For 1st Level Employees
For the Period___________
                    LOCAL GOVERNMENT OF SAN FABIAN
                      PERFORMANCE EVALUATION RATING
Name: __________________              Numerical Rating:__________________
Position:_________________             Equivalent Adjectival Rating:______________
Station:__________________
Legend in Rating:     a. 9-10-Outsanding            b.8-8.9-Very Satisfactory
                      c.7-7.9-Satisfactory          d.5-6.9-Fair           e.4-9-Poor
Punctuality & Attendance
Observes behavior of incoming to office on time or to be present at work to complete assigned
responsibilities.
PUNCTUALITY                          B. ATTENDANCE
         Sup/ Sub                        Sup /             Sub
____a. not more than 3 times tardy/undertime               ___a. not more than 4 days
absent
____b. 4-6 times tardy/undertime                           ___b. 5-8 days absent
____c.7-10 times tardy/undertime                           ___c. 9-12 absent
____d. 11-15 times tardy/absent                            ___d. 13-16 days absent
____e. more than 15 times tardy/undertime                        ___e. more than 16
days absent
INDUSTRY
Does he/she work hard? Does he/she concentrate on his/her work?
      Sup/ Sub
__ __a. Extraordinary and exceptionally hardworking and industrious; very energetic and
       Conscientious.
__ __b. Very good worker.Steady & diligent in the performance of his/her job.
__ __c. Normally industrious.Generally attentive to his/her work.
__ __d. Does what is required of him/her.
__ __e. Lazy and indifferent.Does very little.
WORK EFFICIENCY
Understanding and familiarity with the nature and details of the job.
       Sup/Sub
       __ __a.Has the mastery and complete understanding of all phases of the job
       __ __b.Has thorough knowledge and understanding of all phases of the job of the
       phases of the job.
       __ __c.Knowledge and understanding of the job are adequate to carry on normal
       supervision.
       __ __d.Knowledge and understanding of the job are insufficient:needs coaching
       insufficient; needs coaching from his immediate superior from time to time.
       __ __e.Does have knowledge and understanding of his/ her job; has to be coached by
       immediate superior from time to time.
COMPUTATION
                       Supervisor                     Subordinste
Total Point of Score         ___________              _____________
Average Point Score          ___________              _____________
Total APS(Sup/Sub)___________                   _____________
                             ______________________
                               ( multiply) .5
Total Numerical Rating            =        ________________________
The above has been discussed and agreed by:
Rater:____________________________Rateee_____________________________
______
Signature Over Printed Name                     Signature Over Printed
Name
Position:_________________________
     Position:_____________________________
Attested by:
MELECIA B. SAGUN,RSW
    Department Head
Date:
Per action on Rating/Recommendation
                       CHAIRMAN /AUTHORIZED REPRESENTATIVE
APPROVED BY:
HON. CONSTANTE B. AGBAYANI
Municipal mayor