Others - Performance Management Assessment Sample #3


Performance Assessments that include Others:
Assessment 1 (5-point scale; IDP Comments)
Assessment 2 (3-point scale with Comments)
Assessment 3 (Manager Assessment; 360-Feedback)
Assessment 4 (3-point scale; Rating Limits)
Assessment 5 (3-point scale; Rating Limits)
Assessment 6 (5-point scale with Comments)
Assessment 7 (Comment Boxes Only; IDP)
Assessment 8 (Comment Boxes Only)
Assessment 9 (3-point scale with Letter Grade)
Assessment 10 (360-Feedback; Bonus/Merit Pay)
Assessment 11 (Core Values & Job Competencies)
Assessment 12 (4-point scale; 6 Comment Boxes)

Performance Management System
Supervisor: [Supervisor Name]


Signature: ___________________


Date: _____________ 		Employee: [Employee Name]


Signature: ___________________


Date: ___________
Job Title: Mid-Level Manager in X Department Hire Date:
Instructions:
This performance appraisal program is designed to provide a standardized method to:
  1. Provide an objective evaluation of an employee's performance and to share this feedback with the employee
  2. Assist in determining the true development needs of the employee and actions that should be taken to improve their job performance.
  3. This form is intended to ensure fair and equitable salary management. Please note that this review is one of several factors considered in salary decisions.
Manager-Assessment
As a manager, your feedback is crucial in capturing the achievements and performance of your employees during the review period. Please provide brief answers to the questions below. The information you share will be included in the employee's Performance Appraisal.

If you have additional printed sheets to submit, ensure they are signed, dated, and handed over to your Department Head. If you believe another individual should contribute to this review, kindly provide their name and contact details.

Part 1: Status Recommendation

If currently on Probational Status:



If on Regular Employment Status:

Justification for the above Status Recommendation:


Competencies Included:
Others, Collaboration, Empowering Others, Developing Others, Communication Skills, Bias for Action, Management, Achievement

Part 2: Results of 360-Degree Feedback


The following are results from the 360-Degree Assessment conducted earlier in the year. This information can help guide the development of focus areas for the Individual Development Plan.
  1. Others: Forms working relationships with employees from other departments. Works effectively with people from other departments. Works across boundaries within the organization. Treats others with respect and dignity.
  1. Collaboration: Open to feedback and willing to share insights to foster a collaborative work environment where everyone feels empowered to contribute. Effectively uses digital tools do you use to improve collaboration in the department. Encourages diversity of opinions and ideas. Encourages team members to offer opinions and ideas.
  1. Empowering Others: Encourages employees to think outside the box. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level. Gives employees the authority to act on their own. Views others in the department as valued assets to be trained and employed.
  1. Developing Others: Provides constructive feedback to others. Recognizes and celebrates accomplishments of others. Develops employees by offering and encouraging them to take on new or additional responsibilities. Assigns tasks and responsibilities to develop skills of others.
  1. Communication Skills: Keeps the supervisor informed about achievements and milestones. Uses polite language and shows respect for others' opinions and time. Discusses ideas and concepts with peers. Communicates concepts and ideas to others.
  1. Bias for Action: Conveys a sense of urgency about addressing problems and opportunities Completes a large volume of work. Displays high energy and enthusiasm on consistent basis. Completes work on time
  1. Management: Takes responsibility for things that go wrong Makes you feel enthusiastic about your work Sets an example for others to follow Delegate tasks effectively
  1. Achievement: Works at a quick pace to complete a high volume of work. Completes work to a high technical standard Rapidly completes tasks and assignments. Takes calculated risks to achieve significant rewards.

Part 3: Individual Productivity and/or SMART Goals

Employee Comments


Supervisor Comments


Part 4: Team Productivity and/or SMART Goals

Employee Comments


Supervisor Comments