Employee Evaluation Form

Employee Name:________________________________________
Job Title:______________________________________________
Department:____________________________________________
Date of Hire:___________________________________________
Period of Evaluation:____________________________________

Completed By:_________________________________________
Position:______________________________________________
Length of Time as Supervisor:_____________________________

Instructions to the Rater: Below you will find several factors important to the success of
the employee’s job. Use the following scale to rate the employees for each factor:

1 - Unsatisfactory: Employee does not meet basic job requirements and

immediate improvement is needed for employment to continue.

2 - Needs Improvement: Employee struggles to meet and does not always meet
basic job requirements. Improvement is needed to maintain current position.

3 - Adequate: Employee always meets expectations and basic job requirements.

4 - Exceeds Expectations: Employee always meets job requirements and often

exceeds them and/or completes them with superior quality.

5 - Outstanding: Employee always exceeds expectations, consistently

completing more objectives than assigned with superior quality, at the best
performance level possible.

Please circle the number that best describes the employee. Space for comments is
provided below each rating. Comments are required for ratings of 1, 2, or 5. You will also
be asked to rate the employee’s overall performance and provide comments.

Please make two copies of this evaluation — one to be kept for departmental records, one
for the employee and one to be handed in to the HR department or head of the company.

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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 Performance Factors
Job Knowledge and Skills: Does the employee exhibit the proper level of job
knowledge and skills? Does the employee use established techniques and materials?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Quality of Work: Does the work completed by the employee meet company standards?
Is it accurate, organized and thorough? Does the employee follow company procedures
and safety rules?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Quantity of work: Does the employee complete all assigned tasks in a timely manner?
Does the employee always meet deadlines? Can the employee manage several tasks
simultaneously?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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Work Habits: Does the employee have a positive attitude? Is the employee cooperative,
organized and dependable? Does the employee adhere to company policies?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Attendance and Punctuality: Do the employee’s absences all follow company policy?
Does the employee arrive at work on time and leave at the appropriate time?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Communication: Does the employee effectively interact with others? Think about both
other employees as well as customers. Does the employee express ideas clearly, listen to
others and incorporate feedback?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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Initiative and Adaptability: Does the employee take on extra work and responsibility or
monitor projects independently? Can the employee do these things when asked? Does the
employee respond well to change and is the employee able to use criticism or suggestions
to improve a project?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Judgment: Does the employee analyze problems well and think logically? Does the
employee consider all outcomes before making a decision?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Leadership: Is the employee an effective supervisor? Can the employee lead and
motivate others, as well as foster an environment of cooperation? Does the employee plan
well for groups, directing everyone towards a common goal?

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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 Overall Job Performance
Please use this page to evaluate the employee’s overall job performance. Keep in mind
the individual performance factors and how they work together, as well as any important
qualities not yet discussed. Be sure to include suggestions for improvement when
applicable. If necessary, you may attach another page with additional comments.

1-------------------------2-------------------------3-------------------------4------------------------5

Unsatisfactory Outstanding

Comments:

Signature: ___________________________ Date: ___________

Please review this evaluation with the employee, making sure to pay special attention to
areas of strength and weakness. When complete, please have the employee fill out the last
page.

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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 Employee Comments
Please comment upon your evaluation here. Make sure to pay attention to areas that need
improvement. You may also include any future goals, desired improvements or projects
here.

Comments:

Employee Signature: _________________________ Date Reviewed: ___________

Copyright Tippit, Inc., 2007. All Rights Reserved. www.hrworld.com

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