PERFORMANCE APPRAISAL FORM

GREENERS PLUS, INC. FOR GENERAL EMPLOYEES

Updated May 2018

Buong Pangalan
Pangalan ng Supervisor
Petsa

Panuto: Bigyan ng naaangkop na puntos at lagyan ng tsek (✔) ayon sa mga sumusunod na pamantayan:

Rating (Puntos) Descriptions

Needs Improvement: Poor Performance.
1 Point
Works with low quality results. (Hindi ginagawa o pinapakita.)
Average: Performance is expected.
2 Points
Works within standards. (Minsan ginagawa o pinapakita.)
Above Average: Performance is beyond expectations.
3 Points
Works with high quality results most of the time. (Kadalasan ginagawa o pinapakita.)
Excellent: Performance exceeds expectations.
4 Points
Works with high quality result all the time. (Palagiang ginagawa o pinapapakita.)

COMPETENCE AND VALUES (KAKAYANAN AT PAGPAPAHALAGA SA TRABAHO)

Rating
Measures (mga Pamantayan) (Puntos) Remarks (mga Komento)
Attendance & Punctuality
• Pag-report sa trabaho sa tamang oras.
Go for Loyalty
• Pagkakaroon ng malasakit sa kapwa, kasamahan sa trabaho at sa kumpanya.
• Pagbibigay halaga sa lahat ng ipinagkakatiwalang gamit.
• Pagtitiwala sa kumpanya at sa kanilang magandang layunin.
Respect
• Puts customer first.
• Respeto at paggalang sa bawat isa at sa bawat damdamin.
• Pagpanig sa katotohanan para sa ikagaganda ng samahan.
Excellence
• Lahat ng gawain ay maayos at pulido.
• Patuloy na pagpapaunlad sa sarili upang maging matagumpay.
• Pagtupad sa tungkulin at pagsisikap na maabot ang mataas na kalidad ng trabaho.
Energy
• Pagbibigay ng buong lakas, siglat at determinsyon sa ikagaganda ng serbisyo.
• Pagkakaroon ng “positive attitude” o bukas na kaisipan.
• Pagta-trabaho ng buong puso upang matugunan ang lahat ng tungkulin.
Nature-Friendly
• Pagpapanatili ng kalinisan at kaayusan ng kapaligiran.
TOTAL
(Add and divide by 6)

FEEDBACK / COMMENT (Suhestiyon)

Signature of Supervisor (Lagda) Signature of Person Being Evaluated (Lagda)

 GREENERS PLUS, INC. APPLICATION FOR LEAVE

OFFICE / DEPARMENT NAME (Last) (First) (Middle Initial) EMPLOYEE NO.

DATE OF FILING POSITION AREA

DETAILS OF APPLICATION
TYPE OF LEAVE (Kindly put a check on the appropriate box.) WHERE LEAVE WILL BE SPENT

VACATION IN CASE OF VACATION LEAVE

SICK Province (specify)
MATERNITY Abroad (specify)
PATERNITY
OTHERS (specify) IN CASE OF SICK LEAVE
In Hospital (specify)
Out-Patient (specify)

NUMBER OF WORKING DAYS APPLIED FOR COMMUTATION

INCLUSIVE DATES: Requested
Not Requested
FROM TO
MM / DD / YY MM / DD / YY

SIGNATURE OF APPLICANT

DETAILS OF ACTION ON APPLICATION

CERTIFICATION OF LEAVE RECOMMENDATION
AS OF
APPROVED
VACATION SICK TOTAL DISAPPROVED due to

AUTHORIZED OFFICER
HR OFFICER

APPROVED FOR DISAPPROVED DUE TO:

number of days with pay

number of days without pay
others (specify)

ENGR. ELMER S. CASTRO

PRESIDENT
 GREENERS PLUS, INC. INCIDENT REPORT FORM

DEPARMENT / AREA (Last) (First) (Middle Initial) DATE FILED

NAME of
SUBJECT

DATE OF INCIDENT NATURE OF INCIDENT SIGNATURE over PRINTED NAME

DETAILS OF THE INCIDENT

 GREENERS PLUS, INC.

ROUTING SLIP

Date:

No. Recipient/s Date Initial Remarks

Purpose:
INFORMATION REFERENCE

ACTION TRANSMITAL

FILE OTHERS
 GREENERS PLUS, INC.

TRAVEL REQUEST FORM

Name of Employee: Date:
Position:

Date of Travel Purpose of Travel Time of Departure Time of Arrival

Approved by:

Signature over Printed Name Engr. Elmer S. Castro

GREENERS PLUS, INC.

