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: ___________________________________________________________________________ _____________________________________________________________________________________