Department of Facility Management
Custodian and Part-time Helpers Performance Evaluation Report (PER)
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Employee Name:
Date:
Facility:
Date of Assignment
at Current Facility:
Classification:
Choose One:
Part-Time Custodian
Custodian Helper-Day
Cusotdian Helper-Night
Pool Operator
Type of PER:
Choose One:
30-Day
90-Day
Annual
Evaluation Period:
Click Here To Change The Information Above.
•All PERs MUST BE SUBMITTED BY NOVEMBER 1,
•All PERs MUST BE SUBMITTED TO YOUR AREA SUPERVISOR
•EMPLOYEES MUST HAVE 90 DAYS ON THE JOB TO BE GIVEN AN ANNUAL PER
Performance Factors
I. RELIABILITY:
ATTENDANCE
Does Not Meet Standards (1 pt)
Employee is in violation of 95% Attendance Policy
Meets Standards (2 pts)
Employee is within 95% Attendance Policy
NOTE:
"Unexcused" Tardiness and Absence must use "white" & "pink" cards per established procedure. Violations will result in progressive discipline. Absences in violation of the 95% Attendance Policy will also result in discipline.
PUNCTUALITY
Does Not Meet Standards (1 pt)
Unexcused Tardy five (5) or more times
Meets Standards (2 pts)
Unexcused Tardy no more than four (4) times
Exceeds Standards (3 pts)
Unexcused Tardy 0-3 Times
II. WORK PERFORMANCE:
COMPLETION OF SCHEDULED/ASSIGNED WORK
Does Not Meet Standards (1 pt)
Demonstrates a lack of initiative, requires constant supervision
Meets Standards (2 pts)
Meets standards and completes scheduled work
Exceeds Standards (3 pts)
Superior work standards, completes all tasks
QUALITY OF WORK
Does Not Meet Standards (1 pt)
Does not meet department cleaning standards and guidelines
Meets Standards (2 pts)
Meets department cleaning standards and guidelines
Exceeds Standards (3 pts)
Goes above and beyond department cleaning standards and guidelines
III. TRAINING:
TRAINING
Does Not Meet Standards (1 pt)
Does not understand or apply training and/or has difficulty accepting feedback. And/or does not attend required training or provide notification of absence
Meets Standards (2 pts)
Understands and effectively applies training and willingly accepts feedback And/or has successfully completed required training for position or is currently enrolled
Exceeds Standards (3 pts)
Effectively applies training with minimal direction and feedback. And/Or exceeds training requirements for position
IV. JOB KNOWLEDGE AND SAFETY:
KNOWLEDGE OF EQUIPMENT, MATERIALS, AND METHODS
Does Not Meet Standards (1 pt)
Demonstrates a lack of knowledge working with equipment, materials, and methods
Meets Standards (2 pts)
Has necessary knowledge of equipment, materials, and methods
Exceeds Standards (3 pts)
Superior knowledge of equipment, materials, and methods
SAFETY
Does Not Meet Standards (1 pt)
Displays a lack of safety awareness and/or does not wear approved personal protective equipment and clothing
Meets Standards (2 pts)
Maintains an acceptable level of safety awareness and wears appropriate personal protective equipment and clothing
Exceeds Standards (3 pts)
Maintains a high level of safety awareness and wears appropriate personal protective equipment and clothing
V. TEAMWORK:
WORKING WITH EMPLOYEES AND SUPERVISORS
Does Not Meet Standards (1 pt)
Does not interact well with employees and supervisors
Meets Standards (2 pts)
Interacts well with employees and supervisors
Exceeds Standards (3 pts)
Interacts exceptionally well with employees and supervisors
INTERACTION WITH PUBLIC AND STAFF
Does Not Meet Standards (1 pt)
Does not interact well with public and staff
Meets Standards (2 pts)
Interacts well with public and staff
Exceeds Standards (3 pts)
Demonstrates positive behavior, honesty and integrity, and recognizes the value of diversity
VI. COMMUNICATION:
ORAL COMMUNICATION SKILLS
Does Not Meet Standards (1 pt)
Does not use appropriate communication skills
Meets Standards (2 pts)
Clearly receives and conveys information
Exceeds Standards (3 pts)
Exhibits excellent listening and speaking skills
WRITTEN COMMUNICATION SKILLS
Does Not Meet Standards (1 pt)
Written communication does not meet requirements for the position
Meets Standards (2 pts)
Written skills meet requirements for the position
Exceeds Standards (3 pts)
Demonstrates outstanding written skills
VII. KNOWLEDGE OF POLICIES AND PROCEDURES:
KNOWLEDGE OF POLICIES AND PROCEDURES
Does Not Meet Standards (1 pt)
Makes little effort to follow district and department policies and procedures
Meets Standards (2 pts)
Strives to improve knowledge of district and department policies and procedures
Exceeds Standards (3 pts)
Outstanding knowledge of district and department policies and procedures
VIII. PROFESSIONALISM:
PROFESSIONALISM
Does Not Meet Standards (1 pt)
Does not exhibit professional and trustworthy demeanor
Meets Standards (2 pts)
Exhibits professional and trustworthy demeanor
Exceeds Standards (3 pts)
Consistently exhibits professional and trustworthy demeanor
OVERALL PERFORMANCE RATING:
A summary of the employee's performance during the appraisal period
Total Points From Ratings, Section I - VII. Out of a total of 38 points.
Does not meet Department Standards
Meets Department Standards
Exceeds all Department Standards
13 - 19 points
20 - 30 points
31 or more points with no
"Does Not Meet Standards" selected
Your total score may be greater than 30 but if you received a “Does Not Meet Standards” rating anywhere in the evaluation, you will automatically get a “Meets Department Standards” rating.
Evaluator's Comments: Facility Manager and/or Assistant Custodian (Attach additional sheets as necessary)
Employee's Comments: (Attach additional sheets as necessary)
Please attach additional sheets if necessary to clarify or supplement comments or ratings.
Employee's signature does not indicate agreement, rather that the appraiser has reviewed and discussed the appraisal with the employee.
Signature of Employee
Date
Signature of Assistant
(Applicable only if Employee is on all or part of Assistant's shift)
Date
Signature of FM
Date
Signature of Area Supervisor
Date
Original to
HUMAN RESOURCES
Copy to
DEPARTMENT FILE
Copy to
EMPLOYEE
Copy to
FACILITY MANAGER
Facility Management will make copies to distribute to above locations