ASPIRE HOSPITALS PVT. LTD.

BHUBANESWAR
ANNUAL PERFORMANCE APPRAISAL FORM

Name: _______________________________ Dept.:________________________

Qualification D.O.J As

Present Designation: ________________

(Ratings: O – outstanding, C – commendable, A- Acceptable, U – Unacceptable

Assessment of the period:

Sl. PARAMETERS PERFORMANCE Ratings

No.
O C A U
1. Knowledge & Skills Understanding awareness and
fundamental knowledge of
one’s work/ assignments.
2. Attitude Outlook towards the
organization, work culture and
other employees and one’s own
work.
3. Work Quality Provides accurate, through work
regularly.
4. Dependability & Can be totally depended upon
consistency the deliver his/her best under
trying & critical circumstances/
pressure.
5. Self motivation & Drive Ability to commence and
complete assignments
independently with initiative
and without waiting for
instructions.
6. Team Work Willing member of team and
works in tandem with seniors –
peers and subordinates and
values of a work of subordinates
and values work relationships.
7. Subordinate development Has concern for subordinates
and is able to build on their
strength and develop their
weakness for their all round
improvement.
 ASPIRE HOSPITALS PVT. LTD.
BHUBANESWAR
8. Trust and strategic Has a flare for problem solving,
thinking improvement in system of work
and manage changes.
9. Risk taking & initiative Takes initiative and is ready to
take on competition with risk
taking abilities for organization
gain.
10. Patient/ Customer care Ability to understand patient’s/
customer’s requirements and
takes necessary steps to meet
their requirements to their
satisfaction.
11. Managerial Scheduling – delegation,
Competencies training and directions for
meeting the
department’s/organization’s
objectives.

Potential for Growth

High Average Low

Ready to shoulder high Yes No

responsibilities

OVERALL PERFORMANCE RATING :

Outstanding Commendable Acceptable Unacceptable

Comments of Department In-Charge/ Reporting officer

Signature

Name ( )
Designation ( )

Signature of H.O.D Signature of HR Deptt.

Name ( ) ( )
 ASPIRE HOSPITALS PVT. LTD.
BHUBANESWAR

Designation ( ) ( )