Appraisal Form (Band A & B)

Confidential                                                                                     Band A & B

 

PUBLIC SERVICE OF ZIMBABWE

 

PERSONNEL PERFORMANCE WORK PLAN & APPRAISAL

 

 

PERIOD OF ASSESSMENT: FROM:______________ TO:____________________

 

 

 

Distribution    –        1 copy to appraisee

–        1 copy to the appraisee’s personal file

 

 

Section 1        PERSONAL DETAILS AND SERVICE PARTICULARS

 

Name:_______________________________________________________________

 

 

E.C.  No______________________ National I.D. No._________________________

 

Qualifications: __________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Experience:_____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Date of Appointment into Service:________________________________________

 

 

Current Post___________  Date of Appointment to the Post_________________

 

 

Ministry_________________________________________________________________

 

 

Department__________________________  Station___________________________

 

 

Appraiser’s Position: ____________________________________________________

 

Reviewer’s Position______________________________________________________

 

 

NOTE:

See guidelines for completion

 

Zimbabwe Public Service Commission (2009)©

 

 

 

SECTION 2      PERFORMANCE PLAN & ASSESSMENT

  1. ACTIVITY PERFORMANCE (Total Weightage: 100%)
Dept. KRA Ref.   KRA Description  
Goal Ref   Goal Description  
Objective Ref   Objective Description  
Dept. Outcome Ref.   Outcome Description  
Dept. Output Ref.   Output Description  
  Weight Agreed Target Allowable variance Actual

 Perf

 

Actual variance Rating Weighted

Score

Activity  No. Activity Description            
Quantity

Description

Standard
Quality

Description

Standard
Timelines

Description

Standard
Cost

Description

  Standard                
Activity  No   Activity Description  

 

             
Quantity

Description

  Standard                
Quality

Description

  Standard                
Timeliness

Description

  Standard                
Cost

Description

  Standard                
Activity

No.

  Activity Description  

 

             
Quantity

Description

  Standard                
Quality

Description

  Standard                
Timeliness

Description

  Standard                
Cost

Description

 

 

 

 

 

Standard                
Total

 

 

 

 

 

 

 

SECTION 3:     TRAINING AND DEVELOPMENT NEEDS

 

(To be completed during performance agreement session and quarterly thereafter)

Competency Assessment:

 

REQUIRED COMPETENCIES FOR THE JOB EXISTING COMPETENCIES (related to the job) COMPETENCY GAPS (specific skills required) INTERVENTION STRATEGIES (e.g. training, counselling, transfer etc.) ACTION RECOMMENDED (e.g. specific course) ACTION TAKEN

1st Quarter

         

 

 

 

 

 

 

 

 

 

 

 

Date received by Ministry’s Human Resources department:__________________Name____________________Signature____________________

 

2nd Quarter
         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date received by Ministry’s Human Resources department:__________________Name____________________Signature____________________

 

 

 

 

 

 

REQUIRED COMPETENCIES FOR THE JOB EXISTING COMPETENCIES (related to the job) COMPETENCY GAPS (specific skills required) INTERVENTION STRATEGIES (e.g. training, counselling, transfer etc.) ACTION RECOMMENDED (e.g. specific course)  

 

3rd Quarter
         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date received by Ministry’s Human Resources department:__________________Name____________________Signature____________________

Final Review
         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date received by Ministry’s Human Resources department:__________________Name____________________Signature____________________

 

AGREEMENT OF WORK PLAN
Signature of Appraisee: Date:
Signature of Appraiser: Date:
Signature of Reviewer: Date:

 

 

 

 

SECTION 4: PERFORMANCE PROGRESS REVIEWS

 

4A: The list of possible comments on strengths and areas for improvement are given in 4B. Capture

              the corresponding number(s) only in the space provided on progress reviews.

