1. ,DgIIEM
Document AppraisalForm
DocumentlD: FRM-F0999-0009
Revision: 1
Date: 03March2012
Page: Page'1of 5
APPRAISALFORMSIEMOFFSHORECONTRACTORS
Name of employee: Demcuk'sersei
Dateof birth:
Job title:
Personnelnumber:
Employedsince:
Inthisjob since:
Previousappraisal:Name of appraiser(s): e r,g"'
Appraisal period: 22nddecember2014
SPECtFtCS
ls thereanythingspecificthathasaffectedtheemployee'sperformanceduringtheappraisalperiod?
Yes/No Clarification:
SCORE A = Insufficient
B = Sufficient
C = Good
D = Excellent
1. Teamwork
Theextenttowhichtheemployeecontributestooptimisingteamspiritandperformanceandhelps
colleaguesif necessaryandif he/shecan.
Score / Commentsmandatory
O---O---U---O Asexpected,goodintheteamwilhdifrerenrnationarrties
AB CD
2. lnitiative
Theextenttowhichtheemployeedevelopsinitiativesbothwithregardtoclients,the(project)team
andto his/herprofessioninsideaswellasoutsidethecompany.
Score ,7 Commentsmandatory
O---O---O---O asexp€cted,sood
AB CD
3. Decisiveness
Theextenttowhichtheemployeereachesdecisionsbytakingactionor commitshim/herselfby
expressinganopinion.
Score ,/ Commentsmandatory
O---O---O---O asexpecteo,so@
AB CD

2. )DETIEM
OFF9IE fINIFACIIAS
Document:
DocumentlD:
Revision:
Date:
AppraisalForm
FRM-F0999-0009
'l
03 March2012
4. Creativity
Theextenttowhichtheemployeecomesupwithoriginalideastosolveproblemsrelatingtohisjob.
Also,theextenttowhichtheemployeedevisesnewworkingmethodstoreplac"or
"uppi"r"ni
'
existingones.
Score .7'
o---o---o---o
AB CD
5. Knowledge
Theemployee'soverallknowledgewithregardtofacts,data,methodsandinsights,aswellas the
connectionbetweenthem.Thisincludestheoreticalknowledge,practicalknowlidgeaswellasthe
waytheemployeeputsthisknowledgeintopracticeintheperformanceof hiswori.
Score .i
o---o---o---d
AB CD
Commentsmandatory
Good,Sergejisnotworkingina team-leader hisinstructionswhichhefollows.
Commentsmandatory
excettent
6. Planningandorganising
Theextenttowhichtheemployeesetsprioritiesandobjectiveseffectivelyandstipulatestheaction,
timeandresourcesrequiredto achievecertainobiectives.
Score /
o---o---o---o
AB CD
7. Customerorientation
Theextenttowhichtheemployeeexaminesthewishesandneedsof bothinternalandexternal
customers.andactsaccordingly.Also,theextenttowhichtheemployeeanticipatescustomerneeds
andgiveshighpriorityto service-mindednessandcustomersatisiaciion.
Score /
o---o---c/---o
AB CD
Commentsmandatory
PadlyN/A,no/littleint€ractionwiththectient
8. Quality
Towhatextentdoeslheworktheemployeedeliversmeettherequiredstandardofqualitywithregard
to numberof mistakes,timelinessoftheworkandpersonaleffectiveness?
Score /, . ^ A ( ^
.r---J--J---lJ
AB CD
Commentsmandatory
Commentsmandatory

3. ntSiIEM
OfFSI{FE coN''FACI[fS
Docurnent:
DocumentlD:
Revision:
Date:
AppraisalForm
FRM-F0999-0009
1
03March2012
9. Responsibilityandcontrol
Thedegieeof responsibilitytheemployeeshowsin relationto hisiob,theorganisationandthe
colleagueshe/sheworkswith.Also,theextenttowhichtheemployeeisaccurateandensures
Droceduresarefollowedandtheprogressoftasksandprocesseschecked
score
"/o---o---@--o
AB CD
Commentsmandatory
10.Communication
Theextenttowhichtheemployeeexpresseshim/herselfina clear,structuredandpersuasivemanner'
bothinone-to-onesituationsandingroups.Also,theextenttowhichtheemployeeseesthatothers
aregivenadequateinformationandmaintainsboththeinternalandexternalcontactsrequiredby
his/heriob.
Score ./
o---o--o--o
AB CD
11.Management
Theemplo=yee'sabilityto coordinateandorganiseotherpeople'sactivitieswithinthedepartmentoron
a proleitinsucha waythatthesetgoalsareachieved,togiveorders,motivate,give(technical)
assisiance,appraiseJnd manageemployees,andtheresultsoftheseellorts(ifapplicable).
Score i
o---o---u--o
AB CD
Commentsmandatory
intheteamandc€n
Commentsmandatory

4. h
Document:
DocumentlD:
Revision:
Date:
AppraisalForm
FRrr-Fo99+0009
1
03March2012
Page4 of5
Finalscore:
tr Wellbelowexpectation,performanceandachievementstogetherarefar behindthe
requirementsto bemet.
E Felow expectalion,ona numberof pointsperformanceandachievementsare
/ substantiallybelowtherequirementstobemet.
ff Asexpected,performanceandachievementsmeetthesetrequrremenrs.
tr Beyondexpectation,performanceandachievementsclearlyexceedtheset
reourrements.
Career
Howshouldtheemployee'scareeradvance?
O Erlployeeshouldlookforajobelsewhere
O,Xoadvancementnecessary;fitstheposition
g Firstexpandpresentjob
O Moveonto a differentjobatthesamelever
O Moveontoa moredemandingjob
O Other,
Seen Approved
(signatureofappraised)
N.B.Appraiserandappraiseemaygiveexplanatorycommentsonthereverseofthisform
appraise(s))

5. rtETIEM
Document:
DocumentlD:
Revision:
Date:
AppraisalForm
FRM-Fo999-0009
1
03March2012
Explanatoryand additionalcommentson the appraisalform (to be completed
by appraiserand/orappraised)
Incase-theemployeehasthe potentialto be promotedto a higherposition,pleasemotivate
and indicatewhatwould be requiredto achievethis.
Othercommentsre,g.see PerformanceAppraisalprocedure3.d):
is a stableperson,a valuableasseton board.Goodstableworkerandteam
Seen
(signatureofappraised)
Signatureof HumanResourcesManager