EMPLOYEE PERFORMANCE APPRAISAL FORM
YSH-HRM-053 Rev.0 / 20-08-20'
EMPLOYEE NAME
EMPLOYEE CODE
DEPARTMENT
DESIGNATION
PRESENT SALARY
DATE OF JOINING
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
1
EVALUATION PERIOD
DATE OF REVIEW
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
2
EMPLOYEE STATUS
TRAINEE
PROBATION
CONTRACT
TEMPORARY
DURATION OF SERVICE OF THE APPRAISE UNDER THE APPRAISER
EVALUATION TYPE
TRAINING
PROBATION
ANNUAL
INTERIM
EVALUATION PARAMETERS
TECHNICAL ATTRIBUTES
Rows
Self Appraisal
Appraiser
Clear understanding of the signed job description
1
2
3
4
5
1
2
3
4
5
Possess timelines in the job/Efficiency in assigned job.
1
2
3
4
5
1
2
3
4
5
Meet expectations/targets consistently?
1
2
3
4
5
1
2
3
4
5
Maintain prescribed quality in work?
1
2
3
4
5
1
2
3
4
5
Exhibit innovativeness / creative imagination at work?
1
2
3
4
5
1
2
3
4
5
Positively attending Training Sessions
1
2
3
4
5
1
2
3
4
5
Effective maintenance of documentation
1
2
3
4
5
1
2
3
4
5
Follow policies & procedures
1
2
3
4
5
1
2
3
4
5
PERSONAL ATTRIBUTES
Rows
Self Appraisal
Appraiser
Commitment, realiability, dependability
1
2
3
4
5
1
2
3
4
5
Integrity & Loyalty
1
2
3
4
5
1
2
3
4
5
Pro-active nature
1
2
3
4
5
1
2
3
4
5
Punctuality
1
2
3
4
5
1
2
3
4
5
Unauthorized absence
1
2
3
4
5
1
2
3
4
5
Follow rules & regulations of the hospital
1
2
3
4
5
1
2
3
4
5
Time Management
1
2
3
4
5
1
2
3
4
5
Handling work pressure
1
2
3
4
5
1
2
3
4
5
Communication Skills
1
2
3
4
5
1
2
3
4
5
Problem Solving Skills
1
2
3
4
5
1
2
3
4
5
Team Work
1
2
3
4
5
1
2
3
4
5
Interpersonal Skills - with patients & Coworkers
1
2
3
4
5
1
2
3
4
5
Total Score
Self Appraisal
Appraiser
Appraiser's Review
Comment on Interpersonal skills & personal characteristics
Any warning letter / disciplinary actions given in the review period.
Strength of the employee
Weakness of the employee
Areas recommended for development / training requirements.
Appraiser's review on the job performance
EMPLOYEES COMMENT ON REVIEW
1. Agree / Disagree with the appraiser's comment
2. Goals to accomplish for the next 12 months
3. General comment
APPRAISER'S COMMENT
REVIEWING AUTHORITY'S COMMENT
Submit
Should be Empty: