EMPLOYEE PERFORMANCE REVIEW
Employee Name: Department:
Position: Date Hired:
Review Period: From: To: Date of Appraisal:
(For Supervisory and Up Position)
CONFIDENTIAL
This Performance Appraisal Form aims to provide a formal, recorded, regular review of an individual's performance. It is to
be used for annual evaluations, and at other times during the year when formal feedback is needed.
This is a five (5) part Appraisal Form which are as follows:
Part I – Performance Objective (70%)
Expected Deliverables and Work Output
Part II – Work Related Experience (10%)
Competencies needed to execute the job properly
Part III – HR Related Performance Factors (10%)
HR Factors affecting one employee’s performance
Part IV – Individual Development Plan (10%)
Part V – Total Performance Rating and Evaluator Ratee and Comments
RATING SCALE
Using the following definitions check the box that most closely describes the staff member’s performance for each of the
required performance factors. If a performance factor does not apply, please leave blank.
Rating Description Definition
5 – 90% to 99% Exceptional Contributions and excellent work are widely recognized.
Performance consistently exceeds all defined expectations,
producing important and impactful results through superior
planning, executing and creativity.
4 – 80% to 89% Exceeds Performance consistently exceeded expectations in all essential
Expectations areas of responsibility, and the quality of work overall was
excellent. Annual goals were met.
3 – 70% to 69% Meets Expectations Performance consistently met expectations in all essential areas
of responsibility. Employee makes a solid, reliable and
meaningful contribution to the department.
2 – 60% to 69% Needs Improvement Performance falls below expectations on one or two job
requirements and responsibilities. A performance improvement
plan should be outlined in the Individual Development Plan (Part
IV). Failure to passed the performance improvement plan will
result to termination.
1 – 60% or below Unsatisfactory Performance falls below expectations on several critical job
requirements and responsibilities. Without significant
improvement reassignment or separation are indicated. A
performance improvement plan must be in place and monitor
progress. Failure to passed the performance improvement plan
will result to termination.
PART I – PERFORMANCE OBJECTIVE (70%)
Please tick on the appropriate box.
5 4 3 2 1
(23%) (18%) (13%) (9%) (4%)
PERFORMANCE OBJECTIVE WORK OUTPUT
E EE ME NI U
1.
2.
3.
TOTAL (%)
Note: Kindly round-off the total percentage.
Part II – WORK RELATED COMPETENCIES (10%)
Please tick on the appropriate box.
5 4 3 2 1
COMPETENCIES (3.33%) (2.66%) (1.99%) (1.33%) (0.66%) COMMENTS
E EE ME NI U
1
2.
3.
TOTAL (%)
Note: Kindly round-off the total percentage.
Part III – HR RELATED PERFORMANCE FACTORS (10%)
Please tick on the appropriate box.
5 4 3 2 1
HR RELATED FACTORS
(3.33%) (2.66%) (1.99%) (1.33%) (0.66%) COMMENTS
E EE ME NI U
1. Conduct and Compliance to Kindly specify here the violation omitted. If
Company Policies none, kindly put N/A
WITHOUT ANY SANCTIONS (5)
VERBAL WARNING (4)
WRITTEN WARNING (3)
3-DAY SUSPENSION (2)
5-DAY SUSPENSION (1)
Attendance and Punctuality Kindly specify how many lates and
absences in frequency. If none, kindly
WITHOUT ANY SANCTIONS put N/A
(5)
VERBAL WARNING (4)
WRITTEN WARNING (3)
3-DAY SUSPENSION (2)
5-DAY SUSPENSION (1)
2. Learning and Kindly enumerate list of trainings attended
below. If none, just indicate “None”
Development
16 HOURS OF TRAINING (5)
9-15 HOURS OF TRAINING (4)
8 HOURS OF TRAINING (3)
5-7 HOURS OF TRAINING (2)
0-4 HOURS OF TRAINING (1)
TOTAL (%)
Note: Kindly round-off the total
percentage.
PART IV – INDIVIDUAL DEVELOPMENT PLAN (10%)
PERFORMANCE CRITERIA WORK OUTPUT NEEDED
1. Key areas to improve work performance
2. Key Areas to improve competencies
3. Key Areas to advance to the desired position
TOTAL (%)
Part V – TOTAL PERFORMANCE RATING AND EVALUATOR/ RATEE AND COMMENTS
TOTAL PERFORMANCE RATING (%)
EVALUATOR/ RATER COMMENTS:
I have met with the above-named employee to discuss and review this performance appraisal.
Evaluator Signature: Date:
___________________________________ _____________________________
Printed Name & Signature
EMPLOYEE’S / RATEE’S COMMENTS:
I have had the opportunity to review this performance appraisal and to discuss it with my supervisor:
Employee’s / Ratee’s Signature: Date:
___________________________________ _____________________________
Printed Name & Signature
