Title Page
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Document No.
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Assessment for (Employee name)
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Employee AKA Name
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Job Title
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Department
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Assessment carried out by
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Date form sent
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Date of employment commencement
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Conducted on
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Location
Employee
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Passport style picture of employee
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Improvement Required – Demonstrates little aptitude, and/or inappropriate attitude, little evidence of competency, skill, knowledge or experience
Average – Demonstrates reasonable aptitude, evidence of the appropriate behaviour, reasonable evidence of competency, skill, knowledge and experience
Good – Demonstrates an appropriate aptitude level, the appropriate attitude and behaviour, evidence of competency, skills, knowledge and experience
Excellent – Demonstrates all the requirements of a Good rating, plus exceeds requirements in terms of aptitude, attitude, and behaviour, skills, knowledge and experience -
Job Knowledge
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Quality and accuracy of work
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Efficiency
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Attendance
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Time keeping
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Work relationships (team work and interpersonal and communication skills)
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Where any areas require improvement give details below.
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Outline the employees views on the job, work environment and working conditions.
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Summary of employees overall performance.
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Is the employees appointment to be confirmed?
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If Yes please specify new salary (£/annum)
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Date Effective from
Probationary period extention
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Should the employees probationary period be extended to allow time for improvement
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Please specify the date on which the employee will complete the extended period and specify the improvements required and how this will be achieved
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Select date
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Improvements required
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How will this be achieved
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Was this placement an internal recommendation? If so, who should the recommendation fee to be paid to?
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Enter recipient name
Sign off
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Employee signature
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Manager signature
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Please return this form to Karen Stubbings, HR Department via email Karen.stubbings@westwayservices.com
