EMPLOYEE PERFORMANCE REPORT
EMPLOYEE: DATE FROM: 3/01/04 TO: 2/28/05
TOTAL NON-SCHEDULED ABSENCES: TOTAL NON-SCHEDULED TARDINESS / EARLY DEPARTURES: 1/2 1
SCORE 10 WEIGHT 7 6 5 5 4 3 3 3 2 2
EMPLOYEE RATING QUALITY of work: Accurate & Careful PRODUCTIVITY Job KNOWLEDGE and application of requirements INITIATIVE – Asks for more work / Notifies Supervisor of problems ATTITUDE – works well with others INDEPENDENCE – Ability to work without supervision ATTENDANCE TARDINESS / EARLY DEPARTURE PAPERWORK: completeness, accuracy, legibility SAFETY & HOUSEKEEPING
9
8 X X
7
6
5
4
3
2
1
Overall Score
Outstanding
Exceeds
Meets
Needs Improvement
Unsatis -factory
X X X X X X X X TOTAL: COMPANY AVERAGE:
56 48 25 35 32 21 27 30 12 14 300 264
DOCUMENT ALL CHANGES (greater than 1 point) FROM PREVIOUS REVIEW: PREVIOUS CURRENT AREA SCORE SCORE REASON FOR CHANGE
USE BELOW CHARTS TO DETERMINE SCORE FOR ABSENCES & TARDINESS / EARLY DEPARTURE:
TARDINESS / EARLY DEPARTURES OCCURRENCES SCORE 0–2 10 3–4 9 5–6 8 7–8 7 9 - 10 6 11 – 12 5 13 – 14 4 15 – 16 3 17 – 18 2 19 or more 1 OCCURRENCES DAYS 0 1 2 3 4-5 6-7 8-9 10 - 12 13 - 15 16 - 18 19 or more 0 10 9 9 8 7 6 5 4 3 2 1 8 8 7 6 5 4 3 2 1 1 2 3 ABSENCES 4 5 SCORE 6 7 8 9 or more
7 7 6 5 4 3 2 1
6 6 5 4 3 2 1
5 5 4 3 2 1
4 4 3 2 1
3 3 2 1
2 2 1
1 1
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EMPLOYEE PERFORMANCE REPORT
EMPLOYEE: DATE FROM: 3/01/04 TO: 2/28/05
EMPLOYEE SCORE: COMPANY AVERAGE SCORE:
OVERALL PERFORMANCE SUMMARY:
EMPLOYEE’S COMMENTS:
DIRECTOR OF MANUFACTURING’S RECOMMENDED ACTION ( ) Adjust hourly rate ___________ per hour ( ) No hourly rate adjustment recommended.
CONFIDENTIALITY STATEMENT: All information contained within this employee review is confidential and private. At no time will the Director of Manufacturing share this information with another employee of the company. At no time shall the above named employee share this information with another employee of the company. The purpose of this report is to share the herein contained performance review results only with the above named employee.
Effective Date: __________
SIGNATURES AND DATES _______________________________ _______ _______________________________ _______ Employee’s Signature Date Dir. of Manufacturing’s Signature Date
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