PERFORMANCE APPRAISALS

For: Staff

Name of Appraise: ___________________________ Designation:

________________________

Department: __________________________________ Service Start

Date:______________
Appraisal Period From: ___________ to ___________

Purpose of Review:
Confirmation
Annual Review

Name and Designation of Appraiser: ___________________________________

Nature of Relationship: _____________________________________


DIALOG Company seeks corporate value of higher significance, pursuing

innovative quality in the areas of Customers, Employees, Society, Products,
Technology, Management and Fairness


When completing the form, you are required to support your rating with comments
in the spaces provided for each category. For statements that do not apply to the
person being evaluated, please mark “Not Applicable” (NA). Comments should be
specific (including examples) and explanatory. If your evaluation and
recommendations cannot be adequately covered in the space provided, you should
prepare an attachment to this appraisal form.

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Performance for each category is graded into the following:

Outstanding 5 points Performance is exceptional and far exceeds

expectations. Consistently demonstrates
excellent standards.

Very Good 4 points Performance is consistent and exceeds

expectations.

Good 3 points Performance is consistent. Clearly meets job

requirements.

Fair 2 points Performance is satisfactory. Meets minimum

requirements of the job.

Needs
Improvement 1 point Performance is inconsistent. Meets
requirements of the job occasionally.

Unsatisfactory 0 point Performance does not meet minimum

requirements of the job.

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 Outsta Ve Goo F Nee Uns Not
d ai ds atis Appli
Go r Impr fact cable
ove ory
PART I CUSTOMERS men
t
FocusCustomer

1. Follows instructions to 5 4 3 2 1 0 NA
the satisfaction of
superiors

2. Aims to develop good 5 4 3 2 1 0 NA

relations with internal
and external
customers

PART II EMPLOYEES
Teamwork

3. Able and willing to work 5 4 3 2 1 0 NA

effectively with others in
a team
Communication Skills

4. Communicates 5 4 3 2 1 0 NA
effectively to share
information and/or skills
with colleagues

PART III SOCIETY

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 ConsciousnessCost
5. Uses practices that save 5 4 3 2 1 0 NA
company resources and
minimise wastage

Comments

Outsta Ve Goo F Nee Uns Not

PART IV PRODUCTS AND d ai ds atis Appli
SERVICES Go r Impr fact cable
ove ory
men
t
Technical SkillsJob Knowledge/

6. Possesses knowledge of 5 4 3 2 1 0 NA
work procedures and
requirements of job

7. Shows technical 5 4 3 2 1 0 NA
competence/skill in area
of specialization
Work

8. Displays commitment to 5 4 3 2 1 0 NA
work
9. Plans and organizes 5 4 3 2 1 0 NA
work effectively

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 Attitude 10. Is proactive and 5 4 3 2 1 0 NA
displays initiative

11. Has a sense of

urgency in acting on 5 4 3 2 1 0 NA
work matters
12. Displays a willingness 5 4 3 2 1 0 NA
to learn
WorkQuality of

13. Is accurate, thorough 5 4 3 2 1 0 NA

and careful with work
performed
WorkQuantity of

14. Is able to handle a 5 4 3 2 1 0 NA

reasonable volume of
work
Safety

15. Ensures careful work 5 4 3 2 1 0 NA

habits that comply with
safety requirements

Comments

Outsta Ver Go F Nee Uns Not

od ai ds atis Appli
Goo r Impr fact cable
ove ory
men
t

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 ImprovementProcess
16. Seeks to continually 5 4 3 2 1 0 NA
improve processes and
work methods

PART VI MANAGEMENT ( to be completed for staff with supervisory

duties only)
Problem Solving

17. Helps resolve staff 5 4 3 2 1 0 NA

problems on work-
related matters

18. Handles problem 5 4 3 2 1 0 NA

situations effectively
StaffSupervision/ Motivation of

19. Is a positive role 5 4 3 2 1 0 NA

model for other staff

21. Effectively supervises 5 4 3 2 1 0 NA

work of subordinates

PART VII FAIRNESS

Atten

22. Has good attendance 5 4 3 2 1 0 NA

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 Punctualitydance/ 23. Is punctual
5 4 3 2 1 0 NA
ResponsibilityDependability/

24. Is able to work with 5 4 3 2 1 0 NA

limited supervision

25. Is trustworthy, 5 4 3 2 1 0 NA
responsible and reliable

26. Is adaptable and 5 4 3 2 1 0 NA

willing to accept new
responsibilities

Comments

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Evaluation

Formula Score
Total Score
Total Scores X 100 %
Number of Questions Answered X
5

Grading

 90%- Outstanding
100% Performance is exceptional and far exceeds expectations.
Consistently demonstrates excellent standards in all job
requirements.

 76%-89% Very Good

Performance is consistent, and exceeds expectations in all
situations.

 60%-75% Good
Performance is consistent. Clearly meets essential
requirements of job.

 45%-59% Fair
Performance is satisfactory. Meets requirements of the job.

 31%-44% Needs Improvement

Performance is inconsistent. Meets requirements of the job
occasionally. Supervision and training is required for most
problem areas.

 0%-30% Unsatisfactory
Performance does not meet the minimum requirements of
the job.

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 Growth and Development

(i) List the appraisee’s strengths

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

(ii) List the areas for improvement

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

(iii) What specific plans of action, including training, will be taken to help
the appraisee in their current job or for possible advancement in the
company?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Achievement

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(i) Describe the appraisee’s areas of additional responsibilities and/or
other work-related achievements

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Recommendations

θ Termination θ Consider for merit increment

θ Extension of probation θ Transfer to other types of work
θ Suitable for confirmation θ Ready for promotion
(w.e.f. _______________) θ Has potential for promotion, but not
ready now
θ Normal increment of S$________ θ Others:
_____________________________________
θ No salary increment
_____________________________________

Other Remarks:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
____
___________________________________________________________________________________
_

_________________________________
________________________
Signature of Appraiser Date

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Review by Countersigning Authority

Comments by countersigning authority (if any):

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
____

___________________ _____________________ _________________

____________
Name of countersigning Designation of Signature
Date
authority scountersigning authority

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HUMAN RESOURCE DEPARTMENT’S USE

Present Salary: ____________________ Date of Last Increment____________:

New Salary:____________________ Effective Date: ______________

Comments:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
_______________________________________

________________________________ _______________

Signature of Managing Director Date

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