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FORM 40A
REPUBLIC OF MALAWI
EMPLOYEE PERFORMANCE APPRAISAL FOR GRADES A TO K
(To be completed in duplicate)
Purpose of Report
(Circle the applicable)
Annual _________________
Special _________________________________________
(Specify)
PART A
PERSONAL DATA
(To be completed by the employee)
1.
2.
3.
4.
Date
of
appointment
_________________________________________
5.
Main
strengths
or
_____________________________________
or
major
promotion
to
accomplishments
6.
Skills
to
continue
__________________________________________________________________
in
present
position
this
position
to
develop
7.
Areas
of
interest
to
career
development
over
the
next
5
years
__________________________________
_______________________________________________________________________________________________________
8.
I
certify
that
the
__________________________________________________
above
information
is
correct
PART B
PERFORMANCE ASSESSMENT
Instructions: (To be completed by the Supervisor and discussed with the Employee being
appraised)
(a) Review the employees work plan prior to commencing.
(b) Every employee has strong points as well as areas for improvement and it is equally important for
the employee and the service that both should be recognised.
(c) Where it is not possible to answer a question, insert N.A. (not applicable) or N.O. (no opportunity for
assessment). The comments are important and the supervisors are particularly asked to give a frank
and considered statement, as the reports will reflect on both.
How
long
has
the
employee
___________________________________________________________
1.
No
.
worked
for
you?
during
Scor
e
Comments by Assessor
1
2
3
4
5
6
TOTAL SCORE OUT OF 60
2.
No
.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
40
Score
(1-4)
Comments by Assessor
Knowledge of duties
Initiative
Judgement
Capacity
for
accepting
responsibility
Control of resources (Materials
and Transport)
Control of resources (Financial,
Stores, MPSR & Procedures)
Organisation of work
Relations with others
Relations with the public
Output/Quality
Strategic thinking
Innovations
Leadership
Management of subordinate
staff
TOTAL SCORE OUT OF
FINAL SCORE OUT OF 100: Total Score for (1) + Total Score for (2) =
PART C
OVERALL RATING AND COMMENTS
PERFORMANCE
LEVEL
POINTS
DEFINITION
Exceptional
85-100
High
65-84
Acceptable
50-64
inconsistent
25-49
ACHIEVED
RATING
(Slot
aggregate
score to appropriate
level)
effort or both.
Progress Review
1.
(i)
(ii)
2.
(i)
(ii)
3.
(i)
(ii)
4.
(i)
(ii)
This is to confirm that this report was shown to, and discussed with the officer being appraised. (the
officer being appraised may wish to make general observations, if any, in the space provided below.)
COMMENTS: __________________________________________________________________________________________
_______________________________________________________________________________________________________
Date
________________________________
__________________________________________________________
Officer being appraised
Signed
PART D
RECOMMENDATIONS
(To be completed by the supervisor)
Suitability for Promotion: Exceptional ___ Suitable ____ more experience required ________ Unlikely
_____
Development Plan/Training Needs: (courses and job exposure)
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Date: _____________________________
Signed: __________________________________________________
Reporting Officer
G.P. FORM 40 A
WORKPLAN/PERFORMANCE FACTORS FORM
(Add additional pages if necessary)
Grades A to K
Time
Period:
____________________________
Name:
_________________________________
Job
Title:
_______________________________________________
Ministry
_________________________________
Grade:
_________________________________
Work
Location:
___________________________________________
No
Performance
Factors
(Select
10
most
relevant)
1
2
3
4
5
6
Grades A-K
Knowledge of duties
Initiative
Judgement
Capacity for accepting responsibility
Control of resources (Materials and Transport)
Control of resources (Financial, Stores, MPSR &
7
8
9
10
11
12
13
14
Procedures)
Organisation of work
Relations with the public
Output/Quality
Output/Quality
Strategy thinking
Innovation
Leadership
Management of subordinate staff
Allocate
Grades A-K
1.
2.
3.
4.
5.
6.
60 Points
Signed __________________________________
Signed ____________________________________
_____________
Officer
Reporting Officer
Date
WORKPLAN
N
O
1
ACTION/SPECIFIC
OBJECTIVE
PERFORMANCE
INDICATOR
TARGET DATE
Confidential
Report
for
the
period
___________________________________________
from
_____________________________________________
to
PART A
PERSONAL DATA
(To be completed by the employee)
1.
Full
name
(Surname
first
in
Block
___________________________________________________________________
Capitals)
2.
