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    Employee Appraisal Form - 2015: Employee Name: Dr. Ayesha Shamshad HRD Code

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    salman
    1) This employee appraisal form is for Dr. Ayesha Shamshad, who works in the Health Department of the Head Office, and covers the period of 2015. 2) The form includes sections to rate the employee's performance on predefined goals, competencies, and an overall rating, and to create a development plan. 3) Upon completion of the review, the appraiser, department head, employee, and HR representative must all sign the form to acknowledge their concurrence with the assessment and plans outlined.

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    Employee Appraisal Form - 2015: Employee Name: Dr. Ayesha Shamshad HRD Code

    Uploaded by

    salman
    178 views8 pages
    1) This employee appraisal form is for Dr. Ayesha Shamshad, who works in the Health Department of the Head Office, and covers the period of 2015. 2) The form includes sections to rate the employee's performance on predefined goals, competencies, and an overall rating, and to create a development plan. 3) Upon completion of the review, the appraiser, department head, employee, and HR representative must all sign the form to acknowledge their concurrence with the assessment and plans outlined.

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    Up Raisal Form

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    1) This employee appraisal form is for Dr. Ayesha Shamshad, who works in the Health Department of the Head Office, and covers the period of 2015. 2) The form includes sections to rate the employee's performance on predefined goals, competencies, and an overall rating, and to create a development plan. 3) Upon completion of the review, the appraiser, department head, employee, and HR representative must all sign the form to acknowledge their concurrence with the assessment and plans outlined.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    178 views8 pages

    Employee Appraisal Form - 2015: Employee Name: Dr. Ayesha Shamshad HRD Code

    Uploaded by

    salman
    1) This employee appraisal form is for Dr. Ayesha Shamshad, who works in the Health Department of the Head Office, and covers the period of 2015. 2) The form includes sections to rate the employee's performance on predefined goals, competencies, and an overall rating, and to create a development plan. 3) Upon completion of the review, the appraiser, department head, employee, and HR representative must all sign the form to acknowledge their concurrence with the assessment and plans outlined.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 8

    EMPLOYEE APPRAISAL FORM - 2015

    Employee Name:

    Dr. Ayesha Shamshad

    Department / Branch/
    Division:

    Head Office

    Location:

    Health Department

    HRD Code:

    HR/HO/HID/0132

    Cadre:

    Assistant Manager

    Employee #:

    115465

    Effective evaluation of job performance is a continuous process throughout the year. This form is to be used for annual
    evaluations. It may also be used at other times during the year when formal feedback is needed.

    Rating Scale
    Rating 5

    Outstanding
    Performance far exceeds expectations. Exceptionally high quality of work performed in all essential areas of
    responsibility. Quality of work/contribution is superior and is key contributor to department and organizational
    objectives. This individual self motivated to produce top quality performance and results. A development plan needs to
    be completed for staff rated 5 in order to leverage on the employees strengths and ensure retention.

    Rating 4

    Very Good
    Performance exceeds expectations in essential areas of responsibility, and the quality of work overall is excellent.
    Annual goals are met or exceeded consistently.

    Rating 3

    Good
    Performance meets expectations in essential areas of responsibility, at times even exceeding expectations, the quality
    of work overall is good. Meets all critical annual goals 100%.

    Rating 2

    Fair
    Performance does not consistently meet expectations performance fails to meet expectations in one or more
    essential areas of responsibility, and one or more of the most critical goals were not met. A professional development
    plan to improve performance must be outlined in Section 5, including timelines, and monitored to measure progress.

    Rating 1

    Poor
    Performance is consistently below expectations in most essential areas of responsibility, and/or reasonable progress
    toward critical goals is not made. Significant improvement is needed in one or more important areas. A development
    plan to correct performance, including timelines, must be outlined and monitored to measure progress.

    e is

    Employee Appraisal Form Page 1 of 5

    Section 1 Goals Vs. Achievement


    Rate the progress made on each of the goals which were established at the beginning of the period. It is mandatory to
    document the rationale and justification for each rating in the appropriate space provided and assigned score on a scale
    of 1-5 (1=lowest; 5 = highest)

    S.No.

