Employee Appraisal Form

Section 1: Personal & Supervisor Information
Section 2: Departmental Objectives
Section 3(a): Performance Evaluation
1. Departmental Target (80%)
S. No. Performance Targets / Objectives Weight (%) Key Performance Indicator (KPI) Self-Rating Supervisor’s Rating Agreed Final Score
1

for supervisors evaluation

for supervisors evaluation
2. Performance Contracting & Other Related Duties (20%)
Indicator Targets / Activities Set for the Period Weight (%) Key Performance Indicator (KPI) Self-Rating Supervisor’s Rating Agreed Final Score
1

for supervisors evaluation

for supervisors evaluation
2

for supervisors evaluation

for supervisors evaluation
3

for supervisors evaluation

for supervisors evaluation
4

for supervisors evaluation

for supervisors evaluation
5

for supervisors evaluation

for supervisors evaluation
(b). Identified Training Needs (To be discussed with the employee and completed by the supervisor at the end of the appraisal period)
Short-Term Long-Term Supervisor’s Comments / Reason for Recommendation

for supervisors to give comments
SECTION 4(a): Staff Training and Development Plan
Appraisee’s training and development needs
(To be completed by the Appraisee as agreed with the Supervisor at the beginning of the appraisal period) 		Duration of training including on the job training

Comments on staff training and development undertaken over the appraisal period


(To be completed at the end of the reporting period)
Comments by Appraisee Comments by Supervisor

Source of funding; Self-Sponsorship / Government Sponsorship


Comments by Appraisee Comments by Supervisor

for supervisors to give comments

for supervisors to give comments
SECTION 5: Values and Staff Competency Appraisal

This Section shall be completed by the Supervisor after discussion with the Appraisee. The Supervisor and Appraisee should however discuss the values at the beginning of the appraisal period. The definitions of values/competences are as stated in the Guide. The Supervisor to comment on each of the values and competences listed below:

(i): Values
Value Comments
Teamwork, Integrity, Transparency, Accountability

for supervisors to give comments upon discussion
(ii): Core Competencies
Core Competencies Comments
Customer Focus, Governance, Innovation, Development, Human Dignity

for supervisors to give comments upon discussion
5(b): Managerial and Supervisory Competences

(This part applies to staff who have managerial and supervisory responsibilities only)

Competency Positive Comments Negative Comments
Planning, Development, Accountability, Risk Management, Judgement, IT, Performance Mgmt
SECTION 6(a): Mid-Year Review

This section shall be completed by the Supervisor after discussion with the Appraisee. (Comments on the Appraisee’s performance including achievements, milestones and any constraints experienced over the first half of the reporting period).

for supervisors to give comments upon discussion

SECTION 6(b): Targets Varied Mid-Year

Please fill in the table below if there were any changes made to the agreed targets during the Mid-Year Review:

# Targets changed or added as agreed during mid-year performance Appraisal and respectivePerformance Indicators/Proof of Performance (To be completed by Appraisee during mid-year review) Results Achieved

(To be completed by the Supervisor at the end of the appraisal period)

 Supervisor Rating
(0.0 – 5.0)

(To be completed by the Supervisor at the end of the appraisal period)
1

to be completed by the supervisor

to be rated by the supervisor
2

to be completed by the supervisor

to be rated by the supervisor
3

to be completed by the supervisor

to be rated by the supervisor
SECTION 7: Appraiser and Appraisee Commitment
SECTION 8: Recommended Reward or Sanction

(a) A bonus of one month’s basic salary will be awarded upon approval of the Board for excellent performance

(b) Tick the recommended sanction* as supported by Appraisee’s performance:

to be done by the supervisor

SECTION 9: Final *Sanctions should be in accordance with current Service Regulations
Supervisor Info

will be signed by the supervisor

Remarks

Second level supervisors will give remarks

Hr manager will give remarks

Hr manager will sign

Hr will add signature date

CEO will give remarks

CEO will Sign

CEO will update Signature date