Employee Reliability and Dependability Performance Evaluation
Please complete this form to assess the reliability and dependability of the employee based on observed performance.
Employee Name
*
First Name
Last Name
Employee Position/Title
*
Department
*
Evaluator Name
*
First Name
Last Name
Evaluator Position/Title
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reliability and Dependability Assessment
*
Rows
Excellent (5)
Good (4)
Satisfactory (3)
Needs Improvement (2)
Unsatisfactory (1)
Punctuality (arrives on time)
1
2
3
4
5
Attendance (maintains regular presence)
6
7
8
9
10
Meets Deadlines
11
12
13
14
15
Consistency in Work Quality
16
17
18
19
20
Accountability for Tasks
21
22
23
24
25
Follows Instructions
26
27
28
29
30
Teamwork and Cooperation
31
32
33
34
35
Adapts to Change
36
37
38
39
40
Please provide specific examples or comments regarding the employee's reliability and dependability.
Areas for Improvement
Overall Reliability and Dependability Rating
*
1
2
3
4
5
Submit Evaluation
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