GOVERNMENT EMPLOYEE WORK PERFORMANCE ASSESSMENT ...
Transcript of GOVERNMENT EMPLOYEE WORK PERFORMANCE ASSESSMENT ...
Employee Name :
NIP :
Rank/Group :
Position :
Unit :
YEAR 2017
Eryanto Hidayat
197608182014091004
Junior Supervisor, II/a
General Administration
Faculty of Nursing Universitas Indonesia
Assessment Period
January to December, 2017
UNIVERSITAS INDONESIA
GOVERNMENT EMPLOYEEWORK PERFORMANCE ASSESSMENT
1
a. Name : Eryanto Hidayat
b. NIP : 197608182014091004
c. Rank/Group : Junior Supervisor, II/a
d. Position : General Administration
e. Unit : Faculty of Nursing Universitas Indonesia
2
a. Name : Siti Rohaeti, S.Sos., M.Si
b. NIP : 196004201990032002
c. Rank/Group : Administrator, IV/a
d. Position : Evaluation and Reporting Data Processor
e. Unit : Faculty of Nursing Universitas Indonesia
3
a. Name : Dr. Rr. Tutik Sri Hariyati, S.Kp., MARS
b. NIP : 197111181999032001
c. Rank/Group : Administrator, IV/a
d. Position : Manager of General Affairs
e. Unit : Faculty of Nursing Universitas Indonesia
PERSON ASSESSED
APPRAISAL OFFICER
APPRAISAL OFFICER SUPERVISOR
EMPLOYEE PERFORMANCE TARGET DATA
NO NO
1 Name 1
2 NIP 2
3 Rank/Group 3
4 Position 4
5 Unit 5
QUALITY COST
1 0 7200 documents 100 12 months
2 0 12 proposals 100 12 months
3 0 512 sessions 100 12 months
4 0 168 sessions 100 12 months
5 0 216 sessions 100 12 months
6 0 15 documents 100 12 months
7 0 37 documents 100 12 months
8 0 22 sessions 100 12 months
9 0 22 documents 100 12 months
10 0 12 sessions 100 12 months
11 0 12 reports 100 12 months
12 0 15 sessions 100 12 months
13 0 100 students 100 12 months
Assist the procurement of goods and services
Assist on plagiarism check of students' research papers
AKTARGET
QUANTITY/OUTPUT
196004201990032002
Administrator, IV/a
Evaluation and Reporting Data Processor
TIME
Faculty of Nursing Universitas Indonesia
197608182014091004NIP
Unit
Rank/Group Junior Supervisor, II/a
General AdministrationPosition
Faculty of Nursing Universitas Indonesia
GOVERNMENT EMPLOYEE
WORK TARGET FORM
Eryanto Hidayat
I. APPRAISAL OFFICER II. GOVERNMENT EMPLOYEE ASSESSED
NameSiti Rohaeti, S.Sos., M.Si
Government Employee Assessed
Depok, January 5th, 2017
Process incoming mail, outgoing mail, arrange letter archives and serve borrowing
letter archives
Compile a list of needs, supply office stationery, and infrastructure facilities within the
Department
NO
Appraisal Officer
III. OFFICE ASSIGNMENT ACTIVITIES
Facilitate learning and teaching process (BPKM, SAP, Academic staff and students'
attendance)
Prepare materials for Department meetings and distribute the meeting results
Recapitulate lecturer attendance every month within the Department
Assist inventory of facilities and infrastructure maintenance within the Department
Assist administrate lecturers promotion (entries in SIPEG and SIPKD, collecting
physical evidence)
Report (make midterm and annual reports) the implementation of duties to superiors
as accountability
Assist the process of typing quetions for mid and final semester examinations
Assist students' grades processing through the academic.ui.ac.id system and assist
correcting students' mid and final examinations
Assist recapitulate the coaching hours of clinical/community practice and guest
lecturers within the Department
* AK is for Government Employees who hold certain functional position
Siti Rohaeti, S.Sos., M.Si
196004201990032002
Note :
Eryanto Hidayat
197608182014091004
Assessment Period
January to December, 2017
Quality Cost Quality Cost
1 2 3 5 7 8 10 12 13 14
1Process incoming mail, outgoing mail, arrange letter archives and
serve borrowing letter archives0 7200 documents 100 12 months - 0 5000 documents 90 12 months 235 78.48
2Compile a list of needs, supply office stationery, and infrastructure
facilities within the Department0 12 proposals 100 12 months - 0 8 proposals 90 12 months 233 77.56
3Facilitate learning and teaching process (BPKM, SAP, Academic staff
and students' attendance)0 512 sessions 100 12 months - 0 300 sessions 90 12 months 225 74.86
4Assist the process of typing quetions for mid and final semester
examinations0 168 sessions 100 12 months - 0 140 sessions 90 12 months 249 83.11
5Assist students' grades processing through the academic.ui.ac.id
