ࡱ> 8:567'` ,bjbjLULU 7.?.?EN""""""" @@@@A$ hCJ0I0I0I0I JKL$hY"M J JMM""0I0IiTTTM "0I"0ITMTT.""&0IC LWR@M@ά0>N&"&eMyMTM MSeMeMeMT eMeMeMMMMM   6@   @   """"""  EMPLOYEE PERFORMANCE REVIEW (SAMPLE) 363L (Rev. 5/2001)  GENERAL INFORMATIONTYPE REPORT:  FORMCHECKBOX  PROBATIONARY  FORMCHECKBOX  INTERIM  FORMCHECKBOX ANNUAL EMPLOYEE NAME FORMTEXT     EMPLOYER FORMTEXT     CLASS TITLE FORMTEXT      DEPARTMENT FORMTEXTyRATING PERIOD FROM FORMTEXT      TO FORMTEXT      SUPERVISOR NAME FORMTEXT      GENERAL INSTRUCTIONS  Verify/complete General Information. Review with the employee the employees job description, job standards (expectations/objectives/duties) for the rating cycle to ensure the appraisal relates to the specific responsibilities, job assignments, and standards that were conveyed to the employee for the rating cycle.  ) Base the appraisal on the employees performance during the entire review period, not isolated incidents or performance prior to the current review period. Obtain/review necessary input and supporting data. Rate each factor in relation to the standards established and the guidelines listed on the form for each rating. Provide an overall rating based on the rating of the individual factors, adherence to significant performance standards, and accomplishment of essential functions. Each factor need not be of equal weight but comments should justify significant differences impacting on the overall rating. Assess employee strengths and identify opportunities where the employee could improve or requires additional knowledge or skill. Include projected development needs to meet anticipated assignments during the next rating period. Obtain employee input regarding their training needs. When rating employees, consider their participation and willingness to participate in employee development opportunities. The comments sections should be used to: support performance ratings, indicate problem areas and provide guidance to employees on how to improve performance. Comments MUST be provided for outstanding, needs improvement, and unsatisfactory ratings, and are highly recommended for all other ratings. Supervisor, reviewing officer, and employee comments are to be relevant and job related. Discuss/obtain comments and signature/date of reviewing officer before discussion with employee. Sign/date the form, meet with employee to discuss the rating, and obtain the employees signature/date/ comments. Arrange for reviewing officer discussion if requested. Update with the employee the job description, essential job functions, and performance standards/objectives for the next rating cycle. COMMUNICATION OF PERFORMANCE STANDARDS Indicate when you conveyed job standards to the employee and when progress review(s) was conducted: Performance standards (objectives, duties, expectations, etc.) for this rating period were conveyed to employee on  FORMTEXT       date(s) Progress Review(s) was conducted on  FORMTEXT       (at least one during rating cycle) date(s) EMPLOYEE NAME: FORMTEXT       JOB FACTORS   HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "JOB KNOWLEDGE SKILLS" JOB KNOWLEDGE/SKILLS  Measures employees demonstrated job relevant knowledge and essential skills, such as work practices, policies, procedures, resources, laws, customer service, and technical information, as well as the relationship of work to the organizations mission. Also measured are the employees self-improvement efforts to enhance skills and knowledge and to stay current with changes impacting the job.  OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX Possesses superior job skills and knowledge; effectively applies them to work assignments. Willingly mentors staff; shares knowledge. Seeks/applies innovative and relevant techniques. Work reflects thorough and current knowledge/skill of job and impact on agency activities/related resources. Uses opportunities to expand knowledge/skills, sharing information with staff.Work reflects adequate knowledge/skills for job. Has some knowledge of related work. Stays current with major changes impacting on knowledge or skill. Accepts change. Often demonstrates a lack of basic or sufficient job knowledge/skills to perform routine functions of the job. Occasionally is resistant to changing knowledge and/or skill requirements or processes, including opportunities for knowledge/skill enhancement. Consistently demonstrates a lack of basic job knowledge and/or skills to perform job. Rarely takes advantage of available skill enhancement or training opportunities. Often is resistant to changing requirements.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "JKS#JKS" Comments:  2.