Title Page

  • Date and Time of Review

  • Department

  • Employee (Full Name)

  • Employee Number

  • Job Title

  • Supervisor (Full Name)

Assessment Ratings

  • Job Knowledge

  • Work Quality

  • Attendance/Punctuality

  • Initiative

  • Communication/Listening Skills

  • Dependability


  • Significant work-related accomplishments (Include projects, assignments, new skills or knowledge gained.)

  • Target goals

Performance Summary

  • What are the employee's strongest points?

  • What are the employee's weakest points?

  • What can the employee do to be more effective or make improvements?

  • What additional training would benefit the employee?


  • Other comments

  • Overall Rating

  • By signing this form, you confirm that you have discussed this review in detail with your supervisor.

  • Employee (Full Name and Signature)

  • Supervisor (Full Name and Signature)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.