PERFORMANCE APPRAISAL For: Staff
Name of Appraisee: ___________________________
Designation: _______________________________
Department:__________________________________
Date Of Joining: ________________________
Appraisal Period From: ___________ to ___________
Purpose of Review: Confirmation
Annual Review
Name and Designation of Appraiser:
_____________________________________________________________
Nature of Relationship:
______________________________________________________________________
With this form the IndoGlobal Group of Companies seek corporate value of higher
significance, pursuing innovative quality in the areas of Customers, Employees,
Society, Products, Technology, Management and Fairness
When completing the form, you are required to support your rating with comments in the spaces
provided for each category. For statements that do not apply to the person being evaluated,
please mark “Not Applicable” (NA). Comments should be specific (including examples) and
explanatory. If your evaluation and recommendations cannot be adequately covered in the space
provided, you should prepare an attachment to this appraisal form.
1
Performance for each category is graded into the following:
Outstanding 5 points Performance is exceptional and far exceeds expectations.
Consistently Demonstrates excellent standards.
Very Good 4 points Performance is consistent and exceeds expectations.
Good 3 points Performance is consistent. Clearly meets job requirements.
Fair 2 points Performance is satisfactory.
Meets minimum requirements of the job.
Needs
Improvement 1 point Performance is inconsistent. Meets requirements of the job
occasionally.
Unsatisfactory 0 point Performance does not meet minimum requirements of the job.
2
Outstanding Very Good Fair Needs Unsati Not
Good Improv sfactor Applica
PART I CUSTOMERS ement y ble
FocusCustomer
1. Follows instructions to the
satisfaction of
superiors(internal
customers)
2. Aims to develop good
relations with internal and
external customers
3. Follow the systems and
processes laid down by the
organisation
PART II EMPLOYEES
Teamwork
4. Able and willing to work
effectively with others in a
team
SkillsCommunication
5. Communicates effectively
to share information
and/or skills with
colleagues
PART III SOCIETY
3
ConsciousnessCost
6. Uses practices that save
company resources and
minimise wastage
PART IV PRODUCTS AND
SERVICES
Technical SkillsJob Knowledge/
7. Possesses knowledge of
work procedures and
requirements of job
8. Shows technical
competence/skill in area of
specialization
9. Employs cross functional
knowledge to problem
solving
Work Attitude
10. Displays commitment to
work
11. Plans and organizes work
effectively
12. Is proactive and displays
initiative
13. Has a sense of urgency in
acting on work matters
(Adhering to deadlines)
14. Displays a willingness to
learn
4
WorkQuality of
15. Is accurate, thorough and
careful with work
performed ( attention to
detail)
WorkQuantity of
16. Is able to handle a
reasonable volume of work
( Multi tasking skills)
Safety
17. Ensures careful work
habits that comply with
safety requirements
ImprovementProcess
18. Seeks to continually
improve processes and
work methods
SolvingProblem
19. Helps resolve staff
problems on work-related
matters
20. Handles problem situations
effectively
Superv
21. Is a positive role model for
other staff
5
Staffision/ Motivation of
23. Effectively supervises work
of subordinates
PART VII FAIRNESS
PunctualityAttendance/
24. Has good attendance
25. Is punctual
26. Follow the office rules
ResponsibilityDependability/
27. Is able to work with limited
supervision
28. Is trustworthy, responsible
and reliable
29. Is adaptable and willing to
accept new responsibilities
6
Evaluation
Formula Score
Total Score
Total Scores_______ X 100
(Number of Questions Answered ) X 5
Grading
90%- 100% Outstanding
Performance is exceptional and far exceeds expectations. Consistently
demonstrates excellent standards in all job requirements.
76%-89% Very Good
Performance is consistent, and exceeds expectations in all situations.
60%-75% Good
Performance is consistent. Clearly meets essential requirements of job.
45%-59% Fair
Performance is satisfactory. Meets requirements of the job.
31%-44% Needs Improvement
Performance is inconsistent. Meets requirements of the job occasionally.
Supervision and training is required for most problem areas.
0%-30% Unsatisfactory
Performance does not meet the minimum requirements of the job.
7
Growth and Development
(i) List the appraisee’s strengths
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
(ii) List the areas for improvement
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
(iii) What specific plans of action, including training, will be taken to help the appraisee in
their current job or for possible advancement in the company?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Achievement
(i) Describe the appraisee’s areas of additional responsibilities and/or other work-
related achievements
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
8
Recommendations
Termination
Consider for merit increment
Extension of probation
Transfer to other types of work
Suitable for confirmation
Ready for promotion
(w.e.f. _______________)
Has potential for promotion, but not ready now
Normal increment of Rs.________
Change in designation
No salary increment
Others:
Other Remarks:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________
Signature of Appraiser Date
9
Review by Countersigning Authority
Comments by countersigning authority (if any):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
___________________
Name of countersigning authority Signature
_____________________
Designation of countersigning authority Signature
10
HUMAN RESOURCE DEPARTMENT’S USE
Present Salary: ____________________
Date of Last Increment: ____________________
New Salary: ____________________
Effective Date: ____________________
Comments:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________
Signature of Head HR Date
11
