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Performance Appraisal Form 1
SELF ASSESSMENT
(To be obtained from the reportee in a separate sheet and filed as part of the facing sheet of the form)
Instructions to Reporting Officers
1. Consider only one factor at a time
2. Study each factor and the specification for each grade
3. Review upon completion to see that the rating of each factor applies exclusively to the individual's actual performance on his present
job.
4. Comment fully at the bottom of the page and on reverse side upon any matter which in your opinion needs explanation.
5. Put a tick ( S) mark in the appropriate boxes provided hereunder-
Section A
ASSESSMENT BY THE REPORTING OFFICER
SI.
No.
Factors
B
C
D
1.
Intelligence
Quite able to
handle new and
difficult matters
Normally under- stands a
new situation after proper
explanations and
handles it if given all
directions
Poor comprehension
as usually. Fails to
perform a function
despite prior
instructions
2.
Initiative and Resource-
fulness
Shows reasonable
degree of initiative and
resourcefulness
Tends to wait for
direction
Cannot perform
without close
supervision and
guidance. Limited
desire to achieve
task
3.
Discipline
Always punctual,
observes the code of
conduct
Usually punctual, tries
to follow the general
code of conduct
Not punctual,
indifferent to general
code of conduct.
Shriks responsibility
4.
Responsibility and
Dependability
Sincerity of responsibility
and Conscientiousness
towards duty
A steady worker with a
good record of
dependability
Reasonably
conscientiousness and
does his / her job in a
routine manner
Often fails to perform
his/ her duty
5.
Co-operation and
Personal relations
Co-operation with
superious and colleagues
and personal relations with
public where relevant
Always Cooperative and
generally maintains with
effort reasonably good
relations
Co-operative maintains
with effort reasonably
good relations
Does not get along
well
2
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