Sample Employee Evaluation Form

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Sample Employee Evaluation Form

  1. 1. 1 EMPLOYEE PERFORMANCE EVALUATION Personnel Information Employee’s Name ___________________________ Employee Number _______________________ Job Title ___________________________________ Supervisor _____________________________ Period Covered _____________ to _____________ Date of Evaluation _______________________ Evaluation Instructions This form is designed to allow the supervisor to evaluate the employee’s performance over a specified period. Each of the areas should be discussed and the employee given suggestions for improving his/her performance. The following categories are used to grade an employee’s performance: 1 Excellent Consistently exceeds expectations of his/her position. 2 Very Good Meets and occasionally exceeds expectations 3 Satisfactory Meets expectations 4 Conditional Below expectations 5 Warning Does not meet the minimum acceptable performance 1. Position Knowledge Understands essential functions of the position and uses other resources effectively to gain knowledge needed. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 2. Work Quality Accuracy, neatness, effective completion of assignments, and attention to detail. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 3. Productivity Volume of work completed and effective use of resources to make best use of time. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________
  2. 2. © 2002, CAA/RJL 4. Teamwork Willingness to work with others and considers coworkers’ ideas. Ability to get along with coworkers and treat them withe respect. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 5. Dependability Can be relied upon to follow instructions, follow instructions, complete assigned tasks, and attend meetings. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 6. Judgment Uses sound reasoning to make decisions and has necessary information for making decisions. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 7. Initiative Willingness to accept responsibility independently. Eagerness to learn and use new methods to accomplish tasks. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 8. Adaptability Ability to work under changed or new situations or working conditions. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ © 2002, CAA/RJL
  3. 3. 9. Workload Planning Ability to organize work to accomplish the tasks assigned. Ensures that the plan is consistent with the team goals. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 10. Overall Evaluation Overall evaluation considering all of the factors above and any other relevant information. Evaluation 1 2 3 4 5 Comments _______________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Employee’s Strengths 1. _________________________________________________________________________________________ 2. _________________________________________________________________________________________ 3. _________________________________________________________________________________________ Areas for Improvement 1. _________________________________________________________________________________________ 2. _________________________________________________________________________________________ 3. _________________________________________________________________________________________ Employee’s Comment ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Signatures _____________________________________________ _______________ Employee Date _____________________________________________ _______________
  4. 4. Supervisor Date © 2000, CAA/RJL

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