Annex 15: Individual Performance Evaluation Template Individual Performance Evaluation for Health Staff Criteria 25% Score 50% Score 100% Score Max Score 1 Professional Awareness includes the following: (20 points) Timeliness Arrived frequently late Arrived sometimes late Was always on time 8 (at the least four times past month) (1 to 3 times per month) Availability Has been frequently absent from his/her Has been a few times absent Was never absent from his/her 8 service without any clear motive from his service without clear service without known and motive valid motive (at the least four times past month) (1 to 3 times per month) Uniform Did not wear a uniform during working Neglected uniform Uniform always worn and 4 hours proper (washed (dirty or torn or not ironed) ; ironed and not torn) (even once per month) 2 Team spirit includes the following: (30 points) Interpersonal Frequently in conflict with colleagues Sometimes in conflict with Never in conflict with 8 Relationship colleagues colleagues (reported more than once to his/her superior during the past month) (reported once to his/her superior) Collaborative Frequently refused to assist colleagues Sometimes refused to assist Never refused to assist 8 spirit when asked colleagues colleagues
Annex 15: Individual Performance Evaluation Template Individual Performance Evaluation for Health Staff Criteria 25% Score 50% Score 100% Score Max Score 1 Professional Awareness includes the following: (20 points) Timeliness Arrived frequently late (at the least four times past month) Arrived sometimes late (1 to 3 times per month) Was always on time 8 Availability Has been frequently absent from his/her service without any clear motive (at the least four times past month) Has been a few times absent from his service without clear motive (1 to 3 times per month) Was never absent from his/her service without known and valid motive 8 Uniform Did not wear a uniform during working hours (even once per month) Neglected uniform (dirty or torn or not ironed) Uniform always worn and proper (washed ; ironed and not torn) 4 2 Team spirit includes the following: (30 points) Interpersonal Relationship Frequently in conflict with colleagues (reported more than once to his/her superior during the past month) Sometimes in conflict with colleagues (reported once to his/her superior) Never in conflict with colleagues 8 Collaborative spirit Frequently refused to assist colleagues when asked Sometimes refused to assist colleagues Never refused to assist colleagues 8
120413_PBF_UserManual_NG.docx