5th Month KPI Evaluation Form (Revised)

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FINAL PROBATIONARY EMPLOYEE PERFORMANCE EVALUATION

Employee Name: Evaluation Period:


Position: Department:
Hire Date: End of Probationary:
Basic Pay: Performance Allowance:
FOR HRD USE ONLY Last Performance Evaluation Result:
PART I. Performance and Work Assessment

Instructions to Evaluator: Raters should refer to the employee’s job description when completing this form, the
evaluation should focus on the employee’s ability to perform the job duties listed in the job description. Use the
following scale: 1 = Unsatisfactory ; 2 = Fair ; 3 = Satisfactory; 4 = Very Satisfactory; 5 =
Outstanding
ATTRIBUTE (50%)
QUALITY OF WORK
The extent to which the employee accomplishes assigned work of a specific quality within a
specified time period.  

QUALITY OF WORK
The extent to which the employee's work is well executed, thorough, effective, accurate.  
KNOWLEDGE OF JOB
The extent to which the employee knows and demonstrates how and why to do all phases of
assigned work, given the employee's length of time in his/her current position.  
RELATIONS WITH SUPERVISOR
The manner in which the employee responds to supervisory directors and comments. The
extent to which the employee seeks counsel from supervisor on ways to improves
performance and follows the same.  
COOPERATION WITH OTHERS
The extent to which the employee gets along with other individuals. Consider employee's
tact, courtesy and effectiveness in dealing with co-workers, subordinates, supervisors and
customers.  
ATTRIBUTE (50%)
ATTENDANCE AND RELIABILITY
The extent to which employee arrives on time and demonstrates consistent attendance, the
extent to which the employee contacts supervisor on timely basis when employee will be
late or absent  
INITIATIVE AND CREATIVITY
The extent to which the employee is self-directed, resourceful and creative in meeting job
objectives , consider how well the employee follows through on assignments and modifies
or develops new ideas, methods, or procedures to effectively meet changing circumstances.  
CAPACITY TO DEVELOP
The extent to which the employer demonstrates the ability and willingness to accept
new/more complex duties/responsibilities  

Raw Score Score in Percentage

STANDARD OVERALL PERFORMANCE RATING


ADJECTIVAL % EFFECT
EQUIVALENT EQUIVALEN
T
Outstanding 91 – 100 Management Discretion

Very Satisfactory 81 - 90 Salary Increase

Meets Standards 61 - 80 Regularization

Did not meet Standards 0 - 60 End of Contract

OTHER COMMENTS:
This portion is intended to help the employee improve himself/herself. Please be as specific and concrete as possible in order that the objective of improving and
eventually career pathing the employee may be achieved.
AREAS OF IMPROVEMENT ACTION PLANS SCHEDULE

RATER’S GENERAL COMMENTS / RECOMMENDATIONS:

Comments to Evaluator and Employee: Raters should discuss the evaluation results with the employee. Employees must be
given a copy of the evaluation for their own records. Both the rater and employee should sign the evaluation form. The
employee’s signature indicates only that the employee received a copy of the evaluation. Both employee and raters are
strongly encouraged to include written comment. At the final evaluation only, after the employee signs the form, the rater
should give one copy to the employee, retain one copy for department files and forward one copy to Human Resources
Department.

Rater’s Name and Signature: Ratee’s Name and Signature:

Date:
I totally agree.
I somewhat disagree.
I totally disagree.

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