Employee Performance Review Form

Employee Performance Review
Employee Name
First NameLast Name
Title
Department
Supervisor
First NameLast Name
Date of Hire
MonthDayYear
Date of Review
MonthDayYear
Date of Last Review
MonthDayYear

Performance Competencies
WORK QUALITY: How accurate, neat, and complete is the individual's work?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
PRODUCTIVITY: Does the individual effectively use available working time; plan and prioritize work; set and accomplish goals and complete assignments on schedule?

1
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3
4
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
KNOWLEDGE OF JOB: Is individual familiar with the requirements of the position and the methods, practices, and equipment to complete assignments on schedule?

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4
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
ADAPTABILITY: How well does the individual adjust to changes in job assignments, methods, personnel or surroundings?

1
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3
4
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
DEPENDABILITY: Is the individual consistent in performing work assignments and carrying out instructions? Consider the amount of supervision required and willingness to take on responsibilities and to be accountable for them.

1
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3
4
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
INITIATIVE & RESOURCEFULNESS: Does the individual notice projects to be done and then takes the appropriate action? Has the individual developed and/or carried out new ideas or methods, offered suggestions, anticipated needs and sought additional time to complete tasks?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
JUDGMENT: Does the individual exercise ability to decide, correct or choose the best course of action when some decision must be made? Does individual work in a safe manner, preventing accidents, injuries and theft?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
RELATIONSHIPS WITH PEOPLE: Does individual work effectively with others (supervisors, peers & subordinates)? Consider respect and courtesy shown to others, how attitude affects the work area, willingness to accept supervision and attitude exhibited toward company as well as own job. Are apparel, manners and sociability appropriate to the job responsibilities?

1
2
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4
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
ATTENDANCE: Is the individual punctual when reporting to work? Does the individual adhere to the time limits for breaks and lunches? Does the individual follow company policy on sick leave, approval for vacation and prompt notice of absence due to illness?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
COMMUNICATION SKILLS: To what extent does the individual demonstrate the ability to communicate effectively in both oral and written expression with other employees and his/her supervisor? Are issues dealt with and resolved constructively?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
LEADERSHIP ABILITY: Is the individual able to motivate co-workers to accept and complete assignments in a timely and satisfactory matter?

1
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5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation

Goal Setting and Development Planning
GOALS FOR NEXT YEAR: List the employee’s goals for the coming year:*
EMPLOYEE COMMENTS:
Signature
Clear
TO BE COMPLETED BY SUPERVISOR

Supervisor's Signature: __________________________ Date: __________

Reviewer's Signature: ____________________________ Date: __________
Should be Empty: