Form Penilaian Kinerja Tahunan Rsds

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PT. XYZ Jl. Istana Merdeka Jakarta PERFORMANCE EVALUATION SHEET Employee's Data 1st Evaluator (Direct Supervisor) : Accounting Manager Grade : Name Mr./Ms. X 2nd Evaluator (Work Colleague) : Chief of Finance 5 = Very good Position Chief of Accounting 3rd Evaluator (Direct Subordinate): Accounting Staff 3 = Sufficient Department Finance, Accounting & Tax Evaluation Period : 12 months 1 = Lacking Working Period 12 months Date of Evaluation :Dec 2012 Evaluation Criteria Weight 1st Evaluator (50%) 2nd Evaluator (30%) 3rd Evaluator (20%) Final Grade : G G x B G G x B G G x B Exceptional = 18< x <20 1 Work Quality 1 5 5 5 5 5 5 Excellent = 16< x <18 2 Dutifulness 1 5 5 5 5 5 5 Good = 14< x <16 3 Team work 1 5 5 5 5 5 5 Average = 12< x <14 4 Initiative 1 5 5 5 5 5 5 Insufficient = below 12 TOTAL 4 Sub Total 1 20 Sub Total 1 20 Sub Total 2 20 Attendance and Discipline (filled by HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%] Overdue Sick leave Permit Score = 10 6 4 = 20 1 x ……… days 3 x .…… days 5 x .…… days Final Grade: Score -- Attandance deduction Exceptional 20 Absence Warning letter Memoranda 15 x ……… days (- 30)/letter (- 50)/memoranda 0 0 0

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Transcript of Form Penilaian Kinerja Tahunan Rsds

Page 1: Form Penilaian Kinerja Tahunan Rsds

PT. XYZ Jl. Istana Merdeka

Jakarta

PERFORMANCE EVALUATION SHEET

Employee's Data 1st Evaluator (Direct Supervisor) : Accounting Manager Grade :

Name Mr./Ms. X 2nd Evaluator (Work Colleague) : Chief of Finance 5 = Very good

Position Chief of Accounting 3rd Evaluator (Direct Subordinate) : Accounting Staff 3 = Sufficient

Department Finance, Accounting & Tax Evaluation Period : 12 months 1 = Lacking

Working Period 12 months Date of Evaluation :Dec 2012

Evaluation CriteriaWeight 1st Evaluator (50%) 2nd Evaluator (30%) 3rd Evaluator (20%) Final Grade :

G G x B G G x B G G x B Exceptional = 18< x <20

1 Work Quality 1 5 5 5 5 5 5 Excellent = 16< x <18

2 Dutifulness 1 5 5 5 5 5 5 Good = 14< x <16

3 Team work 1 5 5 5 5 5 5 Average = 12< x <14

4 Initiative 1 5 5 5 5 5 5 Insufficient = below 12

TOTAL 4 Sub Total 1 20 Sub Total 1 20 Sub Total 2 20

Attendance and Discipline (filled by HRD) Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]

Overdue Sick leave PermitScore = 10 6 4 = 20

1 x ……… days 3 x .…… days 5 x .…… days Final Grade: Score -- Attandance deduction

Exceptional 20Absence Warning letter Memoranda

15 x ……… days (- 30)/letter (- 50)/memoranda

0 0 0

Page 2: Form Penilaian Kinerja Tahunan Rsds

FORM PENILAIAN KINERJA TAHUNANKaryawan Staff

IDENTITAS PEKERJA PENILAI 1 (Atasan Langsung) : YONO MAULANA Grade :

Nama Mr.CUNCUN PENILAI 2 (Ka.Dept.) : WAWAN HERNAWAN,SKep 5 = Sangat baik

Posisi KABAG. HRD PENILAI 3 (General Manager) : dr. EKA SETIAWAN 4 = Baik

Dept. HRD Periode Penilaian : 2 Bulan 3 = Cukup Final Grade :

Masa kerja AGUSTUS - SEPTEMBER 2015 Tanggal Penilaian : 30 September 2015 2 = Kurang A = 421 - 500

KRITERIA PENILAIANBobot Penilai 1 (50%) Penilai 1 (30%) Penilai 2 (20%) B = 341 - 420

G G x B G G x B G G x B C = 261 - 340

1 Kualitas Kerja 25 2 50 1 25 4 100 D = < 261

2 Kepatuhan 25 3 75 2 50 4 100

3 Kerjasama / Team Work 25 3 75 2 50 4 100 Ttd Penilai 1 Ttd Penilai 2

4 Inisiatif 25 2 50 1 25 4 100

JUMLAH 100 Sub Total 1 250 Sub Total 1 150 Sub Total 2 400

PENILAIAN ABSENSI & DISIPLIN (Diisi oleh HRD)Score : [Sub Total 1 x50%] + [Sub Total 2 x 30%]+[Sub Total 1 x20%]

Sakit IjinScore = 125 45 80 = 250

1 x ……… hari 3 x .…… hari 5 x .…… hari Final Grade / NILAI AKHIR : Score -- Potongan Absensi Catatan :

D 200Mangkir Surat Teguran Surat Peringata

15 x ……… hari (- 30)/kali (- 50)/kali

1 x

Datang Lambat / Lupa Catat

Pekerja yang mendapat Surat Peringatan tidak berhak mendapat Final Grade "B"