Appraisal Form (Band C, D, E & F)

Confidential                                                                                     Band C, D, E & F

 

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

 


 

SECTION 2:  PERFORMANCE PLAN & ASSESSMENT

 

  1. OUTPUT PERFORMANCE (Total Weightage: 100%)

 

Dept. KRA Ref.   KRA Description.  
Goal Ref   Goal Description  
Obj 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

Output

No.

  Output Description.                
Quantity

Description.

  Standard                
Quality

Description.

  Standard                
Timeliness

Description.

  Standard                
Cost

Description.

  Standard                
Output

No.

  Output Description.                
Quantity

Description.

  Standard                
Quality

Description.

  Standard                
Timeliness

Description.

  Standard                
Cost

Description.

  Standard                
Output

No.

  Output Description.                
Quantity

Description.

  Standard                
Quality

Description.

  Standard                
Timeliness

Description.

  Standard                
Cost

Description.

  Standard                
  Total

 

 

 

Note: Create addition tables where necessary

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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) ACTION TAKEN

 

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 (where necessary)
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. There is effective/efficient budget utilization. 4. Member should meet set targets.
5. Member has sound financial   management skills 5. Member needs to utilize budget effectively.
6. Member is highly motivated 6. Member needs financial management skills
7. Member clearly appreciates the organization’s overall thrust. 7. Member needs to understand the organization’s thrust
8. Member effectively utilizes the organization` resources. 8. Member needs to effectively utilize the organization’s resources
9. Member values team work. 9. Member needs to value team work
10. Member is highly knowledgeable about the job requirements 10. Member needs to be more knowledgeable about the job requirements
11. The member exhibits effective decision making skills. 11. Member needs to improve on decision making
12. Member exhibits sound judgment. 12. Member needs to make sound judgment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4C.    Adjustments to the work plan, where necessary.

 

 

Period, from…………………….to……………………..

Work plan adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appraisee`s comments to justify work plan adjustments:

 

 

 

 

 

 

 

 

 

 

Signature…………………………Date………………………………….

                       Appraisee

 

Appraiser’s comments to endorse the adjusted work plan:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

                         Appraiser

 

Reviewer’s comments to endorse the adjusted work plan:

 

 

 

 

 

 

 

 

 

Signature…………………………Date………………………………….

                  Reviewer     

 

 

 

 

 

 

SECTION 5:     A      FINAL PERFORMANCE ASSESSMENT & RATING

 

Rating on Performance Targets

 

 

KRA Ref OUTCOME REF Departmental Output ref Output 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
PLANNING AND ORGANIZING

Sets goals and priorities, plans solutions, plans ahead and utilises resources effectively. Ability to meet deadlines, and to monitor tasks and activities.

 

 

 

 
LEADERSHIP MANAGEMENT

Motivates, co-ordinates, guides and develops subordinates` respect through actions and attitudes. Effectively manages and implements changes.

 

 

 

 
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.

 

 

 
CONTROL

Takes action to monitor or regulate processes, tasks or activities. Keeps track of delegated assignments. Delegates tasks to achieve results using subordinates effectively.

 

 

 
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.

 

 

   
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.

 

 

   
OTHER

Please specify:

 

 

 

   

 

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

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

 

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