PERFORMANCE APPRAISALS
For: Staff
Name of Appraise: ___________________________ Designation:
________________________
Department: __________________________________ Service Start
Date:______________
Appraisal Period From: ___________ to ___________
Purpose of Review:
Confirmation
Annual Review
Name and Designation of Appraiser: ___________________________________
Nature of Relationship: _____________________________________
DIALOG Company seeks 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
Outsta Ve Goo F Nee Uns Not
d ai ds atis Appli
Go r Impr fact cable
ove ory
PART I CUSTOMERS men
t
FocusCustomer
1. Follows instructions to 5 4 3 2 1 0 NA
the satisfaction of
superiors
2. Aims to develop good 5 4 3 2 1 0 NA
relations with internal
and external
customers
PART II EMPLOYEES
Teamwork
3. Able and willing to work 5 4 3 2 1 0 NA
effectively with others in
a team
Communication Skills
4. Communicates 5 4 3 2 1 0 NA
effectively to share
information and/or skills
with colleagues
PART III SOCIETY
3
ConsciousnessCost
5. Uses practices that save 5 4 3 2 1 0 NA
company resources and
minimise wastage
Comments
Outsta Ve Goo F Nee Uns Not
PART IV PRODUCTS AND d ai ds atis Appli
SERVICES Go r Impr fact cable
ove ory
men
t
Technical SkillsJob Knowledge/
6. Possesses knowledge of 5 4 3 2 1 0 NA
work procedures and
requirements of job
7. Shows technical 5 4 3 2 1 0 NA
competence/skill in area
of specialization
Work
8. Displays commitment to 5 4 3 2 1 0 NA
work
9. Plans and organizes 5 4 3 2 1 0 NA
work effectively
4
Attitude 10. Is proactive and 5 4 3 2 1 0 NA
displays initiative
11. Has a sense of
urgency in acting on 5 4 3 2 1 0 NA
work matters
12. Displays a willingness 5 4 3 2 1 0 NA
to learn
WorkQuality of
13. Is accurate, thorough 5 4 3 2 1 0 NA
and careful with work
performed
WorkQuantity of
14. Is able to handle a 5 4 3 2 1 0 NA
reasonable volume of
work
Safety
15. Ensures careful work 5 4 3 2 1 0 NA
habits that comply with
safety requirements
Comments
Outsta Ver Go F Nee Uns Not
od ai ds atis Appli
Goo r Impr fact cable
ove ory
men
t
5
ImprovementProcess
16. Seeks to continually 5 4 3 2 1 0 NA
improve processes and
work methods
PART VI MANAGEMENT ( to be completed for staff with supervisory
duties only)
Problem Solving
17. Helps resolve staff 5 4 3 2 1 0 NA
problems on work-
related matters
18. Handles problem 5 4 3 2 1 0 NA
situations effectively
StaffSupervision/ Motivation of
19. Is a positive role 5 4 3 2 1 0 NA
model for other staff
21. Effectively supervises 5 4 3 2 1 0 NA
work of subordinates
PART VII FAIRNESS
Atten
22. Has good attendance 5 4 3 2 1 0 NA
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Punctualitydance/ 23. Is punctual
5 4 3 2 1 0 NA
ResponsibilityDependability/
24. Is able to work with 5 4 3 2 1 0 NA
limited supervision
25. Is trustworthy, 5 4 3 2 1 0 NA
responsible and reliable
26. Is adaptable and 5 4 3 2 1 0 NA
willing to accept new
responsibilities
Comments
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Evaluation
Formula Score
Total Score
Total Scores X 100 %
Number of Questions Answered X
5
Grading
90%- Outstanding
100% 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.
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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
9
(i) Describe the appraisee’s areas of additional responsibilities and/or
other work-related achievements
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Recommendations
θ Termination θ Consider for merit increment
θ Extension of probation θ Transfer to other types of work
θ Suitable for confirmation θ Ready for promotion
(w.e.f. _______________) θ Has potential for promotion, but not
ready now
θ Normal increment of S$________ θ Others:
_____________________________________
θ No salary increment
_____________________________________
Other Remarks:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
____
___________________________________________________________________________________
_
_________________________________
________________________
Signature of Appraiser Date
10
Review by Countersigning Authority
Comments by countersigning authority (if any):
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
____
___________________ _____________________ _________________
____________
Name of countersigning Designation of Signature
Date
authority scountersigning authority
11
HUMAN RESOURCE DEPARTMENT’S USE
Present Salary: ____________________ Date of Last Increment____________:
New Salary:____________________ Effective Date: ______________
Comments:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
_______________________________________
________________________________ _______________
Signature of Managing Director Date
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