Employee details
| Field | Detail |
|---|
| Employee name and ID | |
| Designation and department | |
| Reporting manager | |
| Review period | [From] to [To] |
| Date of review meeting | |
Rating scale
- 1: Needs significant improvement.
- 2: Partly meets expectations.
- 3: Meets expectations.
- 4: Exceeds expectations.
- 5: Consistently outstanding.
Part 1. Self-assessment (employee)
- What were my main achievements in this period? ____________________
- Which goals did I meet, and which did I miss? Why? ____________________
- What helped me do well, and what got in the way? ____________________
- What support do I need from my manager or the company? ____________________
- My overall rating for myself (1 to 5): ____
Part 2. Manager assessment
| Area | Rating (1 to 5) | Evidence and comments |
|---|
| Quality and accuracy of work | | |
| Output and meeting deadlines | | |
| Job knowledge and skills | | |
| Teamwork and communication | | |
| Ownership and reliability | | |
| Adherence to policies and values | | |
Manager summary
- Key strengths: ____________________
- Areas to improve: ____________________
- Overall rating (1 to 5): ____
- Recommendation, if any: ____________________
Part 3. Goals for the next cycle
| Goal | How it will be measured | Target date | Weight (%) |
|---|
| | | | |
| | | | |
| | | | |
| | | | |
Part 4. Development
| Skill or area | Action (training, coaching, project) | Support needed | By when |
|---|
| | | | |
| | | | |
| | | | |
Discussion and sign-off
- Employee's comments on the review: ____________________
- Employee signature: ______________________ Date: ____________
- Manager signature: ______________________ Date: ____________
- HR or second reviewer: ______________________ Date: ____________
Note
This form records a review. It does not fix pay, promotion or action by itself. Confirm how appraisal outcomes link to increments, promotion and any formal step with your policy and a qualified adviser before use.
A starting point, not legal advice. Check the final wording against your contracts and the rules of your state, and have a qualified professional review it before you issue it.