874 Employee Performance Review
874 Employee Performance Review
874 Employee Performance Review
Date ___________________
Department _________________________
Part 1: Circle the number that best represents employees performance for each item.
1. Quality/accuracy of work
1
2
Deficient
Below Standard
3
Meets Expectations
4
Above Standard
5
Outstanding
2. Quantity of work
1
Deficient
2
Below Standard
3
Meets Expectations
4
Above Standard
5
Outstanding
3. Dependability
1
Deficient
2
Below Standard
3
Meets Expectations
4
Above Standard
5
Outstanding
4. Attendance/Punctuality
1
2
Deficient
Below Standard
3
Meets Expectations
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
3
Meets Expectations
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
3
Meets Expectations
4
Above Standard
5
Outstanding
9. Open to feedback
1
Deficient
3
Meets Expectations
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
2
Below Standard
Page 1 of 3
4
Above Standard
5
Outstanding
3
Meets Expectations
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
4
Above Standard
5
Outstanding
Deficient
2
Below Standard
Part 2: Explanation/description of concerns regarding any items with scores of 1 or 2, along with plans
for making necessary improvements. Enter N/A for any items with scores of 3 or higher.
Item
1
Concerns:
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Employee Performance Review
Page 2 of 3
Completed by:
________________________________
Employee Name (Please Print)
________________________________
Signature
______________
Date
________________________________
Supervisor Name (Please Print)
________________________________
Signature
______________
Date
________________________________
HR Representative (Please Print)
________________________________
Signature
______________
Date
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