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Confidential
Employee Performance Evaluation
EMPLOYEE’S NAME_______________________________________ DEPARTMENT_______________________________________
JOB CLASSIFICATION_____________________________________ HIRE DATE __________________________________________
DATE OF EVALUATION ____________________________________ DATE OF LAST EVALUATION ___________________________
TYPE OF EVALUATION Annual End of Probation Period Other
INSTRUCTIONS: This form is used to evaluate supervisory, professional, and general salaried and hourly employees. Any rate
increases, promotions and transfers require a current evaluation form. Assign a number for each rating within the scale and write that
number in the corresponding box. Points will be totaled and averaged for and overall performance score. Please review the Assigning
Performance Levels Sheet for a definition of each level.
5-Exceptional 4-Superior 3-Satisfactory 2-Improvement Needed 1-Unsatisfactory
1.
Quality
a. Work is accurate and precise. ____
b. Recognizes and points out substandard workmanship. ____
c. Displays thoroughness and completeness in work activity. ____
d. Takes proper care of equipment/keeps work area clean. ____ Average
Total ==== Divide by 4 ________
2. Productivity
a. Amount of work completed (quantity). ____
b. Utilizes time well. ____
c. Organizes in such a manner to perform responsibilities. ____ Average
Total ==== Divide by 3 ________
3. Job knowledge
a. Able to follow verbal and/or written instructions. ____
b. Uses proper procedures. ____
c. Uses proper methods and tools. ____
d. Performs work without detailed instructions. ____
e. Shows improvement on repetitive tasks. ____
f. Able to train others (if applicable). ____
g. Has practical/technical knowledge to perform job. ____ Average
Total ==== Divide by 7 _______
4. Reliability
a. Begins and finishes on time. ____
b. Requires minimum supervision; completes tasks without prompting. ____
c. Completes tasks efficiently within required time frames. ____
d. Puts in extra time and effort. ____
e. Does the best according to ability and within minimum job standards. ____ Average
Total ==== Divide by 5 ________


Look well to this day. Yesterday is but a dream and tomorrow is only a vision. But today well lived makes every yesterday a dream of happiness and every tomorrow a vision of hope. Look well therefore to this day. | Francis Gray