system and assist correcting students' mid and final examinations0 216 sessions 100 12 months - 0 200 sessions 90 12 months 259 86.20
6Assist recapitulate the coaching hours of clinical/community practice
and guest lecturers within the Department0 15 documents 100 12 months - 0 8 documents 90 12 months 219 73.11
7Assist administrate lecturers promotion (entries in SIPEG and SIPKD,
collecting physical evidence)0 37 documents 100 12 months - 0 30 documents 90 12 months 247 82.36
8Prepare materials for Department meetings and distribute the
meeting results0 22 sessions 100 12 months - 0 20 sessions 90 12 months 257 85.64
9 Recapitulate lecturer attendance every month within the Department 0 22 documents 100 12 months - 0 20 documents 90 12 months 257 85.64
10Assist inventory of facilities and infrastructure maintenance within
the Department0 12 sessions 100 12 months - 0 2 sessions 90 12 months 183 60.89
11Report (make midterm and annual reports) the implementation of
duties to superiors as accountability 0 12 reports 100 12 months - 0 12 reports 90 12 months 266 88.67
12 Assist the procurement of goods and services 0 15 sessions 101 12 months - 0 8 sessions 90 12 months 218 72.81
13 Assist on plagiarism check of students' research papers 0 100 students 102 12 months - 0 90 students 90 12 months 254 84.75
1 (additional duty)
(additional duty)
2 (creativity)
(creativity)
79.54
(Good)
GOVERNMENT EMPLOYEE
PERFORMANCE TARGET ASSESSMENT
Depok, 29 Desember 2017Appraisal Officer,
SKP Achievement
Score
REALISATIONNO I. ADDITIONAL ASSIGNMENT ACTIVITIES AK AK
SKP Achievement Score
11
Period
Siti Rohaeti, S.Sos., M.Si196004201990032002
QuantitiyQuantity/Output
CALCULA
TION
TARGET
4 6
II. ADDITIONAL DUTY AND CREATIVITY :
Period
9
Name : Eryanto Hidayat
NIP : 197608182014091004
NoName/NIP and Sign
Appraisal Officer
1 4
1 SKP assessment score until the end of December, 2017 =
80.56 while the assessment of work behavior is
as follow :
Service Orientation = 85.00 (Good)
Integrity = 84.50 (Good)
Commitment = 85.00 (Good)
Discipline = 84.50 (Good)
Teamwork = 84.50 (Good) Siti Rohaeti, S.Sos., M.Si
Leadership = 196004201990032002
Total = 423.5
Average = 84.70 (Good)
RECORD OF GOVERNMENT EMPLOYEE BEHAVIOR ASSESSMENT
Evaluation and Reporting Data
Processor
Date
2
Description
3
January to
December, 2017
ASSESSMENT PERIOD
UNIVERSITAS INDONESIA
1.
a.
b.
c.
d.
e.
2.
a.
b.
c.
d.
e.
3.
a.
b.
c.
d.
e.
GOVERNMENT EMPLOYEE
WORK PERFORMANCE ASSESSMENT
Name
January to December, 2017
PERSON ASSESSED
NIP
Rank, Group
Position
Organizational Unit
Manager of General Affairs
Faculty of Nursing Universitas Indonesia
Name
NIP
Rank, Group
Position
Organizational Unit
Name
NIP
Rank, Group
Position
Organizational Unit
Dr. Rr. Tutik Sri Hariyati, S.Kp., MARS
197111181999032001
Administrator, IV/a
APPRAISAL OFFICER
SUPERVISOR OF APPRAISAL OFFICER
Administrator, IV/a
Evaluation and Reporting Data Processor
Faculty of Nursing Universitas Indonesia
Eryanto Hidayat
197608182014091004
Junior Supervisor, II/a
Siti Rohaeti, S.Sos., M.Si
196004201990032002
Faculty of Nursing Universitas Indonesia
General Administration
4. TOTAL
1. Service Orientation 85.00 (Good)
2. 84.50 (Good)
3. 85.00 (Good)
4 84.50 (Good)
5. 84.50 (Good)
6. 0.00
423.50
84.70 (Good)
Work Behavior Score 84.70 X 40% 33.88
82.22
(Good)
5. OBJECTION FROM UNIVERSITAS INDONESIA GOVERNMENT EMPLOYEE
ASSESSED (IF THERE IS)
Date ...........................................
80.56 X 60% 48.34a. Employee Performance Target (SKP )
Leadership
ELEMENTS ASSESSED
Integrity
Commitment
Disciplinary
Teamwork
Average
b.
Work Performance Score
Total
Work Behavior
6. APPRAISAL OFFICER RESPONSE
TO OBJECTION
Date ...........................................
7. DECISION OF APPRAISAL OFFICER SUPERVISOR
ON OBJECTION
Date ...........................................
8. RECOMMENDATION
9 CREATED ON JANUARY 5th, 2018
10.
11. RECEIVED ON JANUARY 9th, 2018
197111181999032001
APPRAISAL OFFICER
Siti Rohaeti, S.Sos., M.Si
196004201990032002
RECEIVED ON JANUARY 8th, 2018
GOVERNMENT EMPLOYEE ASSESSED,
Eryanto Hidayat
197608182014091004
APPRAISAL OFFICER SUPERVISOR
Dr. Rr. Tutik Sri Hariyati, S.Kp., MARS
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