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Form Performance Appraisal

The document appears to be a performance evaluation form for an employee named Mr./Ms. X in the Engineering Department. It contains sections to rate the employee on evaluation criteria like work quality, dutifulness, and teamwork. The ratings are provided by three evaluators - the direct supervisor, a work colleague, and a direct subordinate. Attendance and discipline are also considered in calculating the final grade. The final grade will determine if the employee's performance is exceptional, excellent, good, average, or insufficient.

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HRD Bagus Corp
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345 views

Form Performance Appraisal

The document appears to be a performance evaluation form for an employee named Mr./Ms. X in the Engineering Department. It contains sections to rate the employee on evaluation criteria like work quality, dutifulness, and teamwork. The ratings are provided by three evaluators - the direct supervisor, a work colleague, and a direct subordinate. Attendance and discipline are also considered in calculating the final grade. The final grade will determine if the employee's performance is exceptional, excellent, good, average, or insufficient.

Uploaded by

HRD Bagus Corp
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
You are on page 1/ 3

REGENESYS LTD Jl.

Tukad Balian
Denpasar

PERFORMANCE EVALUATION SHEET

Employee's Data 1st Evaluator (Direct Supervisor) : Director Managing Grade :


Name Mr./Ms. X 2nd Evaluator (Work Colleague) : HRD Manager 5 = Very good
Position Drafter Manager 3rd Evaluator (Direct Subordinate) : 3 = Sufficient
Department Engineering Evaluation Period : 12 months 1 = Lacking
Working Period 12 months Date of Evaluation : April 2021

Weight 1st Evaluator (50%) 2nd Evaluator (30%) 3rd Evaluator (20%) Final Grade :
Evaluation Criteria G GxB G GxB G GxB Exceptional = 18< x <20
1 Work Quality 1 Excellent = 16< x <18
2 Dutifulness 1 Good = 14< x <16
3 Team work 1 Average = 12< x <14
4 Initiative 1 Insufficient = below 12
TOTAL 4 Sub Total 1 0 Sub Total 1 0 Sub Total 2 0

Attendance and Discipline (filled by HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]
Score = 0 0 0 = 0
Overdue Sick leave Permit

1 x ……… days 3 x .…… days 5 x .…… days Final Grade: Score -- Attandance deduction

Absence Warning letter Memoranda Exceptional 0


15 x ……… days (- 30)/letter (- 50)/memoranda
0 0 0
Komp. Green Lake City Rukan Crown Blok K No,11
Petir, Cipondoh, Tangerang - Banten 15147

Phone: +621 5433 2975

FORM PENILAIAN KINERJA TAHUNAN


Karyawan Staff

IDENTITAS PEKERJA PENILAI 1 (Direktur Utama) : Hari Antasari Grade :


Nama Mr. / Ms. X PENILAI 2 (Manager Operational) : Yosaphat Edwin Nasution 5 = Sangat baik
Bagian Admin & Finance PENILAI 3 (HRGA) : Yulianti 4 = Baik
Dept. Accounting Periode Penilaian : 6 bln 3 = Cukup Final Grade :
Masa kerja 12 Bulan Tanggal Penilaian : 2 = Kurang A = 421 - 500

Bobot Penilai 1 (50%) Penilai 1 (30%) Penilai 2 (20%) B = 341 - 420


KRITERIA PENILAIAN G GxB G GxB G GxB C = 261 - 340
1 Kualitas Kerja 25 D = < 261
2 Kepatuhan 25
3 Kerjasama / Team Work 25 Ttd Penilai 1 Ttd Penilai 2
4 Inisiatif 25
JUMLAH 100 Sub Total 1 0 Sub Total 1 0 Sub Total 2 0
PENILAIAN ABSENSI & DISIPLIN (Diisi oleh HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]
Datang Lambat / Lupa Score = 0 0 0 = 0
Catat Sakit Ijin

1 x ……… hari 3 x .…… hari 5 x .…… hari Final Grade / NILAI AKHIR : Score -- Potongan Absensi Catatan :
Pekerja yang mendapat Surat Peringatan
Mangkir Surat Teguran Surat Peringatan tidak berhak mendapat Final Grade "B"
15 x ……… hari (- 30)/kali (- 50)/kali
1x
Compatibility Report for Form Performance Appraisal.xls
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