PERFORMANCE EVALUATION FORM FOR SECC 2011
BL Gupta
Assesee’s Name

UIS/RO/008
Employee Code

IT
Department

Chatra
Location

Sr. Executive
Designation

Nov-2011-Running
Duration spent at project site

Purpose of Review: To provide objective and timely feedback, counseling and information on the quality of performance of the employee and assist his/ her personal
and professional development.
Procedure of Review: The assesee would conduct a self appraisal. Assessor would then fill the appraisal form. Subsequently the assesses and assessor would formally
discuss the appraisal and agree on the appraisal before sign-off. Finally, the Department/ Function Head would review and approve the appraisal. If any guidance
required then HR can be communicated.
Performance Discussion Form:
Section I:
Section II:
Section III:

Filled by the Assessor during the Performance Discussion; rating the Assesses on behavioral skills
Filled by the Assessor during the Performance Discussion; identifying the strengths, areas of improvement and training needs of the Assesses.
Filled by the Assessor giving the recommended rating

The assessor is required to communicate clearly to the assesses the extent to which the assesses is meeting expectations. The rating should be supported with
comments in the spaces provided. Comments should be specific and explanatory, including examples.

1
Rating Scale: A Five-point rating scale is used for the purpose of assigning a final evaluation score to the employee. This is described below:
Far Exceeded
Expectations

Exceeded
Expectations

Met
Expectations

Partially Met
Expectations

5

4

3

2

Did Not Meet
Expectations
1

• Far exceeded Expectations (FEE): Accomplishments are rarely equaled, are clearly obvious to management team and key work partners and serves as a role model;
indicating strong potential for rapid future development
• Exceeded Expectations (EE): Consistently achieves high levels of commendable performance and is recognized as highly effective by management team and key
work partners; indicating potential for future advancement
• Met Expectations (ME): Overall, a solid performer who is recognized as effective by management team and key work partners. Performance may exceed
expectations at times
• Partially Met Expectations (PME): Minimum job requirements are accomplished; however, some progress is required in order to consistently meet performance
expectations
• Did not meet Expectations (DNME): Performance is below acceptable level and immediate improvement is needed in order to reach an acceptable level of
performance

2
SECTION – I: BEHAVIORAL COMPETENCIES EVALUATION
Competency
INDIVUAL COMPETENCIES
1) Approach to Work

ASSESSORS REMARKS
2) Professional
Attitude

ASSESSORS REMARKS
3) Job Knowledge

ASSESSORS REMARKS
4) Interpersonal/
Communication Skills

Use this Section to rate the assesee on the defined Behavioral skills.

Key Competency Indicators

Self
Rating

Reporting
Officer

The employee demonstrates (कमरचारी दशारता है) :
• Self motivation (सव पेरणा)
• flexibility and adaptability (नमता और अनुकूलन कमता)
• enthusiasm (उतसाह)
• pride in his/her accomplishments (उसका / उसकी उपलिबधयो मे गौरव करना)

5
4
3
2
1

5
4
3
2
1

The Employee (कमरचारी) :
• works effectively under pressure (दबाव मे ढंग से काम करता है)
• exhibits a positive attitude (एक सकारातमक रवैया पदिशत करता है)
• treats coworkers and other associates with professionalism and respect (वावसाियकता और
सममान के साथ सहकिमयो और अनय सहयोिगयो के साथ ववहार करता है)
• welcomes, responds, and takes corrective actions to constructive criticism (सुधारातमक
काररवाई लेता है जब िकसी तरह की िशकायत उसके सामने उसके बारे मे की जाती है तो)

5
4
3
2
1

5
4
3
2
1

The Employee (कमरचारी):
• commands base knowledge to perform the job (अपने जान का इसतेमाल करता है काम को करने के
िलए)
• knows and demonstrates their basic job responsibilities (बुिनयादी काम की िजममेदािरयो को समझता
और दशारता है)
• consistently attempts to expand their job knowledge and keeps abreast of new
developments in their field (लगातार अपना काम के जान का िवसतार करने का पयास करता है और
अपने केत मे नए घटनाकम के बराबर रहता है)

