Audit

PEOPLE INVOLVED IN APPRAISAL

Names / Relationship / Role

ACKNOWLEDGEMENT I agree that the attached appraisal is what was discussed on this date.

Employee
Advocate
Guardian
Supervisor
COMMUNICATION
Communication
HEARING
PHYSICAL
MOBILITY

COMMENTS

WORK DUTIES
Wearing / using safety equipment
Working safely

COMMENTS

ATTENDANCE AND PERSONAL APPEARANCE
Work attendance
Wearing appropriate clothing to the workplace
Presenting a clean and tidy appearance

COMMENTS

SOCIAL SKILLS AND BEHAVIOUR
Interacting with others
Participating in employee meetings and other decision-making processes
Working with others

COMMENTS

WORK ATTITUDE
Working toward goals agreed on last IPP
Responding to supervision and correction
Accepting responsibility

COMMENTS

WORK PERFORMANCE
Reliability to stay on tasks
Working within time Given.
Solving problems
Maintaining equipment

COMMENTS

Areas that have shown improvement in performance since last appraisal

Areas that have shown decline in performance since last appraisal

Areas that require discussion at an IPP

Areas that employee agrees need to be improved on

Additional information and comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.