Form Code : F-HRM-009 Revision No.

:0
Effective Date : February 26, 2018 Page No. : Page 1 of 2

PERFORMANCE EVALUATION FORM

POSITION TO BE EVALUATED : : ________________________________________________________
EMPLOYEE TO BE EVALUATED : ________________________________________________________
DATE OF EVALUATION : ________________________________________________________

How useful in the job?

Trainings Attended Never Seldom Very Remarks/ Comments
Useful
used used Useful
1.
2.
3.
4.
5.

RATING
NEEDED COMPETENCE COMMENTS
5 4 3 2 1

1. Job Knowledge
Consider degree of job knowledge relative to length of time in the current
position. Consider the individual’s efforts to learn new skills and maintain up-
to-date job related information. Applies technical and procedural know-how
to get the job done; understands job duties and responsibilities; has
necessary job skills and knowledge; understands and promotes department
mission and values; keeps informed of the latest developments in the area of
specialty; monitors events which impact functional areas.

2. Communication:
Effectively conveys and receives ideas, information and directions; seeks to
clarify and confirm the accuracy of their understanding of unfamiliar or vague
terms and instructions; listens effectively; demonstrates good verbal and
written communication.

3. Teamwork/Collaboration:
Successfully works with others to achieve desired results; contributes to team
projects; exchanges ideas, opinions; helps prevent, resolve conflicts; develops
positive working relationships; is flexible, open-minded; promotes mutual
respect.

4. Productivity:
Maintains fair work load; takes on additional responsibilities as needed;
manages priorities; develops and follows work procedures; completes
assignments on time and to specifications.

5. Planning and Organizing:

Develops realistic plans; balances short and long-term goals; uses time and
resources effectively; prioritizes duties in a manner consistent with
organizational objectives and emergencies; meets deadlines and follows
through; requests assistance when necessary to complete duties.

6. Problem Solving:
Anticipates and prevents problems; defines problems, identifies solutions;
overcomes obstacles; helps team solve problems.

7. Initiative:
Pursues goals with commitment and takes initiative eagerly; results-oriented;
desires to excel on the job; works steadily and actively; demonstrates self-
confidence and positive attitude.
 Form Code : F-HRM-009 Revision No. :0
Effective Date : February 26, 2018 Page No. : Page 2 of 2

PERFORMANCE EVALUATION FORM

RATING
NEEDED COMPETENCE COMMENTS
5 4 3 2 1

8. Customer Orientation:
Listens, identifies, and responds quickly and effectively to internal and
external customers’ needs and sets work activities accordingly; goes beyond
what is expected and follows up to ensure customer satisfaction.

9. Quality:
Demonstrates accuracy, thoroughness, and reliability; manages time and
priorities; develops and follows work procedures.

10. Diversity:
Treats everyone equally and fairly; embraces diversity in daily work life;
works with diverse group of employees comfortably and willingly.

11. Attendance:
Consistently on time and ready to work at the start of shift and after breaks;
always provides proper notification or advance notice for absence or
tardiness.

12. Contributions to Company

Participates in company meetings, company events, etc. Contributes to the
implementation of Quality Management System, especially in achieving the
company’s quality objectives

AVERAGE RATING:

RATING SCALE:
1 – Does Not Meet Expectation
2 – Needs Improvement
3 – Meets Expectations
4 – Exceeds Expectations
5 – Has mastered skill and can `train others

COMMENTS:
________________________________________________________________________________________________________________________
_______________________________.

_______________________________ ____ ____________________________________________

Subordinate’s Name & Signature Superior’s Name & Signature

Action Plan:
Training Measures Timeline Remarks

RECOMMENDATION (to be filled-up by the superior): Position Retained for Promotion for Transfer

REASON(S):______________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

Reviewed and Approved by:

_____________________________________________________
President/General Manager