5
4
3
2
1

5
4
3
2
1

The employee (कमरचारी):
• communicates effectively with all levels both orally and in writing (सभी सतरो मे- दोनो मौिखक
रप से और िलिखत रप- कमरचारी ढंग से काम करता है)
• has the confidence of other people (अनय लोगो का िवशास है)
• shares information appropriately, timely, with tact and diplomacy (जानकारी को िशषाचार के
साथ, उिचत समय पर बांटता है )
• keeps his/her supervisors informed as appropriate (अपने पयरवकक को समय से और सही जानकारी
े
उपलबध कराता है)

5
4
3
2
1

5
4
3
2
1

3

Average
ASSESSORS REMARKS
5) Judgment/DecisionMaking Skills

The employee (कमरचारी):
• sets and carries out priorities ( काम के पाथिमकता को बनाता और समझता है)
• balances competing and/or conflicting interests (पितसपधार और / या परसपर िवरोधी िहतो को संभाल
कर चलता है)
• develops logical and creative solutions to problems and makes effective decisions ( समसयाओ
का तािकक और रचनातमक समाधान करता है और पभावी िनणरय लेता है)

5
4
3
2
1

5
4
3
2
1

ASSESSORS REMARKS
6) Time Management

ASSESSORS REMARKS
7) Supervisory
Responsibility

The employee (कमरचारी):
• adheres to departmental attendance and punctuality guidelines (िवभागीय उपिसथित और समय की
महतवता को मानता है)
• schedules effectively and makes efficient use of time while at work (काम के समय को पभावी
तरीके से उपयोग करता है)

5
4
3
2
1

5
4
3
2
1

The employee(कमरचारी):
trains, develops, and mentors his/her staff (अपने सहयोगी को पिशकण देता है)
faces performance issues candidly and squarely (समसयाओ का सामना हर तरीके से करता है)
clearly sets achievable goals for department (िवभाग के लकय को बनाता है और अमल करता है)
ensures that goals are met on a timely and accurate basis (लकय को समय और सही तरीके से पाने की
कोिशश करता है)
ensures that he/she and his/her staff comply with training requirements (पिशकण के जररतो को
धयान मे रखता एवं दूसरो को भी रखवाता है )
develops, delivers timely and meaningful Performance Evaluations (पदशरन मूलयांकन को िवकिसत
और साथरक करता है)
Implements policies and procedures with staff (नीितयो और अनय पिकयाओ को बाकी लोगो के
सामने लागू करता है )

5
4
3
2
1

5
4
3
2
1

5
4
3
2
1

5
4
3
2
1

•
•
•
•
•
•
•

ASSESSORS REMARKS
8) Leadership

The employee(कमरचारी):
• fosters and sets high standards for his/her employees (बाकी लोगो के िलए मापदंड बनाता है और उसका
पालन करने का बढ़ावा देता है)
• effectively delegates, ensures that employees are clearly and properly directed (बाकी लोग
सही रासते पे चले इसके िलए पभावी ढंग से पितिनधतव करता है)
• sets an example in terms of vision, confidence, and integrity (दृिष, िवशास, और अखंडता का खुद
•

उदाहरण बनाता है

Acts as a role model (एक रोल मॉडल के रप मे कायर करता है)
4
•
ASSESSORS REMARKS
9) Communication
and Feedback

10) Discipline

initiates change when necessary, encourages others to accept change (बदलाव को लाता है और
दूसरो को बढ़ावा देता है उसे सवीकार करने के िलए)

The employee(कमरचारी):
• provides constructive feedback to his/her employees (अपने कमरचािरयो को सही सुझाव देता है)
• is a good listener (सबकी सुनता है )
• is accessible to his/her staff (दूसरो के िलए आसान है उसको संपकर करना)
• performs meaningful, timely, and collaborative performance evaluation with his/her
employees (पदशरन मूलयांकन को सही समय पर सहकिमयो के सामने लाता है )
• communicates organizational goals, values, appropriate business updates (कं पनी से जुड़ी हर
जररती बात बताता है)
• exhibits foresight in recognizing potential problems and develops solutions (भावी समसयाओ को
समझता है और उसका समाधान िनकालता है)
The employee (कमरचारी):
• Follows Company rules and regulations (कं पनी के िनयमो का पालन करता है )
• Understands the change and cause of change brought in the company (कं पनी मे हए बदलाव और
उसके कारणो को समझता है )

ASSESSORS REMARKS
Total Rating =

5

5
4
3
2
1

5
4
3
2
1

5
4
3
2
1

5
4
3
2
1
SECTION - III: FINAL EVALUATION

1.

