EMPLOYEE PERFORMANCE REPORT

EMPLOYEE:

DATE FROM:

3/01/04

TO: 2/28/05

TOTAL NON-SCHEDULED ABSENCES:

1/2

TOTAL NON-SCHEDULED TARDINESS / EARLY DEPARTURES:

1

SCORE

109

87

654

3

21

WEIGHT

Out-

Needs

Unsatis

Overall

EMPLOYEE RATING

standing

Exceeds

MeetsImprovement-factory

Score

7

QUALITY of work: Accurate & Careful

X

56

6

PRODUCTIVITY

X

48

5

Job KNOWLEDGE and application of requirements

X

25

5

INITIATIVE Asks for more work / Notifies

X

35

Supervisor of problems

4

ATTITUDE works well with others

X

32

3

INDEPENDENCE Ability to work without

X

21

supervision

3

ATTENDANCE

X

27

3

TARDINESS / EARLY DEPARTURE

X

30

2

PAPERWORK: completeness, accuracy, legibility

X

12

2

SAFETY & HOUSEKEEPING

X

14

TOTAL:

300

COMPANY AVERAGE:

264

DOCUMENT ALL CHANGES (greater than 1 point) FROM PREVIOUS REVIEW:

PREVIOUSCURRENT

AREA

SCORE

SCORE

REASON FOR CHANGE

USE BELOW CHARTS TO DETERMINE SCORE FOR ABSENCES & TARDINESS / EARLY DEPARTURE:

TARDINESS / EARLY DEPARTURES

OCCURRENCESSCORE0 2103 495 687 879 - 10611 12513 14415 16317 18219 or more1 ABSENCES

OCCURRENCES0123456789 or moreDAYS

SCORE

0

10

1

9

2

98

3

887

4-5

7776

6-7

66665

8-9

555554

10-12

4444443

13 - 15

33333332

16 - 18

22222222119 or more

111111111

Page 1 of 2EMPLOYEE PERFORMANCE REPORT

EMPLOYEE:

DATE FROM:3/01/04TO: 2/28/05

EMPLOYEE SCORE:

COMPANY AVERAGE SCORE:

OVERALL PERFORMANCE SUMMARY:

EMPLOYEES COMMENTS:

DIRECTOR OF MANUFACTURINGS RECOMMENDED ACTION ( ) Adjust hourly rate ___________ per hour Effective Date: __________( ) No hourly rate adjustment recommended.

CONFIDENTIALITY STATEMENT: All information contained within this employee review is confidential and private. At no time will the Director of Manufacturing share this information with another employee of the company. At no time shall the above named employee share this information with another employee of the company. The purpose of this report is to share the herein contained performance review results only with the above named employee.

SIGNATURES AND DATES

____________________________________________________________________________Employees SignatureDateDir. of Manufacturings SignatureDate

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