360 Peer Performance Appraisal
Date sent: 7/15/2012
Name: Joe Smith
Department: Quality Control Lab
Employment status (check one): Full-time __X___ Part-time_____
Rating period: From: 7/20/2011
To: 7/20/2012
Return by: 7/30/2012
Job title: Chemistry lab technician
Supervisor: Charlie Chan
Date of hire: 7/20/2003
Evaluator (co-worker): Cindy Adams
Using the following number system, rate the performance by circling 1 to 5. When applicable make comments in space
provided below:
1 – Poor
2 – Below Average
3 – Average
4 – Above Average
5 – Outstanding
SPECIFIC JOB RESPONSIBILITIES: Quantitative and qualitative analysis for production in tag team environment.
Additional duties include securing certificate of analyses from suppliers.
1. Co-worker relieves teammate for lunch and breaks in a timely manner.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
2.
Co-worker is willing to divide work evenly.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
3. Co-worker clearly communicates which tasks are allocated to him/her.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
4. Co-worker is respectable.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
360 Peer Performance Appraisal
Date sent: 7/15/2012
Name: Joe Smith
Department: Quality Control Lab
Employment status (check one): Full-time __X___ Part-time_____
Rating period: From: 7/20/2011
To: 7/20/2012
Return by: 7/30/2012
Job title: Chemistry Lab Tech
Supervisor: Charlie Chan
Date of hire: 7/20/2003
Evaluator (Supervisor): Charlie Chan
Using the following number system, rate the performance by circling 1 to 5. When applicable make comments in space
provided below:
1 – Poor
2 – Below Average
3 – Average
4 – Above Average
5 – Outstanding
SPECIFIC JOB RESPONSIBILITIES: Quantitative and qualitative analysis for production in tag team environment.
Additional duties include securing certificate of analyses from suppliers.
1. Employee arrives to work on time.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
2.
Employee’s attendance minus vacation and sick time benefits.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
3. Employee is performing at skill level assessed for this position.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
4. Employee readily implements directives given by supervisor.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
360 Peer Performance Appraisal
Date sent: 7/15/2012
Name: Joe Smith
Department: Quality Control Lab
Employment status (check one): Full-time _X____ Part-time_____
Rating period: From: 7/20/2011
To: 7/20/2012
Return by: 7/30/2012
Job title: Chemistry Lab Technician
Supervisor: Charlie Chan
Date of hire: 7/20/2003
Evaluator (Supplier): Debbie Wabash
Using the following number system, rate the performance by circling 1 to 5. When applicable make comments in space
provided below:
1 – Poor
2 – Below Average
3 – Average
4 – Above Average
5 – Outstanding
SPECIFIC JOB RESPONSIBILITIES: Quantitative and qualitative analysis for production in tag team environment.
Additional duties include securing certificate of analyses from suppliers.
1. Company associate is courteous.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
2.
Company associate procures appropriate data for C of A regularly.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
3. Company associate communicates compliance issues plainly and thoroughly.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
4. Company associate is knowledgeable of your timetables and sub-suppliers.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
360 Peer Performance Appraisal
Date sent: 7/15/2012
Name: Joe Smith
Department: Quality Control Lab
Employment status (check one): Full-time __X_ Part-time_____
Rating period: From: 7/20/2011
To: 7/20/2012
Return by: 7/30/2012
Job title: Chemistry Lab Technician
Supervisor: Charlie Chan
Date of hire: 7/20/2003
Evaluator (Production Advisor): Dave Jones
Using the following number system, rate the performance by circling 1 to 5. When applicable make comments in space
provided below:
1 – Poor
2 – Below Average
3 – Average
4 – Above Average
5 – Outstanding
SPECIFIC JOB RESPONSIBILITIES: Quantitative and qualitative analysis for production in tag team environment.
Additional duties include securing certificate of analyses from suppliers.
1. Lab associate promptly report results.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
2.
Lab associate updates material supply system immediately of analyses failure.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
3. Lab associate swiftly initiates alert production protocol for analyses failure.
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
4. Lab associate communicates effectively the issues (instrumentation, testing).
1 2 3 4 5
Comments: ___________________________________________________________________________
_____________________________________________________________________________________