What were your roles and responsibilities in the SECC project? (SECC पिरयोजना मे अपनी भूिमकाओ और िजममेदािरयो का
िववरण दे?)

As Sr. Executive IT so our responsibility is to troubleshooting technical issues as well as
time to time update our technical skill and trained our junior executive in SECC project .

2.

What kind of effort/initiatives did you show to improve the ways of working in the project? (आपने अपने योगयता का

इसतेमाल इस पोजेकट के दरिमयान कै से िकया?

3.
First of all I read the carefully SECC project then after I applied the time management, risk management, cost
analysis and discipline .in which I gained the previous company. How to done SECC project by systematic way.
1. Trained the operator and supervisor also Enumerator (Teacher).
2. How to done troubleshooting if any technical problems occurs.

4.

How did you help your team members? Give example. (आपने अपने सहयोिगयो की मदद कै से की? उदाहरण दे।)

Time to time given proper guidelines.
There is an employee who did not find the actual data which was deleted from computer and
Tablet PC then I told that use the SQL DATA recovery software to recover the whole data.

5.

Any challenges faced by you or by the team, how did you overcome it or helped your team to get out of it? Give
example. (िकसी भी समसया या चुनौती का सामना आपने कै से िकया और सहयोिगयो को इस समसया से कै से िनकाला। उदाहरण दे।)

There are many challenges faced in our District because we had target to hire the operator and supervisor (850) in
few days to execute the SECC project then we are conducted interview through the Institute and colleges and give
advertisement in local news paper.

6
Employee Name:

Total Marks

Department:

Total Score

7

Percentage
Final Rating

FEE

Percentage
Rating

EE

ME

>40%
DNME

PME

DNME

>50%
PME

<75%
ME

<85%
EE

100%
FEE

SIGNATURES

Assessor: This is my evaluation of the employee's performance during the review period.

Date

Reviewer: I agree with this evaluation.

