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HR Policy G9 Performance Appraisal and Development Plan template

Note: This template is provided as an example. Districts or professional groups may choose other preferred templates. Guidelines on Performance Appraisal and Development for Managers, Supervisors and Employees are on the HR Branch Learning and Development Unit webpage. NAME: POSITION: FACILITY/WORK UNIT: Initiate Agreement Supervisor Date Completed _________________ Initials 6 Month Review Date to be conducted _________________ Initials 12 month Appraisal Date to be conducted _________________ Initials EMP. ID: CLASSIFICATION:

Supervisors Comment ­ 6 Month Review

Employees Comment ­ 6 Month Review

Performance Results (please circle appropriate response): 12 Month Appraisal Exceeds requirements Meets all requirements Meets some requirements Does not meet requirements

Conduct/Queensland Health Values (please circle appropriate response): 12 Month Appraisal: Satisfactory Unsatisfactory

Supervisors Comment ­ 12 Month Appraisal

Employees Comment ­ 12 Month Appraisal

UPON COMPLETION EMPLOYEE

6 MONTH REVIEW Name: Signature:

12 MONTH APPRAISAL Name: Signature: Name: Signature:

REPORTING OFFICER

Name: Signature:

DATE REVIEW COMPLETED Supervisor to retain original. Employee to retain copy.

January 2009

Page 1 of 3

HR Policy G9 Performance Appraisal and Development Plan template

PART 1: PERFORMANCE PLAN

The business plan objectives should reflect your role Description and link to Queensland Health/Local Unit's plans and goals. You should consider including technical and interpersonal job characteristics in this section. Role Description Summary

Plan objectives

Key Responsibilities

Performance Targets

Timeframe

PART 2:

PERFORMANCE PLAN

The four Queensland Health values should be evident in the way we go about our day to day work. Discuss what good performance will look like for your work in relation to each of these values. Queensland Health values Caring for people Demonstrating commitment and consideration for people in the way we work. Leadership Regardless of level we all have a role in communicating a vision, taking responsibility and building trust amongst colleagues. Performance Outcomes/Expectations · · Supporting a safe quality health care Ensuring patients are treated with consideration and feel valued High standards of behaviour in line with these values and code of conduct Understanding responsibilities Taking on challenges Listening and being responsive Developing healthy professional relationships Respecting dignity, rights and personal views of others Building mutual trust Provision of quality advice based on sound research

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Comments ­ Mid Cycle Review

Comments ­ Annual Review

·

· · · · ·

Respect Showing due regard for the feelings and rights of others.

Integrity using official positions and power properly.

· ·

January 2009

HR Policy G9 Performance Appraisal and Development Plan template

PART 3:

DEVELOPMENT PLAN

Outline your development needs including skills and knowledge required. Skills and Knowledge Required Developmental Activities Comments ­ Mid Cycle Review Comments ­ Annual Review

OPTIONAL ­ CAREER ASPIRATIONS List any career aspirations you have. What training and development will assist you in achieving this career goal? Career Goal Developmental Activities Progress ­ Mid Cycle Review Progress ­ Annual Review

Sign off of Performance and Development Plan (initial agreement). EMPLOYEE Name: Signature: REPORTING OFFICER Name: Signature: Date: _________________ Date: _________________

January 2009

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