Title Page

  • Name & Surname of Nominee

  • Reason for Nomination: [Include specifics about Employees contributions and accomplishments]

  • Conducted on

Please rate the following: <br>5=Superior <br>4=Excellent 3=Good <br>2=Fair <br>1=Poor

Please answer all Questions

  • Quality of Work [Accuracy, thoroughness, attention to detail]

  • Quantity of Work [Volume and timeliness of work completed]

  • Adaptability [Ability to work under pressure or new situations]

  • Initiative [Willingness to accept new responsibility, methods, equipment]

  • Problem Solving [Ability to make sound judgement and/or solve problems as they arise]

  • Dependability [Follows regulations, attendance record, punctuality]

  • Helpfulness to Others [Ability to work and get along with all staff]

  • Attitude/Image [Disposition, use of tact, motivation of others, general spirit, appearance, neatness]

  • Newtons Value Tree [Demonstrates service -excellence and respect to clients]

  • Additional Comments

  • Nominated By

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.