Date

8

Performance evaluation form

  • 1.
    PERFORMANCE EVALUATION FORMFOR SECC 2011 BL Gupta Assesee’s Name UIS/RO/008 Employee Code IT Department Chatra Location Sr. Executive Designation Nov-2011-Running Duration spent at project site Purpose of Review: To provide objective and timely feedback, counseling and information on the quality of performance of the employee and assist his/ her personal and professional development. Procedure of Review: The assesee would conduct a self appraisal. Assessor would then fill the appraisal form. Subsequently the assesses and assessor would formally discuss the appraisal and agree on the appraisal before sign-off. Finally, the Department/ Function Head would review and approve the appraisal. If any guidance required then HR can be communicated. Performance Discussion Form: Section I: Section II: Section III: Filled by the Assessor during the Performance Discussion; rating the Assesses on behavioral skills Filled by the Assessor during the Performance Discussion; identifying the strengths, areas of improvement and training needs of the Assesses. Filled by the Assessor giving the recommended rating The assessor is required to communicate clearly to the assesses the extent to which the assesses is meeting expectations. The rating should be supported with comments in the spaces provided. Comments should be specific and explanatory, including examples. 1
  • 2.
    Rating Scale: AFive-point rating scale is used for the purpose of assigning a final evaluation score to the employee. This is described below: Far Exceeded Expectations Exceeded Expectations Met Expectations Partially Met Expectations 5 4 3 2 Did Not Meet Expectations 1 • Far exceeded Expectations (FEE): Accomplishments are rarely equaled, are clearly obvious to management team and key work partners and serves as a role model; indicating strong potential for rapid future development • Exceeded Expectations (EE): Consistently achieves high levels of commendable performance and is recognized as highly effective by management team and key work partners; indicating potential for future advancement • Met Expectations (ME): Overall, a solid performer who is recognized as effective by management team and key work partners. Performance may exceed expectations at times • Partially Met Expectations (PME): Minimum job requirements are accomplished; however, some progress is required in order to consistently meet performance expectations • Did not meet Expectations (DNME): Performance is below acceptable level and immediate improvement is needed in order to reach an acceptable level of performance 2
  • 3.
    SECTION – I:BEHAVIORAL COMPETENCIES EVALUATION Competency INDIVUAL COMPETENCIES 1) Approach to Work ASSESSORS REMARKS 2) Professional Attitude ASSESSORS REMARKS 3) Job Knowledge ASSESSORS REMARKS 4) Interpersonal/ Communication Skills Use this Section to rate the assesee on the defined Behavioral skills. Key Competency Indicators Self Rating Reporting Officer The employee demonstrates (कमरचारी दशारता है) : • Self motivation (सव पेरणा) • flexibility and adaptability (नमता और अनुकूलन कमता) • enthusiasm (उतसाह) • pride in his/her accomplishments (उसका / उसकी उपलिबधयो मे गौरव करना) 5 4 3 2 1 5 4 3 2 1 The Employee (कमरचारी) : • works effectively under pressure (दबाव मे ढंग से काम करता है) • exhibits a positive attitude (एक सकारातमक रवैया पदिशत करता है) • treats coworkers and other associates with professionalism and respect (वावसाियकता और सममान के साथ सहकिमयो और अनय सहयोिगयो के साथ ववहार करता है) • welcomes, responds, and takes corrective actions to constructive criticism (सुधारातमक काररवाई लेता है जब िकसी तरह की िशकायत उसके सामने उसके बारे मे की जाती है तो) 5 4 3 2 1 5 4 3 2 1 The Employee (कमरचारी): • commands base knowledge to perform the job (अपने जान का इसतेमाल करता है काम को करने के िलए) • knows and demonstrates their basic job responsibilities (बुिनयादी काम की िजममेदािरयो को समझता और दशारता है) • consistently attempts to expand their job knowledge and keeps abreast of new developments in their field (लगातार अपना काम के जान का िवसतार करने का पयास करता है और अपने केत मे नए घटनाकम के बराबर रहता है) 5 4 3 2 1 5 4 3 2 1 The employee (कमरचारी): • communicates effectively with all levels both orally and in writing (सभी सतरो मे- दोनो मौिखक रप से और िलिखत रप- कमरचारी ढंग से काम करता है) • has the confidence of other people (अनय लोगो का िवशास है) • shares information appropriately, timely, with tact and diplomacy (जानकारी को िशषाचार के साथ, उिचत समय पर बांटता है ) • keeps his/her supervisors informed as appropriate (अपने पयरवकक को समय से और सही जानकारी े उपलबध कराता है) 5 4 3 2 1 5 4 3 2 1 3 Average
  • 4.
