EMPLOYEE PERFORMANCE REVIEWEPR Factor Links363L (Rev. 8/2005)GENERALINFORMATIONTYPE REPORTEMPLOYEE NAMECLASS TITLEPROBATIONARY (CS/NCS union covered)INTERIMPROBATIONARY (CS non-union covered)INTERIM (6 month PLOYEE NUMBERSTATUSCIVIL SERVICEORGANIZATIONRATING PERIODFROMSUPERVISOR NAMESUPERVISOR POSITION NUMBERNCSSMSTOGENERAL INSTRUCTIONSVerify/complete General Information. Indicate whether employee is a supervisor or non-supervisor.Review with the employee the employee’s job description, job standards (expectations/objectives/duties) for therating cycle to ensure the appraisal relates to the specific responsibilities, job assignments, and standards thatwere conveyed to the employee for the rating cycle.(On-line Position Description Application)Base the appraisal on the employee’s performance during the entire review period, not isolated incidents orperformance prior to the current review period. Obtain/review necessary input and supporting data.Rate each factor in relation to the standards established and the guidelines listed on the form for each rating.Provide an overall rating based on the rating of the individual factors, adherence to significant performancestandards, and accomplishment of essential functions. Each factor need not be of equal weight but commentsshould justify significant differences impacting on the overall rating.Assess employee strengths and identify opportunities where the employee could improve or requires additionalknowledge or skill. Include projected development needs to meet anticipated assignments during the next ratingperiod. Obtain employee input regarding their training needs. When rating employees, consider theirparticipation and willingness to participate in employee development opportunities.The comments sections should be used to: support performance ratings, indicate problem areas and provideguidance to employees on how to improve performance. Comments MUST be provided for outstanding, needsimprovement, and unsatisfactory ratings, and are highly recommended for all other ratings. Supervisor,reviewing officer, and employee comments are to be relevant and job related. (Additional comments for any sections should beplaced on Page 5 of this form if completing the form electronically or by attaching additional 8 ½ by 11 paper in similar format.)Discuss/obtain comments and signature/date of reviewing officer before discussion with employee.Sign/date the form, meet with employee to discuss the rating, and obtain the employee’s signature/date/comments.Arrange for reviewing officer discussion if requested.Update with the employee job description, essential job functions, and performance standards/objectives for thenext rating cycle.COMMUNICATION OF PERFORMANCE STANDARDSIndicate when you conveyed job standards to the employee and when progress review(s) was conducted:1. Performance standards (objectives, duties, expectations, etc.) for this rating period were conveyed to Progress Review(s) was conducted on(at least one during rating cycle)date(s)

EMPLOYEE NAME:EMPLOYEE NUMBER:JOB FACTORS1. JOB KNOWLEDGE/SKILLS Measures employee’s demonstrated job relevant knowledge and essential skills, such as work practices, policies, procedures,resources, laws, customer service, and technical information, as well as the relationship of work to the organization’s mission. Also measured are the employee’s selfimprovement efforts to enhance skills and knowledge and to stay current with changes impacting the job.OUTSTANDINGCOMMENDABLE Possesses superior jobskills and knowledge;effectively applies them towork assignments. Willingly mentors staff;shares knowledge. Seeks/applies innovativeand relevant techniques. Work reflects thorough andcurrent knowledge/skill of job and impact onagency activities/relatedresources. Uses opportunities to expandknowledge/skills, sharinginformation with staff.SATISFACTORY Work reflects adequateknowledge/skills for job. Has some knowledge ofrelated work. Stays current with majorchanges impacting onknowledge or skill. Accepts change.NEEDS IMPROVEMENTUNSATISFACTORY Often demonstrates a lack of basic or Consistently demonstrates asufficient job knowledge/skills tolack of basic job knowledgeperform routine functions of the job.and/or skills to perform job. Occasionally is resistant to changing Rarely takes advantage ofknowledge and/or skill requirementsavailable skill enhancement oror processes, including opportunitiestraining opportunities.for knowledge/skill enhancement. Often is resistant to changingrequirements.Comments:2. WORK RESULTS Measures employee’s results in meeting established objectives/expectations/standards of quality, quantity, customer service, and timeliness bothindividually and in a team.OUTSTANDING Work consistently exceedsexpectations of quality,quantity, customer service,and timeliness.COMMENDABLE Work frequently exceedsexpected quality, quantity,customer service, andtimeliness standards.SATISFACTORYNEEDS IMPROVEMENTUNSATISFACTORY Work usually meets Often has difficulty meeting Consistently fails to meetexpectations of quality,expected quality, quantity, customerexpected quality, quantity,quantity, customer service,service, and/or timeliness standards.customer service, and/orand timeliness.timeliness standards.Comments:3. COMMUNICATIONS Measures employee’s performance in exchanging information with others in an effective, timely, clear, concise, logical, and organizedmanner. Communications include listening, speaking, writing, presenting, and sharing of information. Consideration is given to client/data complexity/sensitivity.OUTSTANDINGCOMMENDABLE Consistently communicates Frequently communicates inin clear, effective, timely,an effective, timely, clear,concise, and organizedconcise, and organizedmanner.manner. Is articulate and persuasive Proficiently organizes andin presenting, solicitingpresents difficult facts andcomplex or sensitive data.ideas orally and in writing. Seeks/provides feedback.SATISFACTORY Usually communicateseffectively and exchangesrelevant information in atimely manner. Speaks and writes clearly. Keeps others informed. Listens with understanding.NEEDS IMPROVEMENTUNSATISFACTORY Often fails to communicate Consistently fails toeffectively or in a timely manner.communicate effectively ortimely. Lacks clarity of expression orally orin writing. Often does not keep othersinformed. Is inconsistent in keeping othersinformed. Is an ineffective listenerand/or frequently interrupts. At times, fails to listen effectively.Comments:4. INITIATIVE/PROBLEM SOLVING Measures the extent to which the employee is self-directed, resourceful, and creative in performing job duties individually orin a team. Also measures employee’s performance in identifying and resolving problems; following through on assignments; and initiating or modifying ideas, methods,or procedures to provide improved customer service, redesign business processes, and accomplish duties.OUTSTANDING Consistently resolvesunit/team problems andpromotes improvements. Maximizes resources,innovation/technology tostreamline/improve. Analyzes full dimension ofcomplex problems. Requires minimalsupervision.COMMENDABLE Prevents/resolves unit/teamproblems. Suggests innovations toimprove operations orstreamline procedures. Defines and analyzescomplex problems. Develops/implementssolutions with moderatesupervision.SATISFACTORY Addresses existing and significant potential problems. Suggest or assists indeveloping solutionsindividually or in a team. Carries through solution implementation with routinesupervision or follow-up.NEEDS IMPROVEMENTResolves routine problems.Exhibits little initiative inidentifying problems, solutions, orimprovements and/or workingproactively as part of a team toaddress issues of concern.Requires more than routinesupervision.Comments:EMPLOYEE NAME:EMPLOYEE NUMBER:UNSATISFACTORY Consistently fails to recognize orseek help in resolving routineproblems. Demonstrates inability to workindividually or in a team. Rarely suggests improvements. Requires frequent reminders andsupervision.

5. INTERPERSONAL RELATIONS/EQUAL EMPLOYMENT OPPORTUNITY (EEO) Measures employee’s development and maintenance of positive andconstructive internal/external relationships. Consideration should be given to the employee’s demonstrated willingness to function as a team player, give and receiveconstructive criticism, accept supervision, resolve conflicts, recognize needs and sensitivities of others, and treat others in a fair and equitable manner. Supervisorsand team leaders also are to be assessed on their demonstrated commitment to Equal Employment Opportunity, diversity and proactive actions to prevent/address allforms of EEDS IMPROVEMENTUNSATISFACTORY Consistently promotes Frequently fosters teamwork, Usually interacts in a Often has difficulty getting along Interpersonal relationshipsand maintains acooperation, and positivecooperative manner.with others. Allows personal biasare counter-productive toharmonious/productivework affect job unit or team functions. Avoids disruptive environment. Handles conflictDeals with conflict, frustration Requires reminders regarding Often ignores EEO/ diversity Is respected and trustedconstructively.appropriately.needs and sensitivities of others.program requirements.and often viewed as a role Promotes and adheres to Treats others equitably. Inconsistently adheres to EEO/model.EEO/diversity programAdheres to EEO/diversitydiversity program requirements.requirements.program requirements. Actively promotesEEO/diversity programs.Comments:6. WORK HABITS Measures employee’s performance relative to efficient methods of operation, customer service, proper conduct, speech ethical behavior, andCommonwealth/agency/work unit policies and procedures, such as attendance, punctuality, safety, security, proper care and maintenance of assigned equipment, andeconomical use of office supplies.OUTSTANDING Work reflects maximuminnovative use of timeand resources toconsistently surpassexpectations and improveoperations. Serves as a role modelwith regard to workpolicies and safetystandards.COMMENDABLESATISFACTORY Frequently plans/organizes Work is planned to meetwork to timely and effectively routine volume andaccomplish job duties withtimeliness and usuallyappropriate use of resources.fulfills operational andcustomer service needs. Suggests/implementsimprovements and exceeds Adheres to organizationalorganizational work/safetywork policies/safety rulesrules and standards.and procedures