TRAVEL REQUEST FORM

Name of Employee: Date:
Position:

Date of Travel Purpose of Travel Time of Departure Time of Arrival

Approved by:

Signature over Printed Name Engr. Elmer S. Castro

 GREENERS PLUS, INC. GREENERS PLUS, INC. GREENERS PLUS, INC.

REQUEST FOR OVERTIME SLIP REQUEST FOR OVERTIME SLIP REQUEST FOR OVERTIME SLIP

Name: Date: Name: Date: Name: Date:

Project: Project: Project:

Reason/s: Reason/s: Reason/s:

Time In: Time In: Time In:

Time Out: Time Out: Time Out:

Total No. of Hours: Total No. of Hours: Total No. of Hours:

Approved by: Approved by: Approved by:

Employee's Signature Employee's Signature Employee's Signature

GREENERS PLUS, INC. GREENERS PLUS, INC. GREENERS PLUS, INC.

REQUEST FOR OVERTIME SLIP REQUEST FOR OVERTIME SLIP REQUEST FOR OVERTIME SLIP

Name: Date: Name: Date: Name: Date:

Project: Project: Project:

Reason/s: Reason/s: Reason/s:

Time In: Time In: Time In:

Time Out: Time Out: Time Out:

Total No. of Hours: Total No. of Hours: Total No. of Hours:

Approved by: Approved by: Approved by:

Employee's Signature Employee's Signature Employee's Signature

 GREENERS PLUS, INC. GREENERS PLUS, INC. GREENERS PLUS, INC.

VEHICLE UTILIZATION REQUEST / TRIP TICKET VEHICLE UTILIZATION REQUEST / TRIP TICKET VEHICLE UTILIZATION REQUEST / TRIP TICKET

Date: Date: Date:

Requester: Requester: Requester:

Department / Group: Department / Group: Department / Group:
Date & Time Needed: Date & Time Needed: Date & Time Needed:
Charge to: Charge to: Charge to:
Passengers: Passengers: Passengers:
(Please indicate Name (Please indicate Name (Please indicate Name
of passengers for Trip of passengers for Trip of passengers for Trip
Ticket Purposes) Ticket Purposes) Ticket Purposes)
Destination: Destination: Destination:
(From - To): (From - To): (From - To):
Purpose of Request: Purpose of Request: Purpose of Request:

Vehicle Assigned: Vehicle Assigned: Vehicle Assigned:

Plate No.: Plate No.: Plate No.:
Driver: Driver: Driver:
Remarks: Remarks: Remarks:

Approved by: Approved by: Approved by:

Engr. Elmer S. Castro Engr. Elmer S. Castro Engr. Elmer S. Castro

Departure Date / Time: Departure Date / Time: Departure Date / Time:

Odometer Reading: Odometer Reading: Odometer Reading:
Arrival Date / Tme: Arrival Date / Tme: Arrival Date / Tme:
Odometer Reading: Odometer Reading: Odometer Reading:

Driver's Signature Driver's Signature Driver's Signature

 Packing List

GREENERS PLUS, INC.

253 A. Reyes Street, Packing List No.:

Poblacion, Plaridel, Bulacan 3004 Date:
Contact Numbers: (044) 795-3927 / (0920) 960-2000
greeners_plus_inc@yahoo.com

PLACE OF ORIGIN: PLACE OF DESTINATION:

Project:
Locacation:
Item No. Description Quantity Unit / Measurement

REMARK/S:

Prepared by: Received by:

Signature over Printed Name Signature over Printed Name

Date: Date:
Noted by:

Signature over Printed Name

Date:
 GREENERS PLUS, INC.

PRE-EMPLOYMENT REQUIREMENT

Name:

1 BIO-DATA / RESUME
2 PHOTOCOPY OF PSA BIRTH CERTIFICATE
3 NBI CLEARANCE
4 POLICE CLEARANCE
5 PHILHEALTH ID
6 SSS UMID
7 HDMF ID (Pag-IBIG)
8 BIR TIN ID
9 MEDICAL-HEALTH EXAM (Complete)
10 DRUG TEST
11 BPI ACCOUNT (upon hiring)
 GREENERS PLUS, INC. GREENERS PLUS, INC. GREENERS PLUS, INC.

