REGENESYS LTD Jl.
Tukad Balian
Denpasar
PERFORMANCE EVALUATION SHEET
Employee's Data 1st Evaluator (Direct Supervisor) : Director Managing Grade :
Name Mr./Ms. X 2nd Evaluator (Work Colleague) : HRD Manager 5 = Very good
Position Drafter Manager 3rd Evaluator (Direct Subordinate) : 3 = Sufficient
Department Engineering Evaluation Period : 12 months 1 = Lacking
Working Period 12 months Date of Evaluation : April 2021
Weight 1st Evaluator (50%) 2nd Evaluator (30%) 3rd Evaluator (20%) Final Grade :
Evaluation Criteria G GxB G GxB G GxB Exceptional = 18< x <20
1 Work Quality 1 Excellent = 16< x <18
2 Dutifulness 1 Good = 14< x <16
3 Team work 1 Average = 12< x <14
4 Initiative 1 Insufficient = below 12
TOTAL 4 Sub Total 1 0 Sub Total 1 0 Sub Total 2 0
Attendance and Discipline (filled by HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]
Score = 0 0 0 = 0
Overdue Sick leave Permit
1 x ……… days 3 x .…… days 5 x .…… days Final Grade: Score -- Attandance deduction
Absence Warning letter Memoranda Exceptional 0
15 x ……… days (- 30)/letter (- 50)/memoranda
0 0 0
Komp. Green Lake City Rukan Crown Blok K No,11
Petir, Cipondoh, Tangerang - Banten 15147
Phone: +621 5433 2975
FORM PENILAIAN KINERJA TAHUNAN
Karyawan Staff
IDENTITAS PEKERJA PENILAI 1 (Direktur Utama) : Hari Antasari Grade :
Nama Mr. / Ms. X PENILAI 2 (Manager Operational) : Yosaphat Edwin Nasution 5 = Sangat baik
Bagian Admin & Finance PENILAI 3 (HRGA) : Yulianti 4 = Baik
Dept. Accounting Periode Penilaian : 6 bln 3 = Cukup Final Grade :
Masa kerja 12 Bulan Tanggal Penilaian : 2 = Kurang A = 421 - 500
Bobot Penilai 1 (50%) Penilai 1 (30%) Penilai 2 (20%) B = 341 - 420
KRITERIA PENILAIAN G GxB G GxB G GxB C = 261 - 340
1 Kualitas Kerja 25 D = < 261
2 Kepatuhan 25
3 Kerjasama / Team Work 25 Ttd Penilai 1 Ttd Penilai 2
4 Inisiatif 25
JUMLAH 100 Sub Total 1 0 Sub Total 1 0 Sub Total 2 0
PENILAIAN ABSENSI & DISIPLIN (Diisi oleh HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]
Datang Lambat / Lupa Score = 0 0 0 = 0
Catat Sakit Ijin
1 x ……… hari 3 x .…… hari 5 x .…… hari Final Grade / NILAI AKHIR : Score -- Potongan Absensi Catatan :
Pekerja yang mendapat Surat Peringatan
Mangkir Surat Teguran Surat Peringatan tidak berhak mendapat Final Grade "B"
15 x ……… hari (- 30)/kali (- 50)/kali
1x
Compatibility Report for Form Performance [Link]
Run on 15/07/2021 14:37
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