Appraisal Form
Name
First Name
Last Name
Position
Please Select
Security Officer
Mobile Driver
Supervisor
Manager
Admin
Control Room
Head Office Staff
Other
Date of appointment to the Role
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Day
-
Month
Year
Date
ASSESSMENT CRITERIA
1. Attitude to Work
Worst
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2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
2. Willingness to take responsibility
Worst
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2
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6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
3. Timekeeping and sickness record
Worst
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2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
4. Ability to work without supervision
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
5. Ability to work under pressure
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
6. Relationship with others
Worst
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2
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7
8
9
Best
10
1 is Worst, 10 is Best
Comments
7. Communication skills
Worst
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2
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7
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9
Best
10
1 is Worst, 10 is Best
Comments
8. Understanding of the role
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
9. Quality and accuracy of work
Worst
1
2
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5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
10. Willing to learn, train and support NPR in meeting their objectives
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Comments
SUMMARY OF PERFORMANCE DISCUSSION
To be discussed by the Appraiser and Appraisee. Summary of the discussion to be recorded.
What areas have you performed well in the last 12 months?
What areas do you require development on?
Has there been any compliments, complaints etc raised in the last 12 months?
Does the management support you in your role?
Overall feedback including any feedback from peers or customers
Results of any training
HEALTH SURVEILLANCE
Overall summary of health
KEY ACTIONS AND OBJECTIVES FOR THE NEXT PERIOD
Actions and objectives
ANYTHING ELSE
Any other points to discuss - employer/employee
DECLARATION
Please tick box to confirm
I confirm that the employee fully understands the outcome of the appraisal and that the report is a true reflection of the appraisal
Signature of employee
Signature of Appraiser
Date of appraisal
-
Month
-
Day
Year
Date
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