Field / Shop Employee Ghost Rating – Southam and Associates

Supervisor Name *

First

Last

Employee's Name *

First

Last

Employee's Job Title and Department *

Does employee complete projects on time?

Selected Value: 0

1=Lowest Score 5=Highest Score

If you replied with a low score on the previous question, are there procedures that could help the employee achieve tasks/assignments on time?

Does employee obey the rules regarding safety?

Selected Value: 0

1=Lowest Score 5=Highest Score

Employee has clearly understood and carried out the duties and instructions.

Selected Value: 0

1=Lowest Score 5=Highest Score

Employee was eager to learn.

Selected Value: 0

1=Lowest Score 5=Highest Score

Employee has followed the guidelines and instructions of the procedures.

Selected Value: 0

1=Lowest Score 5=Highest Score

Employee has used his/her time effectively.

Selected Value: 0

1=Lowest Score 5=Highest Score

Employee has influenced negatively by the anger/complaints of other employees

Selected Value: 0

1=Lowest Score 5=Highest Score

Quality of Work *

Quantity of Work *

Knowledge *

Judgement *

Safety *

Initiative *

Communication *

Respect of company property (vehicles, tools, equipment, etc.) *

Evaluation Date: *

Is there anything management can do to help this employee improve? If yes, please explain:

Overall Score for employee

Selected Value: 0

1=Lowest Score 5=Highest Score