CITY OF LOS ANGELES EMPLOYEE EVALUATION REPORT Employee Copy Personnel Copy
PDAS-28E (Rev. 03/09)
Page 1
LAST NAME
FIRST NAME
EMPLOYEE NO.
DEPARTMENT
DIVISION/SECTION
CLASS CODE
REASON FOR RATING
PROBATIONARY
ANNUAL
OTHER (Please specify):
RATING PERIOD
SUPERVISOR NAME
This evaluation is based on my observation and knowledge of the employee's performance during the stated rating period, and represents my best judgment of his/her performance.
Unsatisfactory
Improvement Needed
Meets Standard
Terminate
Continue Probation
Complete Probation
Exceeds Standard
Outstanding
OVERALL EVALUATION
PROBATION RECOMMENDATION
DATE
RATER
(mm/dd/yyyy)
I have reviewed this evaluation and concur with it. DATE
REVIEWER
(mm/dd/yyyy)
This report has been discussed with me and I have received a copy of this evaluation. My signature does not indicate agreement with the rating.
EMPLOYEE'S SIGNATURE
DATE
(mm/dd/yyyy)
For additional Detail of Assignment go to Page 3.
DETAIL OF ASSIGNMENT (Basis for Evaluation): Please detail the tasks and duties assigned to the employee being evaluated.
RATING SCALE Based on observation during the rating period, the employee is being rated using the below scale: Outstanding
- Performance factor was consistently demonstrated at an exceptionally high level.
Exceeds Standards
- Performance factor was consistently demonstrated at a high level.
Meets Standards
- Performance factor was consistently demonstrated at a satisfactory level.
Need Improvement
- Performance factor was demonstrated at less than a satisfactory level.
Unsatisfactory
- Performance factor was demonstrated at an unsatisfactory level.
PDAS-28E (Rev. 03/09)
Page 2
RATE EACH FACTOR: Unsatisfactory
Improvement Needed
Meets Standard
Exceeds Standard
Outstanding
1. QUANTITY OF WORK Completes a large amount of work in a timely manner.
2. QUALITY OF WORK Completes work in an accurate and thorough manner.
3. ORAL COMMUNICATION Communicates orally in a clear, concise, and effective manner.
4. WRITTEN COMMUNICATION Communicates in writing in a clear, concise and effective manner.
5. WORK HABITS Consistently complies with assigned work schedule; maintains productivity during scheduled work hours; follows safety rules and other instructions; plans and performs work in a well-organized manner that maximizes use of time and materials.
6. PERSONAL RELATIONS Interacts effectively and appropriately with co-workers, supervisors, other City employees, members of the public.
7. ADAPTABILITY Performs usual work with minimal instruction, and performs effectively in new and/or emergency situations.
8. OTHER (Specify)
For additional Comments or Suggestions go to Page 3.
COMMENTS: Specific comments are to be provided regarding the employee's performance during the rating period.
SUGGESTIONS FOR EMPLOYEE DEVELOPMENT: Indicate suggestions for the employee's development prior to the next rating period.
PDAS-28E (Rev. 03/09)
DETAIL OF ASSIGNMENT (Basis for Evaluation):
Page 3
Please detail the tasks and duties assigned to the employee being evaluated.
COMMENTS: Specific comments are to be provided regarding the employee's performance during the rating period.
SUGGESTIONS FOR EMPLOYEE DEVELOPMENT: Indicate suggestions for the employee's development prior to the next rating period.