Ministry
and/or
Department
____________________________________________________________________________________
3.
Title
and
grade
of
post
__________________________________________________________________________________________
4.
Date
of
appointment
or
promotion
___________________________________________________________
5.
Main
strengths
or
major
accomplishments
_______________________________________________________
to
present
position
this
position
in
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
6.
Skills
to
continue
to
____________________________________________________________________________________
7.
Areas
of
interest
for
career
development
____________________________________________________
over
the
next
develop
5
years
_____________________________________________________________________________________________________________________
8.
I
certify
that
the
above
information
___________________________________________________________________
is
Date
_______________________________________
________________________________________________________________
PART B
PERFORMANCE ASSESSMENT
Instructions: To be completed by the Supervisor and discussed with the Employee being appraised
(a) Review the employees work plan prior to commencing.
correct
Signed
(b) Every employee has strong points as well as areas for improvement and it is equally
important for the employee and the service that both should be organised.
(c) Where it is not possible to answer a question, insert N.A. (not applicable) or N.O. (no
opportunity for assessment).
The comments are important and the supervisors are particularly asked to give a frank and considered
statement, as the report will reflect on both
How
long
has
the
employee
_____________________________________________________________________
NO
.
Knowledge of duties
Initiative
Judgement
Control of
Transport)
Organisation of work
10
Output/Quality
11
Strategic thinking
12
Innovation
13
Leadership
14
resources
(Materials
Score
(1-4)
worked
for
Comments by Assessor
and
PART C
OVERALL RATING AND COMMENTS
PERFORMANCE
LEVELS
POINT
S
DEFINITION
Exceptional
85-100
High
65-84
Acceptable
50-64
Inconsistent
25-49
you?
Progress Review
1.
(i)
(ii)
2.
(i)
(iii)
3.
(i)
(ii)
4.
(i)
(ii)
This is to confirm that this report was shown to, and discussed with the officer being appraised. (The
officer being appraised may wish to make general observations, if any, in the space provided below)
COMMENTS: __________________________________________________________________________________________
_______________________________________________________________________________________________________
Date ____________________________________
Signed ___________________________________________________
Officer being appraised
Date ____________________________________
Signed ___________________________________________________
Reporting Officer
PART D
RECOMMENDATIONS
(To be completed by the Supervisor)
Suitability for Promotion: Exceptional _____ Suitable ___ More experience required ___ Unlikely___
Development Plan/Training Needs: (Courses and job exposure)
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Date:
_________________________________
Signed: ________________________________
Reporting Officer
I agree/disagree with the Reporting Officers report.
Date: ____________________________________
Signed: ________________________________________
Principal Secretary/Head of Department
Time
Period:
Name:
____________________________
Ministry:
____________________________
Grade:
____________________________
No
Knowledge of duties
Initiative
Judgement
Organisation of work
10
Output/Quality
11
Strategic thinking
12
Innovation
13
Leadership
14
Signed _____________________________
Officer
Agreement
is
entered
into
for
the
period
from to ..
between
(
the
hereafter
Government
referred
to
of
as
the
Republic
the
holding
Malawi
Employer)
..(referred
Employee)
of
the
to
as
post
and
the
of
2. Mission:
SECTION [C]
MINISTRYS STRATEGIC OBJECTIVES/OUTCOMES
N
o.
1.
2.
STRATEGIC OBJECTIVES/OUTCOMES
3.
SECTION [D]
KEY DUTIES AND RESPONSIBILITIES (JOB DESCRIPTION)
Purpose of the Post of
.
3.
4.
5.
SECTION [E]
WORKPLAN
During the period .. to .the
work plan for the will be as follows:(a)
(b)
Serial
No.
Key Result
Areas
Action/Sp
ecific
Objective
Performa
nce
Indicator
Target
Date
Critical
Assumpt
ions
1.
2.
3.
4.
5.
6.
7
(b)
Performance Factors
Knowledge of duties
Initiative
Judgement
Capacity for accepting responsibility
Control of resources (Materials and
Transport)
Control of resources Financial, Stores,
MPSRs and Procedures
Most Relevant
Factors
7
8
9
10
11
12
13
14
Organisation of work
Relations with others
Relations with Public
Output/quality
Strategic thinking
Innovation
Leadership
Management of subordinate staff
SECTION [F]
AGREEMENT
Name of Officer
Signature:
Designation:
Date:
Designation:
Date:
.
Counter Signing Officers Name
Signature:
Designation:
Date: