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Employee Appraisal

PEOPLE INVOLVED IN APPRAISAL

Names / Relationship / Role

ACKNOWLEDGEMENT I agree that the attached appraisal is what was discussed on this date.

Employee

Advocate

Guardian

Supervisor

COMMUNICATION

Communication

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

HEARING

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

PHYSICAL

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

MOBILITY

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

WORK DUTIES

Wearing / using safety equipment

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Working safely

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

ATTENDANCE AND PERSONAL APPEARANCE

Work attendance

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Wearing appropriate clothing to the workplace

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Presenting a clean and tidy appearance

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

SOCIAL SKILLS AND BEHAVIOUR

Interacting with others

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Participating in employee meetings and other decision-making processes

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Working with others

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

WORK ATTITUDE

Working toward goals agreed on last IPP

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Responding to supervision and correction

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Accepting responsibility

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

WORK PERFORMANCE

Reliability to stay on tasks

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Working within time Given.

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Solving problems

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

Maintaining equipment

Select Has difficulty with communication Has some difficulties communicating Clear and easy to understand

COMMENTS

Areas that have shown improvement in performance since last appraisal

Areas that have shown decline in performance since last appraisal

Areas that require discussion at an IPP

Areas that employee agrees need to be improved on

Additional information and comments

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Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.