Probation Form Version 5
Probation Form Version 5
Probation Form Version 5
PROBATIONARY EMPLOYEE PERFORMANCE
EVALUATION FORM
Name of employee: Directorate:
Job Title: Line Manager/Director:
Probation end date: ________________________________________________________
N.B. Review interval: Twice within probationary period
Please initial each page!!
SECTION A: TO BE COMPLETED BY EVALUATOR
Indicate the evaluation of the employee's job performance by using the following assessment scale.
Assessment definitions
Rating Description
5 Consistently exceeds the required standard of performance
4 Significantly higher than the required standard of performance
3 Fully meets the required standard of performance
2 Below the required standard of performance
1 Does not meet the required standard of performance
1
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
1ST ASSESS‐ 2ND ASSESS‐
MENT MENT
1 QUALITY OF WORK
The extent to which the employee accomplishes assigned work of a specified quality
within a specified time period.
Please elaborate:
_____________________________________________________________________
_____________________________________________________________________
2 QUALITY OF COMPLETED STAFF WORK
The extent to which the employee's work is well executed, thorough, effective,
accurate.
Please elaborate:
_____________________________________________________________________
_____________________________________________________________________
3 KNOWLEDGE OF JOB
The extent to which the employee knows and demonstrates why the work is done,
given the employee's length of time in his/her current position:
Please elaborate:
_____________________________________________________________________
_____________________________________________________________________
2
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
1ST ASSESS‐ 2ND ASSESS‐
MENT MENT
4 RELATIONS WITH SUPERVISOR
The manner in which the employee responds to supervisory directions and comments.
Please elaborate:
________________________________________________________________________
________________________________________________________________________
5 COOPERATION WITH COLLEAGUES ‐ INTERPERSONAL SKILLS
The extent to which the employee gets along with other individuals. Consider the
employee's tact, courtesy, and effectiveness in dealing with co‐workers, supervisors, and
customers.
Please elaborate:
________________________________________________________________________
________________________________________________________________________
6 COMMUNICATIONS
The extent to which the employee understands verbal and written communication In
English. Please also comment on listening skills, writing, verbal and presentation skills.
________________________________________________________________________
________________________________________________________________________
7 ATTENDANCE AND RELIABILITY
The extent to which employee arrives on time and demonstrates consistent attendance;
the extent to which the employee contacts supervisor on a timely basis when employee
will be late or absent.
Please elaborate:
________________________________________________________________________
________________________________________________________________________
3
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
8 INITIATIVE AND CREATIVITY
The extent to which the employee is self directed, resourceful and creative in meeting
job objectives; consider how well the employee follows through on assignments and
modifies or develops new ideas, methods, or procedures to effectively meet changing
circumstances.
Please elaborate:
________________________________________________________________________
________________________________________________________________________
9 CAPACITY TO DEVELOP
The extent to which the employee demonstrates the ability and willingness to accept
new/more complex duties/responsibilities.
Please elaborate:
________________________________________________________________________
________________________________________________________________________
4
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
SECTION B: TO BE COMPLETED BY EVALUATOR
1. Does this employee demonstrate the expertise and general skill level you expected based on the job
requirements? Yes No
If no, in what way does this employee’s performance differ from your expectations?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. Do you consider this employee to be making progress appropriate to his/her length of employment?
Yes No
If no, please describe the areas that need improvement?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3. Have you made arrangements for the employee to receive additional training?
Yes No
If yes, what training? Where conducted?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
4. Have you spoken to the employee about areas of concern at any time other than during this
probationary review? Yes No
If yes, what was the employee’s reaction to the discussion?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
5. What goals have you and this employee set for the next few weeks/ months on the job?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. Does it seem probable that this employee will satisfactorily complete the probationary period?
Yes No
If no, please explain.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
7. Recommended action
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
SECTION C: TO BE COMPLETED BY EMPLOYEE
Please elaborate?
_____________________________________________________________________
2. Did you undergo a formal directorate orientation
Yes No
Was your formal directorate orientation helpful? Yes No
Please elaborate?
____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3. Are you starting to feel comfortable in your new job? Yes No
If no, what can be done to help you feel more comfortable?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Is the job you are doing different from what was described to you, either verbally or on your job
description? Yes No
If yes, in what way does it differ?
_____________________________________________________________________
_____________________________________________________________________
7
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
5. Do you feel that you have the knowledge/skills to be proficient at your job?
Yes No
If no, what additional support or training do you feel you need to become proficient?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. Has your supervisor spoken with you about your progress to date?
Yes No
If yes, what was the outcome?
____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
SECTION D: GENERAL COMMENTS
1. Employee comments (please include date; attach additional paper if necessary):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. Evaluator comments (please include date; attach additional paper if necessary):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
8
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference:
RECOMMENDATION to be completed only at last evaluation before end of probationary period:
I recommend that this probationary employee be permanently employed by SAQA.
I recommend that the probationary period be extended by ….. months.
NB. Very specific and measurable outputs/targets must be defined for the employee to meet over the
period of extension of the probation.
I do not recommend that this probationary employee be permanently employed by SAQA and that
termination of contract procedures be instituted.
Comments to Evaluator and Employee. Evaluators should discuss the evaluation results with the employee.
Employees must always be given a copy of the evaluation for their own records. Both the evaluator and
the employee should sign the evaluation form. Both the employees and the evaluator are strongly
encouraged to include written comments.
1ST ASSESSMENT
Evaluator Signature and Date Employee Signature and Date
2nd ASSESSMENT
Evaluator Signature and Date Employee Signature and Date
CONFIRMATION OF APPOINTMENT
Recommendation as above by Director
__________________________ ___________________
Director’s Signature Date
Confirmation of the permanent appointment of the probationary employee is hereby approved/not approved.
__________________________ ___________________
DCEO /CEO Date
9
Employee Initial: _____________ Line Manager Initial: __________
Probation Form
Status: Approved
Date: 2013-03-15
File Reference: