EMPLOYEE PERFORMANCE EVALUATION
Name*
First Name Last Name
Supervisor's Name*
First Name Last Name
Evaluation Date*
Month Day Year
Type of Evaluation*
60-Day New Hire Annual Post-Training Other
Please Specify
Type of Evaluation
Functional Areas Evaluation
Supervisors: Evaluate your employees in each area on a scale of 1 to 3, with 3 being the highest.
Knowledge: Understands job functions, requirements, tools, and processes associated with this position.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Execution: Follows through on tasks/projects until completion, completes tasks/projects in a timely manner and according to schedule, overcomes obstacles, proposes solutions rather than excuses.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Problem Solving: The ability to develop timely solutions with alternatives when facing a problem.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Safety: Practices safe work habits and encourages others do the same. Identifies ways to improve the safety of the work environment. Always wears appropriate PPE.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Productivity: Is always productive while on site.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Quality: Quality of work performed.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Initiative: The initiative to identify work to be performed and perform the work without being directed by others.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Attendance & Punctuality: Arrives to work on time, works on days scheduled, and requests time off with sufficient notice.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Interaction with Co-workers: Works well with co-workers, respects others, and has the respect of others.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Interaction with Supervisors: Works well with Supervisors, respects their authority and interacts in a professional manner.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Interaction with Clients: Works well with Clients resulting in established and committed relationships with the Clients.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Motivational Skills: Ability to motivate others which results in the desired outcome (perform a task, change of attitude, etc.)*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Leadership: To have a vision and to effectively communicate it to others resulting in a change in human behavior.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Adaptability: Easily adapts to changes in the workplace, requirements, schedule, and priorities.*
1 - Below Expectations 2 - Meets Expectations 3 - Exceeds Expectations
Critical Skills Checklist
Supervisors: By checking the box “Yes,” you certify that the employee can competently perform the task listed.
Mix Area (Materials & Mix Times)*
Yes No
Ability to Properly Clean a Floor*
Yes No
Rolling and Finish Rolling*
Yes No
Squeegee of Top Coats*
Yes No
Edge Troweling*
Yes No
Full Floor Trowel (Ability to Self-Trowel 500 Sq. Ft.)*
Yes No
Trowel Curbs*
Yes No
Full Troweling Ability (Finish Troweler)*
Yes No
Equipment Checklist
Supervisors: By checking the box “Yes,” you certify that the employee can properly operate the equipment without assistance.
Class E Licensed Driver*
Yes No
Scarifier*
Yes No
Shaver*
Yes No
Diamatic*
Yes No
Prep Master*
Yes No
Blastrac*
Yes No
Joint Saw*
Yes No
Concrete Saw*
Yes No
Excavator*
Yes No
Comments & Acceptance
Supervisor Comments*
Employee Comments
Goals/Milestones for the Next Evaluation (List 3 or 4)
Supervisor's Signature*
Employee's Signature*
Should be Empty: