page 1 1. JOB KNOWLEDGE RATING

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1 1. JOB KNOWLEDGE a) Understands requirements of job b) Is familiar with appropriate legislation c) Is familiar with appropriate duties d) Is familiar with policies and procedures e) Is familiar with current work practices page 1 RATING 2. ADAPTABILITY a) Is able to adapt to new legislation b) Is able to adapt to new technology c) Is able to adapt to new policies and procedures d) Is willing to adapt to change 3. INTERPERSONAL ABILITY - Ability to establish working relationships with: a) Supervisor b) Co-workers c) Subordinates d) Other municipal governments e) Other levels of government f) Other external contacts g) General public

2 4. COMMUNICATIONS - ORAL a) Clarity of thought and expression b) Ability to listen page 2 5. COMMUNICATIONS - WRITTEN a) Clarity of written reports b) Reports - comprehensiveness c) Clear recommendations 6. WORK QUANTITY a) Volume of work completed (output) b) Ability to priorize work c) Ability to delegate work d) Ability to meet deadlines 7. WORK QUALITY a) Accuracy b) Research c) Comprehensiveness (covers all the issues) d) Organization and planning e) Meets expected standards f) Exercises good judgement

3 8. APPROACH TO WORK a) Is well organized b) Is committed to the job c) Is committed to the organization d) Assumes responsibilities e) Is analytical f) Devises solutions to problems g) Comes forward with ideas h) Is self-motivated i) Is prepared to take initiative j) Is willing to take on new projects and duties page 3 9. ATTITUDE Towards: Public Supervisor Co-workers a) Cooperative b) Reliable c) Conscientious d) Interested e) Loyal f) Committed g) Respectful h) Provides assistance (when needed or would be helpful) i) Seeks assistance (if needed) j) Sensitive k) Responsive

4 10. SUPERVISION REQUIRED a) Ability to work independently and with minimal supervision b) Can be relied upon to work within employment policies c) Ability to take instructions d) Ability to follow through on instructions e) Successfully completes assigned tasks f) Keeps supervisor informed page SUPERVISORY ABILITY a) Ability to direct b) Ability to motivate c) Ability to guide/teach d) Ability to delegate e) Ensures work is completed/follows up f) Provides leadership 12. ATTENDANCE a) Punctuality b) Conformance to break times c) Sick leave usage d) Accident record e) Willing to work extra hours

5 Page PERSONAL FACTORS Consider impression made on others (staff and public) through appearance, grooming, habits, etc. in relation to job. [Circle the most appropriate rating.] A. APPEARANCE a) Poor/Untidy in personal appearance 1 b) Marginal - no evident characteristics either favourable or unfavourable 2 c) Good - neat and tidy in appearance 3 d) Very Good - creates a very favourable, personal impression 4 B. WORK HABITS a) Poor/Untidy in work habits - wastes time, interferes with work of others 1 b) Marginal - no evident characteristics either favourable or unfavourable 2 c) Good - has good work habits, is tactful and considerate in dealing with others 3 d) Very Good - Has very good work habits and a marked talent for dealing 4 effectively with others 14. OVERALL EVALUATION 1. Performance Strengths 2. Performance areas in need of improvement 3. Performance Development Plan (to implement areas in need of improvement) 4. Recommended Courses of Training 5. Recommended Wage Adjustment

6 15. EMPLOYEE COMMENTS page 6 1. How do you feel about your job? 2. How do you feel about your performance? 3. Are you receiving cooperation from peers? 4. Are you receiving guidance from supervisor? 5. Are you satisfied with your level of training? 6. Are there any factors affecting your performance you wish to discuss? 7. Are there areas where you think work techniques or productivity could increase? 16. ADDITIONAL COMMENTS BY EMPLOYEE

7 page SIGN OFF By signature below, the employee indicates that this review has been discussed with the supervisor and does not necessarily indicate concurrence with all of the statements herein. The Employee has read and accepts this appraisal: The Employee has read and disagrees with this appraisal: Employee's Name Employee's Signature Date Supervisor's Name Supervisor's Signature Date _ Personnel Officer Date