RGC PERFORMANCE EVALUATION FORM

• PERFORMANCE FACTORS
- Traits Factor - traits or qualities such as leadership, cooperation, etc. rated
according to the rater’s judgment
- Job Goals/Targets Factor – actual output, set and defined according to
measurable criteria

• Weight factor Traits Job Goals Total

Staff Level 40% 60%
Supervisory 30% 70% 100%
Managerial 20% 80%

Put (/) on the corresponding blank to indicate the below category:

______________ 3rd month Evaluation
______________ 5th month Evaluation
______________ Semi-annual Evaluation

PERFORMANCE EVALUATION FORM

INSTRUCTION

Evaluate the performance of your employee under your supervision. Since your
appraisal will become an important part of the employee’s record, you are expected to
appraise with utmost care and attention.

The following are important reminders for your guidance:

1. Do your rating at a time and place with the least distraction.

2. Reach each factor or quality or trait carefully.
3. Be sure to rate each factor or trait/quality independent or other factors to avoid
halo effect.
4. Make your rating objectively and fairly. Base your rating on facts not on mere
impressions and personal feelings. Avoid over rating from mistaken motives of
kindness and understanding based on prejudice.
5. Length of service, physical qualities, age previous ratings, and similar factors
should not influence the rating.
6. Rate the person only on what is expected of someone in that position or how well
he satisfies the requirements of the job.
7. Rate the person, not the position.
8. The performance rating is highly confidential
9. Human Resource Department will be responsible for the review and checking of
the final computation.

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NAME : POSITION: BRANCH/DEPT:

DATE: __________________________ EVALUATION PERIOD:

Instructions:
1. Specify the goals/ description and describe the performance for columns 1 and 2.
2. Decide/ write the weight factor (in percentage or in proportion) of each job goal
description for column. The highest weight should be the most important task,
second highest is the second most important and so on. The total weight factor
should be 100 for percentage or 1 for proportion of all job factors.
3. Write the numerical from 1 to 5 for column 4.
a. 1 – poor 2 – fair 3 – good 4 – very good 5 – excellent
4. Multiply the number in column 3 and 4 to obtain the weighted rating in column 5.
5. Add the weighted rating of all job goals then divide it by 5 to obtain the total weighted
rating.

JOB GOAL/
PERFORMANCE WEIGHT NUMERICAL WEIGHTED
TARGET
DECRIPTION FACTOR RATING RATING
DESCRIPTION

TOTAL WEIGHTED RATING :

CONCLUSIONS AND OTHER COMMENTS AND RECOMMENDATIONS

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1. Worker’s overall performance evaluation in accordance with the requirements of his
positions is:

( ) poor ( ) below average ( ) average ( ) above average ( ) excellent

Explain reason or support with specific incidents:

2. Worker’s overall performance evaluation relative to the performance of the other

members of your staff is:

( ) lower 25% ( ) middle 50 % ( ) top 25%

3. Identify skills, training, education and experience required of the job position that the
employee have or possess.

4. Identify skills, training, education and experience required of the job position that the
employee needs or lacks.

5. Identify or suggest training that you feel the employee needs to fill his inadequacy in item 4.

6. Identify employee’s strengths and weaknesses that are not related to training.
STRENGTHS: WEAKNESSES:

7. Suggest ways for worker’s growth and development other than training.

8. Overall impression and recommendation.

Conformed: Evaluated by: Noted by:

______________________ ______________________ ___________________
Employee Immediate Superior HRD

TRAITS ABILITY RATING

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Instruction: Encircle the number to indicate your rating:

Legend 1 – poor 2 – fair 3 – good 4 – very good 5 – excellent

PEFORMANCE FACTORS WEIGHT FACTOR RATING

1. KNOWLEDGE & SKILLS 12% 1 2 3 4 5
2. JUDGEMENT 12% 1 2 3 4 5
3. PROBLEM SOLVING 12% 1 2 3 4 5
4. LEADERSHIP 12% 1 2 3 4 5
5. INITIATIVE 8% 1 2 3 4 5
6. DEPENDABILITY 6% 1 2 3 4 5
7. COORDINATION 6% 1 2 3 4 5
8.DISCIPLINE/ATTITUDE 5% 1 2 3 4 5
9. COST CONSCIOUSNESS 6% 1 2 3 4 5
10. QUALITY 6% 1 2 3 4 5
11. QUANTITY AND EFFICIENCY 6% 1 2 3 4 5
12. CORPORATE RULES 5% 1 2 3 4 5
13. ATTENDANCE 4% 1 2 3 4 5

SUMMARY OF RATING
Category Staff Level Supervisory Level Managerial Level

Traits Rating % x 0.4 = % x 0.3 = % x 0.2 =

Job Goals Rating % x 0.6 = % x 0.7 = % x 0.8 =

Overall Rating

Rater’s Comments & Recommendations:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

__________________________________
Rater’s Signature over Printed Name/Date

Employee Remarks:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

___________________________
Employee Signature

Evaluated by: Reviewed by: Approved by:

___________________ _____________________ ______________________
Position: Position: Position:
___________________ _____________________ ______________________
Signature: Signature: Signature:
___________________ _____________________ ______________________

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