MACLEAY OPTIONS INC PERFORMANCE EVALUATION FORM

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL PERFORMANCE STANDARDS

JOB KNOWLEDGE SKILLS AND ABILITIES

• Consider each standard separately. Use slide scale to reflect the evaluators response. A standard performance rating on any performance standard must be supported by a specific comment in the space provided.

• Does not have the basic knowledge, skills and abilities to perform work satisfactorily

  Yes

  No

  N/A

• Has the basic knowledge, skills and abilities to perform work satisfactory

  Yes

  No

  N/A

• Has exceptional knowledge, skills and abilities to perform work

  Yes

  No

  N/A

QUALITY OF WORK

• The employee demonstrates accuracy, attention to detail and effectiveness in completion of work

• Work is sometimes inaccurate or incomplete; Fails to meet departmental standards

  Yes

  No

  N/A

• Work is usually accurate and Thorough; work meets departmental standards

  Yes

  No

  N/A

• Work is consistently of excellent quality, accuracy and detail

  Yes

  No

  N/A

PRODUCTIVITY

• Employee performs work with efficiency, consistency and timeliness

• Works slower than expected; work is of substandard consistency and timelines

  Yes

  No

  N/A

• Completes work on time with consistency and efficiency; meets departmental standards

  Yes

  No

  N/A

• Quickly completes work often ahead of schedule; effectively prioritises works; exceeds departmental standards

  Yes

  No

  N/A

RELIABILITY

• The employee exhibits dependability and is conscientious in performing work and in willingness to accept responsibilities

• Sometimes is not dependable and conscientious in performing work; unwilling to accept responsibilities

  Yes

  No

  N/A

• Consistently dependable and conscientious; accepts responsibilities; meets departmental standards

  Yes

  No

  N/A

• Extremely dependable follows through promptly on tasks; accepts responsibilities; exceeds job goals; shows high level of initiative

  Yes

  No

  N/A

COMMUNICATION

• The employee demonstrates the appropriate level of written and verbal communication skills necessary to satisfactorily perform the job

• Communication skills impair work performance

  Yes

  No

  N/A

• Possesses the required communication skills and is effective in the position; meets departmental standards

  Yes

  No

  N/A

• Has excellent communication skills very effective in verbal interactions

  Yes

  No

  N/A

WORK RELATIONSHIPS

• The emplyee possesses the ability to maintain effective and productive working relationships with fellow supervisors, workers, management and the public

• Has trouble getting along with other employees, supervisors and the public

  Yes

  No

  N/A

• Has a generally positive approach in assisting others: maintains effective working relationships; meets departmental of Standards

  Yes

  No

  N/A

• Exceeds departmental standards highly cooperative works hard to promote positive work relationships

  Yes

  No

  N/A

SAFETY

• THE EMPLOYEE ADHERES TO THE RULES AND REGULATIONS TO ENSURE SAFETY STANDARDS ARE MET

• Fails to follow safety rules and regulations; falls below departmental standards

  Yes

  No

  N/A

• Follows safety rules and meets departmental standards

  Yes

  No

  N/A

• Exceeds departmental standards for safety

  Yes

  No

  N/A

JOB PERFORMANCE STANDARDS

• This section is designed to be "job specific". Refer to the "job performance standards" of the employees position description. briefly list the major job duties specifically related to the performance of this job. Check the standard which represents the employees work performance. Additional job performance standards may be attached. In the comments section, provide information to explain and support ratings that indicate substandard performance

• Compliance with the organisation's policies and procedures code of conduct and values

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• All IPP's & DMI's are completed when necessary for section

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Understanding and commitment to quality through compliance with funding bodies and nonconformance results with Q&A audits

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Supervisory role is completed in accordance with duty statement

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Employee supervision

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Communication

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Induction of new in employees

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Level of professional support

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Development of new and innovative products to increase opportunities to greater market share

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Develop and maintain new relationships with employees and customers to ensure continued growth and customer satisfaction

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Monitor changes in the environment position the organisation to seize opportunities and minimise threats

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Ensure that all income and expenditure is within budget guidelines

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Maintain file notes, evidence and correctly complete forms in line with documentary evidence guidelines and Fachica contractual requirements

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

• Ensure all relevant paperwork required is completed and forwarded to the administration manager as required for administration or audit requirements

  Below Standard

  Meets Standard

  Exceeds Standard

• Comments

OVERALL WORK PERFORMANCE

• Work performance

  Performance needs improvement to meet job

  Performance meets job requirements

  Performance exceeds job requirements

• Comments

• Employee comments; Comments are encouraged either agreeing, disagreeing or acknowledging the evaluation.

• NOTE; BY SIGNING THIS FORM THE EMPLOYEE ACKNOWLEDGES ONLY THAT THIS EVALUATION WAS DISCUSSED AND A COPY HAS BEEN RECEIVED BY THE EMPLOYEE. THE EMPLOYEES SIGNATURE DOES NOT SIGNIFY AGREEMENT WITH THIS EVALUATION

• Employee signature

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• CEO Signature

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• Chief Administrators signature

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