    Set weights for each goal according to


    departmental priority. Each goal should
    Include clear measures and targets.
    (SMART format)

    Financials:

    Customer:

    Process:

    People Management:

    Total Score (OVERALL RATING)

    Achievements

    Weightage
    (a)

    Score
    (b)

    Total 100%

    (1 - 5)

    Weighted
    Score
    (a) x (b)

    Name:

    Employee #:

    HRD Code:

    Employee Appraisal Form Page 2 of 5

    Section 2 Competencies
    These include knowledge, skills and basic abilities. Rate each factor based on performance during the period identified
    above on a scale of 1-5 (1=lowest; 5 = highest). The factors include knowledge and skills required in order to be successful
    in the position. It is mandatory to provide a justification for each rating. There is no weightage for the competencies these
    are to be used as guidelines for employee development only.

    Provide Justification / Rationale for


    each rating
    a) Analytical Skills:
    Has ability to visualize, articulate and solve problems and
    make decisions based on available information, has ability
    to apply logical thinking in gathering and analyzing data.

    b) Teamwork:
    Cooperates and collaborates with colleagues. Participates
    and contributes towards job/task/project as appropriate;
    works in partnership with others.
    c) Customer Focus:
    Ensures efficient, effective, high quality service to the
    customer at all times. Takes care of customer needs in a
    positive and effective manner.
    Strives to maximize the total value to the customer and is
    commitment to providing value added services to external
    and internal customers.
    d) Innovation/ Creativity:
    Has ability to implement radical and revolutionary changes
    in thinking, products and processes involving generation
    of new ideas or concepts.

    e) Decision Making:
    Demonstrates ability to identify and analyze problems and
    take appropriate actions / decisions to resolve issues.

    f)

    Interpersonal Skills:
    Has well developed Interpersonal skills required for
    building strong relationships, dealing with and relating to
    other people, largely on a one- to-one basis.

    g) Communication:
    Connects with peers, subordinates and customers.
    Actively listens, clearly and effectively shares information.
    Demonstrates effective oral and written communication
    skills.
    h) People Management - (To be completed for individuals
    with people management responsibility):
    Manages staff by being clear about what is to be
    achieved, how it is to be done, to what standards, by
    when, within what budget, motivates them and ensures
    accountability for delivery.
    i)

    Work Knowledge:
    Demonstrates solid professional knowledge and
    understanding of principles and practices pertaining to the
    job.

    Rating
    (1 5)

    Name:

    Employee #:

    HRD Code:

    Employee Appraisal Form Page 3 of 5

    Section 3 Overall Rating


    Section 3 Overall Rating
    Please insert overall rating of Section 1 (Page # 2) only.
    OVERALL RATING
    5

    Outstanding

    Very Good

    Good

    Fair

    Poor

    Section 4 Overall Comments


    Section 4 Overall Comments
    This section includes employees and managements
    concurrence/agreement of all concerned parties.

    comments

    as

    well

    as

    written

    acknowledgement

    and

    Appraisers Comments & signature

    _________________________
    Appraisers Name & Signature

    __________________
    Date

    Department/ Functional/ Divisional Head Comments & signature

    ________________________
    Heads Name & Signature

    __________________
    Date

    Employee Comments & signature

    _______________________
    Employees Signature

    ___________________
    Date

    HR Comments

    __________________________
    Signature of HR Representative

    ___________________
    Date

    Name:

    Employee #:

    HRD Code:

    Employee Appraisal Form Page 4 of 5

    Section 4 Employee Development Plan


    Employees areas of development as identified through the appraisal process should be highlighted in this section. Include
    specific development actions to be taken and realistic timeframes / dates.
    These actions should be completed by the appraiser jointly with the appraisee.

    Current Year (2012)

    Training & Development


    Plan
    (Training/ Job Rotation/
    Special Projects)

    Status/Remarks

    Next Year (2013)


    Training & Development
    Plan
    (Training/ Job Rotation/
    Special Projects)

    Action Plan &


    Target Date

    Status/Remarks

    Note: Please keep a photocopy of this section. The Employee Development Plan is to be referred to throughout the year to
    incorporate any changes and to ensure plan is implemented on target dates identified.

    Signature of Appraisee
    Name:

    Signature of Appraiser
    Employee #:

    HRD Code:

    Employee Appraisal Form Page 5 of 5

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