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "WORK RESULTS" WORK RESULTS  Measures employees results in meeting established objectives/expectations/standards of quality, quantity, customer service, and timeliness both individually and in a team.  OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX  Work consistently exceeds expectations of quality, quantity, customer service, and timeliness.Work frequently exceeds expected quality, quantity, customer service, and timeliness standards.Work usually meets expectations of quality, quantity, customer service, and timeliness.Often has difficulty meeting expected quality, quantity, customer service, and/or timeliness standards. Consistently fails to meet expected quality, quantity, customer service, and/or timeliness standards.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "WR#WR" Comments:  3.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "COMMUNICATIONS" COMMUNICATIONS Measures employees performance in exchanging information with others in an effective, timely, clear, concise, logical, and organized manners. Communications include listening, speaking, writing, presenting, and sharing of information. Consideration is given to client/data complexity/sensitivity.  OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX  Consistently communicates in clear, effective, timely, concise, and organized manner. Is articulate and persuasive in presenting, soliciting complex or sensitive data. Frequently communicates in an effective, timely, clear, concise, and organized manner. Proficiently organizes and presents difficult facts and ideas orally and in writing. Seeks/provides feedback. Usually communicates effectively and exchanges relevant information in a timely manner. Speaks and writes clearly. Keeps others informed. Listens with understanding. Often fails to communicate effectively or in a timely manner. Lacks clarity of expression orally or in writing. Is inconsistent in keeping others informed. At times, fails to listen effectively.  Consistently fails to communicate effectively or timely. Often does not keep others informed. Is an ineffective listener and/or frequently interrupts.   HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "Communications#Communications" Comments: S 4.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "INITIATIVE/PROBLEM SOLVING" INITIATIVE/PROBLEM SOLVING   OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX Consistently resolves unit/team problems and promotes improvements. Maximizes resources, innovation/technology to streamline/improve. Analyzes full dimension of complex problems. Requires minimal supervision.  Prevents/resolves unit/team problems. Suggests innovations to improve operations or streamline procedures. Defines and analyzes complex problems. Develops/implements solutions with moderate supervision.Addresses existing and significant potential problems. Suggests or assists in developing solutions individually or in a team. Carries through solution implementation with routine supervision or follow-up.Resolves routine problems. Exhibits little initiative in identifying problems, solutions, or improvements and/or working proactively as part of a team to address issues of concern. Requires more than routine supervision. Consistently fails to recognize or seek help in resolving routine problems. Demonstrates inability to work individually or in a team. Rarely suggests improvements. Requires frequent reminders and supervision.   HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "IP#IP" Comments:  5.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "INTERPERSONAL RELATIONS/EEO" INTERPERSONAL RELATIONS/EQUAL EMPLOYMENT OPPORTUNITY (EEO)  Measures employees development and maintenance of positive and constructive internal/external relationships. Consideration should be given to the employees demonstrated willingness to function as a team player, give and receive constructive criticism, accept supervision, resolve conflicts, recognize needs and sensitivities of others, and treat others in a fair and equitable manner. Supervisors and team leaders also are to be assessed on their demonstrated commitment to Equal Employment Opportunity, diversity, and proactive actions to prevent/address all forms of discrimination.  OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX  Consistently promotes and maintains a harmonious/productive work environment. Is respected and trusted and often viewed as a role model. Actively promotes EEO/diversity programs.Frequently fosters teamwork, cooperation, and positive work relationships. Handles conflict constructively. Promotes and adheres to EEO/diversity program requirements.Usually interacts in a cooperative manner. Avoids disruptive behavior. Deals with conflict, frustration appropriately. Treats others equitably. Adheres to EEO/diversity program requirements. Often has difficulty getting along with others. Allows personal bias to affect job relationships. Requires reminders regarding needs and sensitivities of others. Inconsistently adheres to EEO/diversity program requirements. Interpersonal relationships are counter-productive to work unit or team functions. Often ignores EEO/diversity program requirements.   HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "IR#IR" Comments:  6.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "WORK HABITS" WORK HABITS  Measures employees performance relative to efficient methods of operation, customer service, proper conduct, speech, ethical behavior, and Commonwealth/agency/work unit policies and procedures, such as attendance, punctuality, safety, security, proper care and maintenance of assigned equipment, and economical use of supplies. OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX Work reflects maximum innovative use of time and resources to consistently surpass expectations and improve operations. Serves as role model with regard to work policies and safety standards.Frequently plans/organizes work to timely and effectively accomplish job duties with appropriate use of resources. Suggests/implements improvements and exceeds organizational work/safety rules and standards.Work is planned to meet routine volume and timeliness and usually fulfills operational and customer service needs. Adheres to organizational work policies/safety rules and procedures with few exceptions. Frequently lacks organization and planning of work and does not adequately use available resources. Often does not meet standards in complying with work policies/safety rules and/or care of equipment. Consistently fails to meet expected standards due to lack of effective organization, use of equipment/resources, or inattention to customer service needs. Resists established work policies/safety rules and procedures.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "WH#WH" Comments:  7.  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "SUPERVISION/MANAGEMENT" SUPERVISION (Required for all supervisors) Measures leadership, judgment, initiative, and achievement of expectations. Effectively manages program/projects, employees, budget, technology, and organizational change to produce positive results. Engages in performance management, teamwork, staff development, and recognition of accomplishments. Promotes customer service, diversity, inclusiveness, collaboration, effective communication, and positive labor/management relations. Uses innovation and fulfills administrative requirements.  OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX Regularly exceeds expectations. Implements innovative policies, resources, and technology to maximize efficiency and service. Committed to and promotes excellence; leads by example energizing performance and teamwork. Uses and encourages creative decisions and solutions. Acts as positive change agent.Meets and frequently exceeds expectations. Improves efficiency and customer service. Provides staff with innovative and constructive direction, delegation, feedback, mentoring, and recognition. Adheres to performance management/administrative policies. Makes sound decisions. Promotes and maintains teamwork, inclusiveness, respect, and creativity. Meets most expectations timely and effectively. Maintains acceptable efficiency and customer service. Provides staff necessary direction, feedback, development, and recognition. Makes decisions that usually reflect sound judgment. Usually adheres to administrative policies. Encourages innovation, teamwork, and inclusiveness. Often fails to meet expectations timely and effectively. Efficiency and customer service occasionally falls below standards. Inadequately directs, trains, monitors, and recognizes staff. Inadequately fulfills administrative and performance management functions. Often lacks good judgment in decisions. Lacks leadership in promoting innovation, teamwork, and inclusiveness.Consistently fails to meet expectations timely or effectively. Delivers unacceptable customer service or operational efficiency. Disregards or ineffectively provides staff direction, monitoring, and development. Often ignores performance management or administrative policies. Is indecisive or lacks good judgment. Resists change.