‫نموذج تقييم األداء الوظيفي‬

PERFORMANCE EVALUATION FORM

Date : :‫التاريخ‬
Reference No : :‫رقم املرجع‬

Evaluation Period To: :‫الى‬ From: :‫من‬ ‫فرتة التقييم‬

General Information ‫البيانات العامة‬

Employee Name: :‫اسم املوظف‬

Employee Number: :‫الرقم الوظيفي‬

Department :‫اإلدارة‬

Section :‫القسم‬

Appraised by: :‫اسم املسؤول‬

Reason For Appraisal ‫الهدف من تقييم األداء‬

 Periodic Appraisal ‫تقييم دوري‬ 

 Probation Period ‫فرتة تجربة‬ 
 Promotion ‫ترقية‬ 
 Increment ‫عالوه‬ 
 Others : : ‫أسباب أخرى‬ 
‫مالحظات‬ ‫تقييم الرئيس املباشر‬ ‫تقييم املوظف‬ ‫عامل التقييم‬
Remarks Manager Rating Employee Rating Evaluation Factor
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫إنجاز العمل باملستوى املطلوب‬
70-79  70-79  Accomplishment of the work
60-69  60-69  according to the required level
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫التعاون مع ومساعدة الزمالء‬
70-79  70-79  Cooperation and helping
60-69  60-69  colleagues
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫اإلخالص للشركة واملحافظة على مصالحها‬
70-79  70-79  Loyalty to the company and
60-69  60-69  preserving its interests
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫القدرة على استيعاب قواعد وأساليب العمل‬
70-79  70-79  Ability to understand work rules
60-69  60-69  and procedures
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
80-89  80-89 
Grade Grade ‫الرتتيب والنظام يف العمل‬
70-79  70-79 
60-69  60-69  Regularity and discipline at work
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
80-89  80-89  ‫االلتزام بأنظمة وسياسات الشركة‬
Grade Grade
70-79  70-79 

https://www.hrworld-sa.com/ HR-00, V1.0

 60-69  60-69  Observing company policies and
Below 60  Below 60  systems

‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 

Grade 80-89  Grade 80-89  ‫االهتمام بتطوير وتحسني مستوى العمل‬
70-79  70-79  Caring of work improvement and
60-69  60-69  development
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫املبادرة واالبتكار يف العمل‬
70-79  70-79 
Initiative and creativity at work
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫القدرة على اتخاذ القرارات‬
70-79  70-79 
Ability for taking sound decisions
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫االجتهاد والتجاوب مع ضغط العمل‬
70-79  70-79  Working hard and responding to
60-69  60-69  work pressure
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫إنجاز العمل يف املوعد املطلوب‬
70-79  70-79  Accomplishment the work
60-69  60-69  according to the required time
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫املحافظة على ممتلكات الشركة‬
70-79  70-79 
Preserving the company properties
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫القدرة على العمل دون مراقبة‬
70-79  70-79 
Ability to work without supervision
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫القدرة على تحمل مسؤولية أكرب‬
70-79  70-79  Ability to bear a larger
60-69  60-69  responsibility
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫احرتام الغري‬
70-79  70-79 
Respecting others
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89  ‫تقبل توجيهات وانتقادات الرؤساء‬
70-79  70-79  Accepting directions and criticism
60-69  60-69  of one's manage
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫التصرف الشخصي‬
70-79  70-79 
Personal behavior
60-69  60-69 
Below 60  Below 60 
‫الدرجة‬ 90-100  ‫الدرجة‬ 90-100 
Grade 80-89  Grade 80-89 
‫املظهر‬
70-79  70-79 
Appearance
60-69  60-69 
Below 60  Below 60 

https://www.hrworld-sa.com/ HR-00, V1.0

General Evaluation ‫التقييم العام‬

Total Score 100 / ‫إجمالي الدرجات‬

‫ضعيف‬ ‫مقبول‬ ‫جيد‬ ‫جيد جدا‬ ‫ممتاز‬

Grading      ‫التقدير‬
Poor Fair Good V. Good Excellent

Recommendation ‫التوصية‬

 Increment ‫عالوة‬ 

 Promotion ‫ترقية‬ 

 Dismissal ‫االستغناء عنه‬ 

 Bonus ‫مكافأة‬ 

 No Increment ‫يحرم من العالوة‬ 

 Transfer ‫نقله ملكان آخر‬ 

Manager Remarks ‫مالحظات الرئيس املباشر‬ Employee Remarks ‫مالحظات املوظف‬

Manager Signature ‫توقيع الرئيس املباشر‬ Employee Signature ‫توقيع املوظف‬

https://www.hrworld-sa.com/ HR-00, V1.0