Probation Period Assessment Form

CIPET HEAD OFFICEGUINDY, CHENNAI – 600 032PERFORMANCE ASSESSMENT FORMAssessment Report from .................. to...................:1. Name of the Employee :2. Designation :3. Date of Joining as Probationer :4. Department / Project in which employed :1. Nature of assignmentASSESSMENT2. Quality of output3. Performance regarding job requirements4. Knowledge of sphere of work5. Punctuality & Regularity6. Analytical ability(Formulation of alternatives, ability to indicate decision areas)7. Communication skill(Ability to communicate with brevity, clarity and accuracy both orally and in writing)8. Initiative(Resourcefulness in handling normal as well as unforeseen situations, willingness to takeadditional responsibilities and new area of work)9. Attitude to work(Sense of responsibility extent of dedication and motivation, willingness to learn andsystemize the work)10. Ability to inspire and motivate(Capacity to inspire confidence)

11. Supervisory ability(Guidance in the performance of tasks, review of performance, capacity to take decisions,maintaining discipline)12. Interpersonal relations and team work(Quality of relationship with superiors, colleagues and sub-ordinates, promote team spirit)13. Aptitude and potential14. State of Health(enclose copies of medical reports in case of ill-health)15. Integrity16. Details of Leave availed:NO. OF DAYS LEAVE TAKENCLELHPL /Leave onMedical GroundsUnauthorizedabsence /ExtraordinaryleaveRemarksSignature(Full name and designationof the Reporting Officer)Do you agree with the remarks of the Reporting Officer? :If not, on what points (Please specify) :OVER ALL ASSESSMENT BY THE REVIEWING OFFICEROutstanding :Very Good :Good :Average :Poor :Whether he can be confirmed or not? :(Yes / No)Signature(Full name and designation of theReviewing Officer)---------------------------------------------------------------------------------------------