 

Interim Progress Review Final Performance Review & Assessment
1st Quarter Review 2nd  Quarter Review 3rd Quarter Review 4th Quarter Final Review/Assessment
Strengths Areas for Improvement Strengths Areas for Improvement Strengths Areas for Improvement Strengths Areas for Improvement
               
Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments Appraiser’s Comments
 

 

 

   
Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments Appraisee’s Comments
   
Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (where applicable) Reviewer ‘s Comments (required) Reviewer ‘s Comments (required)
 

 

   
1st Quarter Review 2nd Quarter Review 3rd  Quarter Review 4th Quarter Review
Signature of Appraisee: Signature of Appraisee: Signature of Appraisee: Signature of Appraisee:
Date: Date: Date: Date:
Signature of Appraiser: Signature of Appraiser: Signature of Appraiser: Signature of Appraiser:
Date: Date: Date: Date:
Signature of Reviewer (where necessary: Signature of Reviewer (where necessary) Signature of Reviewer (where necessary) Signature of Reviewer)
Date: Date: Date: Date:

 

 

4B: Possible comments on strengths and areas for improvement

 

Strengths

Areas of Improvement

 

1. Member is results oriented 1. Member needs to be results oriented
2. Member is highly focused on the set targets. 2. Member needs to delegate duties equitably.
3. The member is meeting set targets. 3. Member needs to focus more on set targets.
4. Member is highly motivated 4. Member should meet set targets.
5. Member clearly appreciates the organization’s overall thrust. 5. Member needs to understand the organization’s thrust
6. Member effectively utilizes the organization` resources. 6. Member needs to effectively utilize the organization’s resources
7. Member values team work. 7. Member needs to value team work
8. Member is highly knowledgeable about the job requirements 8. Member needs to be more knowledgeable about the job requirements
9. Member exhibits sound judgment. 9. Member needs to make sound judgment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4C: Adjustments to work plan, where necessary.

 

Period, from…………………….to……………………..

Work plan adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appraisee`s comments to justify the  adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature…………………………Date………………………………….

                       Appraisee

 

Appraiser’s comments to acknowledge adjustments to the work plan:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature………………………………Date…………………………………

                         Appraiser

 

 

Reviewer’s comments (where necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature…………………………Date………………………………….

                  Reviewer    

 

 

 

 

SECTION 5:     A      FINAL PERFORMANCE ASSESSMENT & RATING

 

Rating on Performance Targets

 

 

KEY RESULT AREA

 

Ref

OUTCOME REF OUTPUT REF ACTIVITY

No

WEIGHTED SCORE
         
   
         
   
         
   
         
   
         
   
         
   
         
   
TOTAL SCORE  

 

 

 

 

 

 

Final Score:

 

 

 

 

 

 

 

 

 

 

5B: PERSONAL DIMENSIONS

 

Based on the assessment of achievements/results, establish any areas where some training or development may be necessary.  Although feedback on this page would not be used to determine the subordinate’s ratings – the feedback is very important to help the subordinate know which areas need improvement.

 

Pinpointed supporting remarks are to be provided.  For example, what specific BEHAVIOUR which is job related the supervisor witnessed to support his/her point. Fill in both strengths and or areas for improvements on relevant dimensions.

     

     STANDARD  DIMENSIONS

 

COMMENTS ON DIMENSIONS
Strengths Areas for improvement
ACCURACY/QUALITY OF WORK

Achieves high quality work that meets or exceeds requirements of the job.

 

 

 

 

QUANTITY OF WORK OUTPUT

Meets or exceeds the standard amount of work expected on the job.

 

 

 

 

JUDGEMENT

Considers pros and cons before making decisions; anticipates short and long term impacts; weighs risks involved.

 

 

COMMUNICATION

Effective verbal skills; presents ideas and information concisely and persuasively; keeps others informed; courteous to the public; inspires confidence in subordinates and superiors.

 

 

Deportment/Presentation

self presentation

 

 

COOPERATION

Willingness to work with others in achieving individual and team objectives.

 

 

INITIATIVE

Actively attempts to influence events to achieve goals. Self starter, Generates improved solutions to problems.

 

RELIABILITY

Can be counted on to achieve set objectives without supervision or coercion.

 

 

OTHER

Please specify:

 

 

 

 

 

5C:   OVERALL COMMENTS ON THE APPRAISEE’S POTENTIAL WITH REGARDS TO CAREER

      PROGRESSION: (for example, the member’s potential for promotion)

 

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

 

Final Appraisal
Signature of Appraisee: Date:
Signature of Appraiser: Date:
Signature of Reviewer: Date:

Click Here to download the Appraisal Form (Band A & B) document