CONFIDENTIAL

EMPLOYEE ASSESSMENT FORM

(HABIS MASA KONTRAK)

Name : Richo Naiborhu Position : HSE Termination date : 14 Maret 2021

ID : 17092000005 Salary : 9,000,000 Departement : : HSE

1. TECHNICAL COMPETECY SCORE STRENGHTS AND WEAKNESSES EMPLOYEE STATUS RECOMMENDATION Final Score :

STRENGHTS: Recommend status to permanent employees

Knowledge of work and (Average 1 & 2) 0 0
1 1
assignment
2 Extend the contract for …... Months
3
4 X Termination of Employement
5
Implementation of Work New Salary Recommendation Rp.__________________Assesor I :
2
Instructions WEAKNESSES: Position :
1 Mutation to __________________ Department
2 as ____________________
3 ( please put √ on the box )
4 Assesor II :
Average 0 Total 0
5 Position :

2. SOFT COMPETENCY SCORE IMPROVEMENT SUGGESTIONS EMPLOYEE EVALUATION

1. Creativity Able and ready to be promoted as: Scoring Criteria:

2. Guidance and Direction a. Position ___________________
3. Planning b. New Salary Recommendation Rp________________
4. Initiative 01-10 : Poor
5. Discipline Good enough for current position and can still (Rank E )
6. Reliable be improved 11-20 : Fair
7. Teamwork (Rank D )
TRAINING SUGGESTION
8. Persistence Good enough for current position and can not 21-30 : Enough
9. Integrity be improved, because_______________________ (Rank C )
10. Problem Solving 31-40 : Good
Less competent with the current position and suggested (Rank B )
to be moved to _______________ 41-50 : Very Good
as ________________________- (Rank A )
Average 0 Total 0
( please put √ on the box )