
Employee Evaluation Checklist 
 
Performance reviews should be tailored to your type of business and the nature of the 
employee’s job function.  The Evaluation Checklist below can serve as a model for the creation 
of one that is more appropriate for your needs. 
 
Employee __________________________________________________________ 
Department _________________________________________________________ 
Date of evaluation ____________________________________________________ 
Evaluation prepared and delivered by ___________________________________ 
 
Date of last evaluation ________________________________________________ 
Items identified in last evaluation to be reviewed. 
 
 
 
 
 
 
 
 
 
  Evaluation Criteria  1 to 5 rating 
(5 = best) 
Comments 
1 Attendance & 
punctuality 
  
2 Dependability     
 
3 Appearance     
 
4 Productivity     
 
5 Work quality     
 
6 Work quantity     
 
7 Work consistency     
 
8  Knowledge of job     
 
9 Work skills     
 
10 Managerial skills