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Project Employee Appraisal Form

This document is a performance appraisal form for project-based employees at Qualimed Manila. It includes sections for self-evaluation, evaluation by the employee's department head, and recommendations. Employees are evaluated on their performance in key roles like clinic administrator, coordinator, clinician and advisor, and health educator. Metrics include attendance, file management, health and safety programs, scheduling, and attitude. The department head assigns scores in each area which are calculated into an overall rating of excellent, very good, satisfactory, fair, or poor. Recommendations include continuing employment, termination, or other actions along with comments on salary.

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498 views1 page

Project Employee Appraisal Form

This document is a performance appraisal form for project-based employees at Qualimed Manila. It includes sections for self-evaluation, evaluation by the employee's department head, and recommendations. Employees are evaluated on their performance in key roles like clinic administrator, coordinator, clinician and advisor, and health educator. Metrics include attendance, file management, health and safety programs, scheduling, and attitude. The department head assigns scores in each area which are calculated into an overall rating of excellent, very good, satisfactory, fair, or poor. Recommendations include continuing employment, termination, or other actions along with comments on salary.

Uploaded by

Gin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Performance Appraisal Form Overview

QUALIMED MANILA

PERFORMANCE APPRAISAL FORM (PROJECT BASED EMPLOYEES)

Employee Being Reviewed: Please complete the Self Evaluation portion of this review by checking column
corresponding to the numeric description. When complete, submit it to your Department Head.
Employee Name: Emp. Nos.

Project Site:

Evaluation Period:

Evaluated By: Date:


Supervisors Name/Signature

Rating Review By: Date:


HR Representatives Name/Signature

Department Head Conducting Review: Complete the Department Heads Evaluation by checking the column
corresponding to the numeric description of the job holders level. Compute for the rating by dividing the raw score
to percentage (e.g. 5 x 0.4 for 40%), then add all the scores to get the total points earned.

GOALS TARGET Self EVALUATION Department Heads


EVALUATION
1 2 3 4 5 1 2 3 4 5
Clinic Administrator (20%)
(Attendance and Sickness Management, File Management,
Stock Medicine Inventories, Issue Health and Safety
Bulletin to ALL Project Personnel)
Coordinator (20%)
(APE Schedule, Internal and External coordination of Health
Matters, Prepare Accidental Reports)
Clinician and Adviser (20%)
(Primary Prevention, Emergency Care, Health Assessment
and Treatment Services, Hazard Identification, Develop
Disaster Program and Discuss its Implementation Status
During Meetings)
Health Educator and Counselor (20%)
(Continuing Professional Development, Worker Education
and Training, Work Place Health Promotion)
Attitude Towards Work, Peers, and Supervisor (20%)

TOTAL POINTS EARNED RECOMMENDATION:


Tick the box besides rating:
For Continuation / Extension of Contractual Status
4.7 5.0 Excellent
For Termination of Employment
4.0 4.6 Very Good Reason: ____________________________________
3.0 3.9 Satisfactory Others: ____________________________________
2.0 2.9 Fair Starting Salary: _______________________
1.0 1.9 Poor
Existing Salary: _______________________
Last Salary Adjustment: ________________
Effective Date: ________________________
Date of Review:___________________ Employees Signature: ______________________________

Payroll Received Date: _______________ Received by: ________________________________________

3 copies of completed review Original to Human Resources Manager, Copy provided to employee and Department Head.

QUALIMED MANILA PERFORMANCE APPRAISAL FORM (PROJECT BASED EMPLOYEES) Employee Being Reviewed: Please complete the “Self

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