Performance Appraisal Comments Block

Introduction

You can use the following example of a performance appraisal comments block in the design of a performance appraisal form.

EXAMPLE

SUPERVISOR’S COMMENTS

Notable accomplishments; special tasks taken up or commendation obtained by the appraise during the appraisal period.

 

Major strengths and abilities

 

Notable challenges faced by appraisee during the appraisal period.

 

Opportunities and plans for improvements

 

EMPLOYEE’S COMMENTS

 

JOB DESCRIPTION REVIEW (Please tick the appropriate box)

□ Employee job description has been reviewed during this appraisal and no changes have been made to the job description at this time.

□ Employee job description has been reviewed during this appraisal and modifications have been proposed to the job description. The modified job description is attached to this appraisal.

EMPLOYEE SIGNATURE(Please tick the appropriate box)

□ I have read and discussed this appraisal with my supervisor and I understand its contents. My signature means that I have been advised of my performance status and does not necessarily imply that I agree or disagree with the appraisal or the contents.

□ I do not agree with  appraisal (attach explanation if desired)

Name/Signature:_______________________________ Date: __________________________

EMPLOYEE’S REFUSAL TO SIGN

I certify that this appraisal was discussed with the employee who refused to sign it.

Supervisor/Rater

Name/ Signature:_______________________________ Date: __________________________

DEPARTMENT SIGNATURES

Supervisor/Rater

Name/ Signature:_______________________________ Date: __________________________

Department Head

Name/Signature:_______________________________ Date: __________________________

Please return the form to the Human Resource Department

 

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