• This form has been designed to increase productivity in the workplace. The purpose of this review is to enable the company to recognize the areas of performance where the individual needs direction.

    At least two weeks before the employment anniversary, the supervisor should complete this form and meet with the employee to review the employee's performance. The supervisor should provide the employee with a copy of the form if the employee requests one. The completed form, including Recommendations and Signatures, should then be sent to the Human Resources (HR) Department.

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  • Evaluation Criteria

    Please select the accurate description for the employee under review using the scale of 1 being "less likely" and 5 being "highly likely".

    The "N/A" selection is for those individuals where the question does not apply, should this be the case please choose "N/A".

  • Personal Tool Requirement

    Has the employee furnished the tools as per company Personal Tool Requirement Policy?

  • Supervisors

    For those employees with supervisory responsibilities only


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  • The employee’s signature here confirms that this assessment and form have been reviewed with the employee by the supervisor.
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