Marius Scheepers and Company
Attorneys

Form W - Performance Appraisal Form

Return to Forms Index

Name : _________________________________________

Employee no : __________________________________

Position : _____________________________________

Department : __________________________________

PERFORMANCE FACTORS

PERFORMANCE FACTORS					COMMENTS
Job knowledge
1	2	3	4	5
Quality of work
1	2	3	4	5
Performance against objectives
1	2	3	4	5
Communications - written and verbal
1	2	3	4	5
Safety/housekeeping
1	2	3	4	5
Problem solving
1	2	3	4	5
Quality of decisions
1	2	3	4	5
Planning of work
1	2	3	4	5
Timeous achievement of objectives
1	2	3	4	5
Development of staff
1	2	3	4	5
Flexibility
1	2	3	4	5
Team work
1	2	3	4	5
Persistence
1	2	3	4	5
Creativity/Initiative
1	2	3	4	5
Attendance/timekeeping
1	2	3	4	5

Leadership
1	2	3	4	5
Persuasiveness
1	2	3	4	5
Ability to work under pressure
1	2	3	4	5

Any factors/behaviours not mentioned above

TRAINING & DEVELOPMENT NEEDS

Indicate whether training skills or knowledge is required in each category and incidents showing these needs as well as plan of action to address training needs.

CATEGORY	SKILLS	KNOWLEDGE	INCIDENTS / EXAMPLES	PLAN OF ACTION
Job related (Technical aspects)
Ability to communicate and negotiate
Ability to handle labour relations issues
Problem solving ability
Job management ability
Ability to perform as a team member
Safety / housekeeping
Other

OVERALL PERFORMANCE RATING

EXCELLENT

Performance and results frequently exceeded position requirements for assigned objectives/tasks and job factors. Where unusual problems and situations arose, these were handled well.

ABOVE AVERAGE

Performance and results occasionally exceeded position requirements for assigned objectives/tasks and job factors.

COMPETENT

Performance and results consistently met position requirements for objectives/tasks and factors expected from a well-trained employee.

BELOW AVERAGE

Performance and results occasionally did not meet position requirements. Improvement needed to fully meet acceptable performance level.

NEEDS ATTENTION

Performance and results frequently did not meet position requirements. Corrective action must be taken to re-assign or terminate the employee's services.

COMMENTS

COMMENTS DURING COUNSELLING

EMPLOYEE'S COMMENTS

COMMENTS OF EMPLOYER

Compiled by M. Scheepers

This manual is copyright under the Berne Convention. In terms of the Copyright Act, No. 98 of 1978, no part of this manual may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without permission in writing from the author.