Read Blank Evaluation text version

Employee Evaluation Report
Employee's Name: Department: Position: Employee Grade:
Date:
Anniversary Date:
Fire
Reason for Evaluation: ______ Completion of Probation
Exceeds Requirements
______Scheduled Performance Rating
_____ Other
Meets Requirements
Needs Improvement
SECTION 1
Outstanding
Not Satisfactory
WORK PROGRESS FACTOR CHECK LIST 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Observance of work hours Attendance Grooming and dress Safety practices Public contacts Employee contacts Knowledge of work Work judgments Planning and organizing Job skill level Quality of work Volume of acceptable work Meeting deadlines Accepts responsibility Accepts direction Accepts change Effectiveness under stress Appearance of work station Operation & care of equipment Work coordination Initiative Physical ability Communications
Doesn' t Apply
SECTION 2
Explain each factor for which "Outstanding" was checked. Cite Examples.
SECTION 3
Explain each factor for which " Needs Improvement" was checked. Cite Examples.
SECTION 4
Explain each factor for which " Satisfactory" Not was checked. Cite Examples.
FOR EMPLOYEES WHO SUPERVISE AND EVALUATE OTHERS 26. Planning & organizing 27. Scheduling & coordinating 28. Training & instruction 29. Productivity 30. Evaluating subordinates 31. Judgments & decisions 32. Leadership 33. Operational economy 34. Supervisory control 35. 36.
SECTION 5
Comment on how weaknesses might be improved.

SECTION 6
OVERALL PERFORMANCE RATING BY REVIEWER
Consider all factors carefully and view this rating from the last interview. Check anywhere within the box that best describes the overall abilities as directly related to work performance.
Not Satisfactory
Needs Improvement
Meets Requirements
Exceeds Requirements
Outstanding
Comment on employee'potential: s _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Signature (Reviewer) ________________________________ Date: _____________
SECTION 7
To be completed by the employee at the conclusion of review. _________ I agree with this evaluation. _________ I wish to discuss the evaluation with the Reviewer' s Supervisor
Signature (Employee) ________________________________ Date: _____________
SECTION 8
OVERALL PERFORMANCE RATING BY THE REVIEWER' S SUPERVISOR __________ Agree __________ Do not agree with its contents.
If not, please explain: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Signature _________________________________________ Date: ______________