Non-Management/Supervisor Performance Evaluation

Employee Name:  	
Job Title:  		
Department:   		
Supervisor/Manager:  	
Review Period:		
Date:  			
Type of Review:	[ ] Annual	[ ] 6 month	[ ] Other

Rating Guide: 

[1]	 [2]	[3]	[4]	[5]	
Unsatisfactory Performance	Improvement Desired	Meets Expectations      	Exceeds Expectations	Outstanding Performance	

REVIEW OF OBJECTIVES	

Attach copy of the individual’s One Page Performance Plan, and evaluate the actual results achieved.    In the absence of a One Page Performance Plan, record objectives from the previous review period in the space below and discuss the extent to which each objective was fulfilled.  Also describe changes (if any) to original objectives.

Objective 1:  

Objective 2:  

EMPLOYEE PERFORMANCE	

Use this section to describe employee performance in specific work areas.

Adaptability/Flexibility:
Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, adjusts plans to meet changing needs.
	Rating: [     ]	
Comments:  

	

Communication:
Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.
	Rating: [     ]	
Comments:  

	

Decision Making/Judgment:
Recognizes problems and responds, systematically gathers information, sorts through complex issues, seeks input from others, addresses root cause of issues, makes timely decisions, can make difficult decisions, uses consensus when possible, communicates decisions to others.
	Rating: [     ]	
Comments:  

	

Dependability:
Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
	Rating: [     ]	
Comments:  

	

Initiative:
Tackles problems and takes independent action, seeks out new responsibilities, acts on opportunities, generates new ideas, practices self-development.
	Rating: [     ]	
Comments:  

	

Interpersonal Skills:
Has good listening skills, builds strong relationships, is flexible/open-minded, negotiates effectively, solicits performance feedback and handles constructive criticism.
	Rating: [     ]	
Comments:  

	

Job Knowledge:
Understands duties and responsibilities, has necessary job knowledge, has necessary technical skills, understands company mission/values, keeps job knowledge current, is in command of critical issues.
	Rating: [     ]	
Comments:  

	

Problem Solving/Analysis:
Breaks down problems into smaller components, understands underlying issues, can simplify and process complex issues, understands the difference between critical details and unimportant facts.
	Rating: [     ]	
Comments:  

	

Productivity:
Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, handles information flow.
	Rating: [     ]	
Comments:  

	

Sense of Urgency:
Prioritizes well, shows energy, reacts to opportunities, instills urgency in others, meets deadlines.
	Rating: [     ]	
Comments:  

	

Teamwork:
Meets all team deadlines and responsibilities, listens to others and values opinions, helps team leader to meet goals, welcomes newcomers and promotes a team atmosphere.
	Rating: [     ]	
Comments:  

	

PERFORMANCE SUMMARY	

Use this section to summarize the employee's performance in the last review period, and to provide an overall rating if applicable.  When providing comments, consider the employee's performance against objectives, key issues from the Employee Performance section above, and strengths/potential improvements.

Summary:  	Overall Performance Rating:  [     ]	
Comments:  

	

EMPLOYEE COMMENTS	

Use the space below to make comments regarding your performance evaluation.  Or, attach a separate comment sheet or self appraisal document.  

Comments:  

OBJECTIVES FOR NEXT REVIEW PERIOD	

Use the following section to record objectives for the next review period.

Objective 1:  

Objective 2:  

EMPLOYEE DEVELOPMENT PLAN	

This section should be completed after employee and manager have agreed upon desired areas of improvement and development needs related to upcoming goals.  It should include developmental objectives, corresponding development activities (on the job, formal training, etc.),and measurements and time frames for completion.  

Developmental Objective 1:  

Developmental Objective 2:  

SIGNATURE SECTION	

Employee Signature					Date

Manager Signature					Date

Second-Level Review Signature			Date