with fewexceptions.NEEDS IMPROVEMENTUNSATISFACTORY Frequently lacks organization and Consistently fails to meetplanning of work and does notexpected standards due to lackadequately use available resources.of effective organization, useof equipment/resources, or Often does not meet standards ininattention to customer servicecomplying with work policies/safetyneeds.rules and/or care of equipment. Resists established workpolicies/safety rules andprocedures.Comments:7. SUPERVISION/MANAGEMENT (Required for all supervisors/managers) Measures leadership, judgment, initiative, and achievement of expectations.Effectively managers program/projects, employees, budget, technology, and organizational change to produce positive results. Engages in strategic planning andmeasurement, performance management, teamwork, staff development, and recognition of accomplishments. Promotes customer service, diversity, inclusiveness,collaboration, effective communication, and positive labor/management relations. Uses innovation and fulfills administrative requirements.OUTSTANDING Regularly exceedsexpectations. Implements innovativepolicies, resources, andtechnology to maximizeefficiency and service. Committed to andpromotes excellence;leads by exampleenergizing performanceand teamwork. Uses and encouragescreative decisions andsolutions. Acts a positive changeagent.COMMENDABLE Meets and frequently exceeds expectations. Improves efficiency and customer service. Provides staff withinnovative and constructive direction, delegation,feedback, mentoring, andrecognition. Adheres to performance management/administrative policies. Makes sound decisions. Promotes and maintainsteamwork, inclusiveness, respect, and creativity.SATISFACTORYNEEDS IMPROVEMENTMeets most expectationstimely and effectively.Maintains acceptableefficiency and customerservice.Provides staff necessarydirection, feedback,development, andrecognition.Makes decisions thatusually reflect soundjudgment.Usually adheres toadministrative policies.Encourages innovation,teamwork, andinclusiveness. Often fails to meet expectationstimely and effectively. Efficiency and customer serviceoccasionally fall below standards. Inadequately directs, trains,monitors, and recognizes staff. Inadequately fulfills administrativeand performance managementfunctions. Often lacks good judgment indecisions. Lacks leadership in promotinginnovation, teamwork, andinclusiveness.Comments:EMPLOYEE NAME:EMPLOYEE NUMBER:UNSATISFACTORY Consistently fails to meetexpectations timely oreffectively. Delivers unacceptablecustomer service oroperational efficiency. Disregards or ineffectivelyprovides staff direction,monitoring, and development. Often ignores performancemanagement or administrativepolicies. Is indecisive or lacks goodjudgment. Resists change.

OVERALL RATINGINSTRUCTIONS: Provide an overall rating based on the rating of the individual factors, adherence to significant performance standards, andaccomplishment of essential functions. This rating provides an overall impression of job performance that is supported by the job factor ratings, notnecessarily an average of those ratings. Thus, each factor need not be of equal weight but comments should justify significant differences on theoverall rating.OUTSTANDINGCOMMENDABLE Employee consistentlyand significantly exceedsjob expectations andstandards anddemonstrates a highdegree of initiative,customer service, andquality of work.SATISFACTORYNEEDS IMPROVEMENTUNSATISFACTORY Employee meets and Employee meets the Employee meets many of the Employee fails to meet manyfrequently exceeds jobexpectations and standardsexpectations of the job in ajob expectations andexpectations and standardsof the employee’s job in asatisfactory manner but often fails tostandards. Performanceand demonstrates a highfully adequate way.adequately meet some of thedeficiencies must be of initiative, customerexpectations or standards.service, and quality of work.Improvement is required.Overall Comments:EMPLOYEE STRENGTHS: (Identify strong attributes, abilities, or proficiency in an area, to maximize the employee’s contribution to theorganization in utilizing these abilities and skills and to identify potential mentor relationships.)Comments:OPPORTUNITIES FOR DEVELOPMENT: (Identify knowledge, skills, and abilities that may need improvement. Address developmentalactivities to assist the employee in addressing either areas of concern or opportunities for professional growth.)Comments:Rater’s Signature:Date:REVIEWER’S COMMENTSComments:Reviewer’s Signature:Date:EMPLOYEE’S COMMENTSI AGREE WITH THIS RATINGI DISAGREE WITH THIS RATINGI WOULD LIKE TO DISCUSS THIS RATING WITH MY REVIEWING OFFICERDISCUSSION WITH MY REVIEWING OFFICER OCCURRED(DATE)I ACKNOWLEDGE THAT I HAVE READ THIS REPORT AND I HAVE BEEN GIVEN AN OPPORTUNITY TO DISCUSSIT WITH THE EVALUATOR; MY SIGNATURE DOES NOT NECESSARILY MEAN THAT I AGREE WITH THE REPORT.Comments:Employee’s Signature:EMPLOYEE NAME:Date:EMPLOYEE NUMBER:


EMPLOYEE NAME: EMPLOYEE NUMBER: JOB FACTORS 1. JOB KNOWLEDGE/SKILLS Measures employee’s demonstrated job relevant knowledge and essential skills, such as work practices, policies, procedures, resources, laws, customer service, and technical information, as well a