 60 

https://www.hrworld-sa.com/ HR-00, V1.0

General Evaluation ‫التقييم العام‬

Total Score / 100 ‫إجمالي الدرجات‬

‫ضعيف‬ ‫مقبول‬ ‫جيد‬ ‫جيد جدًا‬ ‫ممتاز‬

Grading      ‫التقدير‬
Poor Fair Good V. Good Excellent

Recommendation ‫التوصية‬

 Increment ‫عالوة‬ 

 Promotion ‫ترقية‬ 

 Dismissal ‫االستغناء عنه‬ 

 Bonus ‫مكافأة‬ 

 No Increment ‫يحرم من العالوة‬ 

 Transfer ‫نقله لمكان آخر‬ 

Manager Remarks ‫مالحظات الرئيس المباشر‬ Employee Remarks ‫مالحظات الموظف‬

Manager Signature ‫توقيع الرئيس المباشر‬ Employee Signature ‫توقيع الموظف‬

https://www.hrworld-sa.com/ HR-00, V1.0