NON-EXPEMT EVALUATION FORM

EMPLOYEE____________________________________ DEPARTMENT_________________________ JOB TITLE____________________________ DATE_____________ SUPERVISOR________________________ PURPOSE: The purpose of this review is two-fold; to identify strenghts and weaknesses and determine what course of action (training, improved attendance, self-development, etc.) Be it necessary in order for the employee to improve their performance and overall development. Therefore, upon return of the completed evaluation form, the results should be discussed with the employee, emphasizing their weakness and pointing out ways and means which the employee can accomplish the desired improvement. Upon completion of the interview, the employee will sign in the place provided at the bottom, acknowledging that their evaluation has been discussed with them. INSTRUCTIONS: Listed below are a number of traits, characteristics and abilities. Circle the number in the box which most nearly describes the person bring evaluated. PERFORMANCE FACTORS & RATINGS QUALITY OF WORK Accuracy, skill, thoroughness, and correctness of work. QUANTITY OF WORK Output and volume of work produced. DEPENDABILITY Follows instructions, good housekeeping & safety habits, Responsible, carries out assignments & Company Rules. In compliance with Company procedures. JOB KNOWLEDGE Understands work duties gained through experience, education, or training. ATTITUDE Accepts change to conditions. Attitude towards co-workers and management. INITIATIVE DOES NOT MEET JOB REQUIREMENTS Makes frequent errors, below requirement. Unsatisfactory 0 Insufficient output. Slow & usually behind, disorderly. 0 Undependable. Requires close supervision. Unreliable. 0 Lacks understanding of most duties. Does not learn assignments. 0 Uncooperative. Antagonist occasionally toward co-workers. Does not relate to management. 0 Slow to catch on. Seldom has ideas. Unimaginative. 0 PARTIALLY MEETS JOB REQUIRMENTS Careless and erratic. Recurrent errors. Occasionally unsatisfactory 1 Marginal productivity, just gets by. Below requirements. 1 Needs occasional follow up. Requires prompting. 1 Lacks understanding of some duties. Requires instruction. 1 Somewhat cooperative. Usually gets along with co-workers and management. 1 Requires repeat instruction. Sometimes suggestive 1 Marginal in attendance or when reporting for work. MEETS JOB REQUIREMENTS Average and careful. Reasonable number of mistakes Satisfactory 3 Usually meets requirements. Satisfactory 3 Usually performs necessary assignments. Reasonable promptness. 3 Adequate understanding of duties. Can answer most common questions. 2 Cooperative. Gets along with co-workers and management. 2 Understands instructions with average ability. Moderately imaginative. 2 Usually present on time. EXCEEDS JOB REQUIREMENTS Good, skillful, above average. Sometimes Superior 4 Good output. Usually exceeds requirements. 4 Needs little supervision. Reliable and seldom requires follow up. 4 Understands all phases of work. Understands job requirements. 3 Very cooperative. Contributes to good work atmosphere. 3 Quick to learn assignments. Understands with little explanation. 3 Usually very prompt. Seldom late or absents FAR EXCEED JOB REQUIREMENTS Consistently Superior Highest Level of Quality of work. Exceptional 5 Superior productivity. Consistently exceeds requirements. 5 Requires minimum supervision. Completely trustworthy on job assignments. 5 compete Mastery of all duties. 4 Sets an example for fellow workers in all assignments. Respected by co-workers. 4 Exceptionally keen & alert. Seldom needs explanation. Imaginative & Good Ideas. 4 Always regular and prompt.

Imaginative. Contributes to job. ATTENDANCE Faithfulness in coming to Often absent and/or late. work. Punctual, reliable, and is on time for work. 0 1 I hereby acknowledge that my Supervisor has discussed my evaluation with me on the date indicated below: Employee Signature:_________________________________________DATE:________________________

2 3 COMMENTS:_____________________________________________ ________________________________________________________ ________________________________________________________

4 TOTAL POINTS: ______________