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EMPLOYEE PERFORMANCE EVALUATION
Name %'? Date «AZ
Dept. P Sim lJn (: Job Tide
Check one: 0 Annual ? New Employee ? Termination ?Other
Date of Last Review: - Date Employee Began Present Position:
Nest Scheduled Review: y? d?
ing tnro,?,?? ?? (Pu, 111) on averso de of chi, font. U F S G E Comments
1. job Understanding: Employee possesses a clear.
knowledge of the responsibilities and the task he
or she most perform.
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2. Job Performance: The neatness, thoroughness`
and accuracy of employee's work.
3. Job Productivity: The quality of the employee's
work in terms of volume and accomplishments.
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4. Dependability: Can you rely upon this '
individual in terms of being on time and
completion of tasks.
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5. Coopcration: The abil icy to work willingly with
associates,, subordinates, supetvisors and others.
(. Overall Rating
7. General comments as to employee's strengths, weaknesses and action taken to improve job performance
Supervisor X4 Reviewing Officer rri'
Date zJ' r• Date
Has this report been discussed with employee? DYes
? No, if not why?
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?If yes, note employee's comments
Reviewed with Employee
I:mplotri r Sign u.?
t Slili INSTRIANIONS ON RINERSR SID['.)
Copyngln 1?18 Armmrdnn Prinnng .-1 Luho Corp, AnnlrnLnl, N. Y. 12010 R-Orr Perm eDrio
Employee Performance Evaluation
Instructions
1. When Required: Annual Review - to be conducted during employee's anniversary month.
New Employee - to be reviewed within 30-60 days but no later than 6 months after
hiring.
Termination - A review will be prepared upon all terminated employees.
Other - when an employee performs in an exceptional manner, or when performance
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falls below standard.
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` II. Who Will Prepare: Employee's supervisor.
III. Rating: "E" 1. Excellent -Individual performs all tasks in an exceptional manner. Requires little or
no supervision.
"G" 2. Good -Individual performs many tasks well, and all other tasks adequately. Requires
little or no supervision.
"S" 3. Satisfactory - Individual performs all tasks satisfactorily. Requires normal
supervision.
"1"' 4. Fair - Individual performs most tasks satisfactorily, but not all. Requires more than
normal supervision.
"U" 5. Unsatisfactory - Individual fails to perform many tasks, requires close and constant
i ?;-- supervision.
IV. Overall Rating: A summation, not necessarily the same as the individual's characteristics
V. General .
Comments: This is critical, you must, in your own words, sum up the individual's strengths,
weaknesses, and steps to be taken to improve upon those weak areas as well as
+ potential for increased responsibility and job promotion
.
} } S11', dt ' - VI. Review: By a person at least one level above the supervisor of the employee.
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ATIACHMENT "A" PURSUANT TC ABOR AGREEMENT DATED JAN. 1983-DEC.31,1985 REVISE'
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
WAGE SCALE FOR JULY 11, 1984
ACTING FOREMAN $ 11.98 HR
LEADMAN 1 11.34 "
LEADMAN It 11.41 "
SHOVEL 11.56 "
DOZER 11.56 "
SCRAPER 11.56 "
ROLLER 11.56 "
DIST. DRIVER 11.56 "
DIST. LEVERMAN 12.12 "
CHIP SPREADER 11.56 "
BROOM 11.56 "
13ACKHOE 11.56 "
POWDERMAN 11.56 "
GRADER 11.34 "
LOADER 11.34 "
CIi I PPER 11.34 "
AIR SAW 11.34 "
CHEM.SPRAY OPERATOR 11.12 "
TRACTOR TRUCK 11.10 "
CONSTRUCTION TRUCK 11.05 "
MAINTENANCE TRUCK 10.97 "
PITMAN 11.02 "
TRAFFIC CONTROL 10.97 "
BRUSH CUTTER 10.97 "
CURB MACHINE 11.34 "
LINE. REMOVER 11.34 "
LABORER 8.67 "
WEST END
DOZER-LOADER 11.82 "
, YD. TRUCK 11.32 "
MAINTENANCE TRUCK 11.23 "
LCAOMAN 2101.55 MO.
CONSTRUCTION ENGINEER
::CONSTRUCTION SUPERINTENDENT
,,TECH. V
TECH IV
TECH III
ACCOUNTANT
TECH II
SECRETARY
RECORDS CLERK
,,TECH I
2169.56
2169.56
[)Arl:[):JULY. 1, 1984
MECHANICS
MECHANIC 1978.52,-
MECHANIC 1911.91;.
MECHANIC 1938.05
MECHANIC 1880.63
::STOREKEEPER 1811.53:`
,,POSITION NOT FILLED
? I
O'-MEARA, CHAIRMAN OF THE BOARD
JEFFERSON CO. COMMISSIONER!
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