TRANSPORTATION EXPENSES TRANSPORTATION EXPENSES TRANSPORTATION EXPENSES

Date: Date: Date:

Time of Departure: Time of Departure: Time of Departure:
Time of Arrival: Time of Arrival: Time of Arrival:
Destination: Destination: Destination:

Route Amount Route Amount Route Amount

1 Fr: ______________ To: ______________ Php _____________ 1 Fr: ______________ To: ______________ Php _____________ 1 Fr: ______________ To: ______________ Php _____________

2 Fr: ______________ To: ______________ Php _____________ 2 Fr: ______________ To: ______________ Php _____________ 2 Fr: ______________ To: ______________ Php _____________

3 Fr: ______________ To: ______________ Php _____________ 3 Fr: ______________ To: ______________ Php _____________ 3 Fr: ______________ To: ______________ Php _____________

4 Fr: ______________ To: ______________ Php _____________ 4 Fr: ______________ To: ______________ Php _____________ 4 Fr: ______________ To: ______________ Php _____________

Total: Php _____________ Total: Php _____________ Total: Php _____________

by: by: by:

Signature over Printed Name Signature over Printed Name Signature over Printed Name

GREENERS PLUS, INC. GREENERS PLUS, INC. GREENERS PLUS, INC.

TRANSPORTATION EXPENSES TRANSPORTATION EXPENSES TRANSPORTATION EXPENSES

Date: Date: Date:

Time of Departure: Time of Departure: Time of Departure:
Time of Arrival: Time of Arrival: Time of Arrival:
Destination: Destination: Destination:

Route Amount Route Amount Route Amount

1 Fr: ______________ To: ______________ Php _____________ 1 Fr: ______________ To: ______________ Php _____________ 1 Fr: ______________ To: ______________ Php _____________

2 Fr: ______________ To: ______________ Php _____________ 2 Fr: ______________ To: ______________ Php _____________ 2 Fr: ______________ To: ______________ Php _____________

3 Fr: ______________ To: ______________ Php _____________ 3 Fr: ______________ To: ______________ Php _____________ 3 Fr: ______________ To: ______________ Php _____________

4 Fr: ______________ To: ______________ Php _____________ 4 Fr: ______________ To: ______________ Php _____________ 4 Fr: ______________ To: ______________ Php _____________

Total: Php _____________ Total: Php _____________ Total: Php _____________

by: by: by:

Signature over Printed Name Signature over Printed Name Signature over Printed Name
 GREENERS PLUS, INC.

Transmittal Sheet
To:
From:
Subject:
Date:

No. Description/s

Remark/s:

Transmitted by: Received by:

Signed over Printed Name Signed over Printed Name

Date: Date:
 GREENERS PLUS, INC.

PURCHASE ORDER
Supplier: P.O. No.:
Delivery Date: P.O. Date:
Due Date: P.R. No.:
Terms of Payment: Ref. No.:

QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT TOTAL AMOUNT

GRAND TOTAL OF THIS P.O.:

Prepared by: ___________________________________ Reviewed by: ___________________________________

Approved by: ___________________________________ Received by: ___________________________________

 GREENERS PLUS, INC.

PURCHASE REQUISITION
Supplier
Date:
Project: Terms of Payment

Item Quantity Unit Item / Particular Description Cost per Unit Total Cost

Purpose: _________________________________________________ Date Needed: _______________ Total: -

Remarks: ________________________________________________________________________________
Requested by: Approved by: Canvassed by:

Engr. ELMER S. CASTRO

 GREENERS PLUS, INC.

EQUIPMENT REQUEST FOR MAINTENANCE / REPAIR

Date: ______________________________________ Control No.: __________________________
Requestee: __________________________________ Vehicle Plate No.: ______________________
Endorsed by: ________________________________ Driver: _______________________________
(Mechanic)

ITEM NO. PARTICULAR/S ASSESSMENT / RECOMMENDATION

Noted by: Approved by:

Josephine G. Buhain Engr. Elmer S. Castro

E / REPAIR
_____________________________
No.: ________________________
_____________________________

STATUS

Engr. Elmer S. Castro

 GREENERS PLUS, INC.

DAILY VEHICLE CHECKLIST

Date:
Driver:
Helper:

PHYSICAL Yes No Remark/s

Vehicle Serviced According to Schedule
Engine in Good Working Condition
Water Level
Oil Level
Any Apparent Leaks
Turn Signals Operational
Break Lights Operational
Head Lights
Tail Lights
Reversing Lights
Reversed Quacker
Flashing Lights
Arrow Board
Vehicle Body in Good Condition
Tyres in Good Condition
Truck Bed and Cab Clean and Organized

DOCUMENTATION Yes No Remark/s

Vehicle Manual
Incident Report

OTHER SAFETY ITEMS Yes No Remark/s

Fire Extinguisher Charged and Inspected
Spill Kit Complete
First Aid Kit Stocked and Up to Date
Hazard Cones Available and in Good Condition

List Any Other Issues of Assigned Vehicle That Need to be Corrected / Checked:

Noted by:

Signature of Driver Signature over Printed Name