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CUSTODIAL/MAINTENANCE

ASSESSMENT PROCESS

Employee being evaluated: __________________________________________________________________

Position: ___________________________________________________________________

School Year: ___________________________________

A three point evaluation scale is used on this form:


(3) Satisfactory-meets expectations-continued growth anticipated.
(2) Needs Improvement-growth is considered necessary.
(1) Unsatisfactory-performance and results are unacceptable.
(X) Not applicable or unable to evaluate.

Evaluation Conference Date: ___________________________________

Performance Improvement Targets for next cycle: (What should this individual change or improve upon?).

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The overall performance of this employee is:

_____ Satisfactory _____ Needs Improvement ______ Unsatisfactory

Employees Signature: _____________________________________ Date: ________________

Appraisers Signature: ______________________________________ Date: ________________

Appraisers Name (please print) _______________________________________________________


Signature of the employee attests to the fact that the contents of this evaluation have been discussed.

Original - Central Office - Employee Personnel File Copy to Bldg. and Grounds Copy to Employee

Board approved on 04-14-2009 J:\HR\FORMS - HR\Assess. Forms All\Cust. & Maint. Assess. 090414
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Custodial/Maintenance Performance Evaluation

1. Confidentiality/Privileged Information: ( )
Respects the rights and privileges of supervisor, students, staff, and community.

Comments: ______________________________________________________________________________

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________________________________________________________________________________________

2. Job Procedures/Knowledge: ( )
Possesses necessary information about various job processes. Possesses knowledge of the steps to be
followed in completing each assignment properly.

Comments: _________________________________________________________________
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3. Quality of Work: ( )
Completes assignments accurately and efficiently in accordance with accepted standards. Writes legibly
and displays neatness in all work.

Comments: _______________________________________________________________

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4. Timelines: ( )
Finishes assignments within a reasonable time frame and does work of high priority when it is received.

Comments: _______________________________________________________________

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5. Work Habits/Organization: ( )
Plans and organizes work well, follows procedures and makes efficient use of work time. Keeps an organized
and neat workstation.

Comments: _________________________________________________________________

_________________________________________________________________________
_________________________________________________________________________

Board approved on 04-14-2009 J:\HR\FORMS - HR\Assess. Forms All\Cust. & Maint. Assess. 090414
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6. Initiative: ( )
Demonstrates ability to work independently and without direct assistance. Willingly takes on extra work
when situation demands it.

Comments: _________________________________________________________________

_________________________________________________________________________
_________________________________________________________________________

7. Decision Making: ( )
Evaluates situations, draws conclusions, and makes sound decisions without frequent requests for
assistance.

Comments: ______________________________________________________________________________

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8. Adaptability and Flexibility: ( )


Adjusts to new ideas and situations and is receptive to new or additional work assignments. Handles unusual
situations effectively.

Comments: ______________________________________________________________________________

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9. Accountability: ( )
Is willing to accept responsibility for job-related decisions, actions, and work. Accepts constructive
suggestions and acts on them with a positive attitude.

Comments: ______________________________________________________________________________

________________________________________________________________________________________

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10. Use of Equipment: ( )


Has knowledge of and ability to use required equipment.

Comments: _____________________________________________________________________________

______________________________________________________________________________________

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Board approved on 04-14-2009 J:\HR\FORMS - HR\Assess. Forms All\Cust. & Maint. Assess. 090414
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11. Communication Skills/Cooperation: ( )
Communicates clearly and effectively with, supervisor, staff, students, and community.

Comments: ____________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

12. Interpersonal Skills: ( )


Interacts well with others; demonstrates courtesy, patience, diplomacy, discretion, and self-control. Is
pleasant, agreeable, tactful, and cooperative with staff, supervisor, students, and community.

Comments: ____________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

13. Integrity/Honesty: ( )
Displays honesty and integrity in relationship with employer, students, staff, and parents.

Comments: ____________________________________________________________________________

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14. Basic Skills: ( )


Possesses required knowledge and skills in the areas of English, reading, spelling, and writing to
effectively communicate with supervisor and staff (both verbally and in writing).

Comments: _________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

15. Punctuality/Dependability: ( )
Can be relied upon to be punctual and do what is required without follow-up.

Comments: ______________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Board approved on 04-14-2009 J:\HR\FORMS - HR\Assess. Forms All\Cust. & Maint. Assess. 090414
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16. Attendance: ( )
Comments: ________________________________________________________________________

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17. Role Model: ( )


Is a positive role model to community, students, and staff in speaking, appearance, and actions.

Comments: ________________________________________________________________________

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18. Positive Issues:


What items/issues are completed in a (very) positive manner (What would you like the employee to continue to do more of for the
district?).
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19. Additional Comments:


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Board approved on 04-14-2009 J:\HR\FORMS - HR\Assess. Forms All\Cust. & Maint. Assess. 090414
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