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Probation Form Version 5

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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 
 

1.  Did you undergo a formal HR orientation?                       Yes     No 


Was your formal HR orientation session helpful?        Yes     No 

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? 

_____________________________________________________________________ 

_____________________________________________________________________ 

_____________________________________________________________________ 

4.      Did you receive a job description?                         Yes       No 


 

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:
 

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