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EMPLOYEE PERFORMANCE ASSESSMENT
Employee: __________________ Employee’s Position: _________________
Employer: __________________ Evaluator: __________________________
Instructions: The immediate supervisor should evaluate the employee. Additional comments
are particularly helpful to the employee.
PLEASE CIRCLE:
Attitude Towards Work: Communication Skills: Safety Procedures:
Very Good A. Oral (Where applicable)
Average Very Good Satisfactory
Needs Improvement Average Unsatisfactory
N/A Needs Improvement
A. Written
Very Good
Average
Needs Improvement
Attendance: Quality of Work: Organization & Planning:
Reliable Above Average Able to manage time
Needs Improvement Average Adequate
Unreliable Below Average Disorganized, fails to plan
Relations With Others: Judgement: Initiative:
Works well with others Above average in making decisions Self Starter (seeks work)
Gets along satisfactorily Usually makes the right decision Goes ahead independently
Has difficulty working Often uses poor judgement at times
with others Consistently uses bad judgement Does all assigned work
N/A Hesitates
Lacks Motivation
Overall Performance:
Excellent
Good
Average
Below Average
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