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "Supervision#Supervision" Comments:  OVERALL RATING INSTRUCTIONS: Provide an overall rating based on the rating of the individual factors, adherence to significant performance standards, and accomplishment of essential functions. This rating provides an overall impression of job performance that is supported by the job factor ratings, not necessarily an average of those ratings. Thus, each factor need not be of equal weight but comments should justify significant differences impacting on the overall rating. OUTSTANDING  FORMCHECKBOX COMMENDABLE  FORMCHECKBOX SATISFACTORY  FORMCHECKBOX NEEDS IMPROVEMENT  FORMCHECKBOX UNSATISFACTORY  FORMCHECKBOX Employee consistently and significantly exceeds job expectations and standards and demonstrates a high degree of initiative, customer service, and quality of work.Employee meets and frequently exceeds job expectations and standards and demonstrates a high degree of initiative, customer service, and quality of work.Employee meets the expectations and standards of the employees job in a fully adequate way.Employee meets many of the  ;Dcuwx    ! 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SSSSSSSSSSSSSSSTTTTUUUUUUUUUUUUĻͪġ͊{f{{Q)j:9h_h_5CJU\aJ)j8h_h_5CJU\aJjhF5CJU\aJhF5CJ\aJhF6CJ\]aJhFCJ\aJhFCJaJhF5CJ aJhF5CJaJhF5CJaJhFCJaJhFCJaJhF>*B*CJaJphhFCJaJjhFCJUaJ SSSSSSSrl$If$$$@&If]a$ $$$@&Ifa$ekd6$$IflZ-,044 la  $If^SSUU ckd28$$Ifl``'-0-44 la $$@&Ifrkd7$$Ifl``'- @ 0-44 lap UUUUUUUU VV,V $$Ifa$ $$$@&Ifa$ UUUUUUUUUV V VVV)V*V+V,V-VBVCVVVVVxWyWWWWWWW垖~m jhFB*CJUaJphUhF5CJ\aJhF5CJ\aJhFCJaJhFCJaJ)j:h_h_5CJU\aJ)j":h/Nh/N5CJU\aJ)j9h_h_5CJU\aJhF5CJ\aJjhF5CJU\aJ',V-Vkd ;$$Iflr` `'$ p$   20-44 lap2-VCVVVyWWWW$If h$If $If] expectations of the job in a satisfactory manner but often fails to adequately meet some of the expectations or standards. Improvement is required.Employee fails to meet many job expectations and standards. Performance deficiencies must be corrected.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "overallrating#overallrating" Overall Comments: FORMTEXT       HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "EMPLOYEE STRENGTHS" EMPLOYEE STRENGTHS:  (Identify strong attributes, abilities, or proficiency in an area, to maximize the employee s contribution to the organization in utilizing these abilities and skills and to identify potential mentor relationships.)  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "ES#ES" Comments: FORMTEXT  HYPERLINK "http://oapmr.state.pa.us/EPR/MANUAL/EPR%20FACTOR%20LINKSforManual.htm" \l "OPPORTUNITIES FOR IMPROVEMENT" OPPORTUNITIES FOR DEVELOPMENT: (Identify knowledge, skills, and abilities that may need improvement. Address developmental activities to assist the employee in addressing either areas of concern or opportunities for professional growth.)  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "opportunities#opportunities" Comments: FORMTEXT     Rater s Signature: FORMTEXT     Date: FORMTEXT       REVIEWER S COMMENTS HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "REVIEWER#REVIEWER" Comments: FORMTEXT      Reviewer s Signature: FORMTEXT      Date: FORMTEXT     EMPLOYEE S COMMENTS  FORMCPND B$If]Bkd_<$$Iflr` `'$ p$  0-44 la e̱̝uYuHu=hF5CJ\aJ hF5>*B*CJ\aJph6hF5CJ\aJeh@fH@q r@?jhF5CJU\aJeh@fH@q r@hFCJaJhFCJaJjh/NCJUaJj==hFCJUaJjhFCJUaJhFCJaJhF>*B*CJaJph jhFB*CJUaJphhFB*CJaJph  $If]ekd=$$IflZ``'-0-44 laeflmպɭɥiXi hF5>*B*CJ\aJph6hF5CJ\aJeh@fH@q r@?jhF5CJU\aJeh@fH@q r@hFCJaJhSCJaJmHnHuj=>hFCJUaJjhFCJUaJhFCJaJhF>*B*CJaJphhFCJaJjhFCJUaJ Z+%$Ifekd?$$Ifl.``'-0-44 la  $Ifekd>$$Ifl``'-0-44 la 068HJLVXZbhjz|~Ž佮Ž佟ДЅŅtiZjqBhFCJUaJhF5CJ\aJ hF5>*B*CJ\aJphjhF5CJU\aJhF5CJ\aJj@hFCJUaJj=@hFCJUaJhFCJaJhF5CJ\aJhFCJaJjh/NCJUaJjhFCJUaJj=?hFCJUaJ#Zxvj $$$@&Ifa$xkd)A$$IflP0``'Y0-44 la dP$If$If { $If]$IftkdA$$Ifl``'- ` 0-644 lap   6:<LNPZ\",24DFHRTVXZ\^     ߚߏ߇{y{njaFh_UUhFjhFUhFCJaJhF5CJ\aJhF5CJaJjChFCJUaJjtChFCJUaJhFCJaJhF5CJ\aJhF5CJ\aJhFCJaJjhFCJUaJjh/NCJUaJ' $V$IffkdB$$Ifl``'-0-644 laVX\v$$d$@&Ifa$ykd`D$$Ifs0``'X0-644 sa\^ $$$@&Ifa$fkd E$$Ifs``'-0-644 sa !""#${{{m $If^ ` B$If$IftkdE$$Ifs``'- ` 0-644 sap HECKBOX  I AGREE WITH THIS RATING  FORMCHECKBOX  I DISAGREE WITH THIS RATING  FORMCHECKBOX  I WOULD LIKE TO DISCUSS THIS RATING WITH MY REVIEWING OFFICER  FORMCHECKBOX  DISCUSSION WITH MY REVIEWING OFFICER OCCURRED FORMTEXT      (DATE)  FORMCHECKBOX  I ACKNOWLEDGE THAT I HAVE READ THIS REPORT AND I HAVE BEEN GIVEN AN OPPORTUNITY TO DISCUSS IT WITH THE EVALUATOR; MY SIGNATURE DOES NOT NECESSARILY MEAN THAT I AGREE WITH THE REPORT.  HYPERLINK "http://www.hrm.state.pa.us/oahrm/lib/oahrm/development/sharing_zone/final_version_363l.htm" \l "Employee#Employee" Comments:  FORMTEXT $ ? A B P Q R T o        !P!Q!_!`!a!c!!!!!" 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