    ASSESSORS REMARKS 5) Judgment/DecisionMakingSkills The employee (कमरचारी): • sets and carries out priorities ( काम के पाथिमकता को बनाता और समझता है) • balances competing and/or conflicting interests (पितसपधार और / या परसपर िवरोधी िहतो को संभाल कर चलता है) • develops logical and creative solutions to problems and makes effective decisions ( समसयाओ का तािकक और रचनातमक समाधान करता है और पभावी िनणरय लेता है) 5 4 3 2 1 5 4 3 2 1 ASSESSORS REMARKS 6) Time Management ASSESSORS REMARKS 7) Supervisory Responsibility The employee (कमरचारी): • adheres to departmental attendance and punctuality guidelines (िवभागीय उपिसथित और समय की महतवता को मानता है) • schedules effectively and makes efficient use of time while at work (काम के समय को पभावी तरीके से उपयोग करता है) 5 4 3 2 1 5 4 3 2 1 The employee(कमरचारी): trains, develops, and mentors his/her staff (अपने सहयोगी को पिशकण देता है) faces performance issues candidly and squarely (समसयाओ का सामना हर तरीके से करता है) clearly sets achievable goals for department (िवभाग के लकय को बनाता है और अमल करता है) ensures that goals are met on a timely and accurate basis (लकय को समय और सही तरीके से पाने की कोिशश करता है) ensures that he/she and his/her staff comply with training requirements (पिशकण के जररतो को धयान मे रखता एवं दूसरो को भी रखवाता है ) develops, delivers timely and meaningful Performance Evaluations (पदशरन मूलयांकन को िवकिसत और साथरक करता है) Implements policies and procedures with staff (नीितयो और अनय पिकयाओ को बाकी लोगो के सामने लागू करता है ) 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 • • • • • • • ASSESSORS REMARKS 8) Leadership The employee(कमरचारी): • fosters and sets high standards for his/her employees (बाकी लोगो के िलए मापदंड बनाता है और उसका पालन करने का बढ़ावा देता है) • effectively delegates, ensures that employees are clearly and properly directed (बाकी लोग सही रासते पे चले इसके िलए पभावी ढंग से पितिनधतव करता है) • sets an example in terms of vision, confidence, and integrity (दृिष, िवशास, और अखंडता का खुद • उदाहरण बनाता है Acts as a role model (एक रोल मॉडल के रप मे कायर करता है) 4
  • 5.
    • ASSESSORS REMARKS 9) Communication andFeedback 10) Discipline initiates change when necessary, encourages others to accept change (बदलाव को लाता है और दूसरो को बढ़ावा देता है उसे सवीकार करने के िलए) The employee(कमरचारी): • provides constructive feedback to his/her employees (अपने कमरचािरयो को सही सुझाव देता है) • is a good listener (सबकी सुनता है ) • is accessible to his/her staff (दूसरो के िलए आसान है उसको संपकर करना) • performs meaningful, timely, and collaborative performance evaluation with his/her employees (पदशरन मूलयांकन को सही समय पर सहकिमयो के सामने लाता है ) • communicates organizational goals, values, appropriate business updates (कं पनी से जुड़ी हर जररती बात बताता है) • exhibits foresight in recognizing potential problems and develops solutions (भावी समसयाओ को समझता है और उसका समाधान िनकालता है) The employee (कमरचारी): • Follows Company rules and regulations (कं पनी के िनयमो का पालन करता है ) • Understands the change and cause of change brought in the company (कं पनी मे हए बदलाव और उसके कारणो को समझता है ) ASSESSORS REMARKS Total Rating = 5 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
  • 6.
    SECTION - III:FINAL EVALUATION 1. What were your roles and responsibilities in the SECC project? (SECC पिरयोजना मे अपनी भूिमकाओ और िजममेदािरयो का िववरण दे?) As Sr. Executive IT so our responsibility is to troubleshooting technical issues as well as time to time update our technical skill and trained our junior executive in SECC project . 2. What kind of effort/initiatives did you show to improve the ways of working in the project? (आपने अपने योगयता का इसतेमाल इस पोजेकट के दरिमयान कै से िकया? 3. First of all I read the carefully SECC project then after I applied the time management, risk management, cost analysis and discipline .in which I gained the previous company. How to done SECC project by systematic way. 1. Trained the operator and supervisor also Enumerator (Teacher). 2. How to done troubleshooting if any technical problems occurs. 4. How did you help your team members? Give example. (आपने अपने सहयोिगयो की मदद कै से की? उदाहरण दे।) Time to time given proper guidelines. There is an employee who did not find the actual data which was deleted from computer and Tablet PC then I told that use the SQL DATA recovery software to recover the whole data. 5. Any challenges faced by you or by the team, how did you overcome it or helped your team to get out of it? Give example. (िकसी भी समसया या चुनौती का सामना आपने कै से िकया और सहयोिगयो को इस समसया से कै से िनकाला। उदाहरण दे।) There are many challenges faced in our District because we had target to hire the operator and supervisor (850) in few days to execute the SECC project then we are conducted interview through the Institute and colleges and give advertisement in local news paper. 6
  • 7.
  • 8.
    Final Rating FEE Percentage Rating EE ME >40% DNME PME DNME >50% PME <75% ME <85% EE 100% FEE SIGNATURES Assessor: Thisis my evaluation of the employee's performance during the review period. Date Reviewer: I agree with this evaluation. Date 8