TFN 832

UNITED REPUBLIC OF TANZANIA

OPEN PERFORMANCE REVIEW AND APPRAISAL FORM
(To be filled in Triplicate)

From: July…… to June ………..

This Form replaces all other appraisal forms in the Public Service Institutions. It is intended to meet the requirements of the
performance management system and development process.

NOTES ON HOW TO FILL THIS FORM:

1. This Form must be filled by all employees in the Public Service Institutions. For principal officers and above, at the end
of the year, once fully completed, the original should be sent to the Permanent Secretary (Establishments), duplicate
to the respective Head of organisation and triplicate to the public servant concerned. All other employees (senior
officers and below) original copy should be sent to the Chief Executive Officer of the organization, duplicate to the
parent ministry of the specific cadre and the triplicate to the public servant concerned.

2. Where appropriate, each box shall carry only one letter or figure. Letters to be in capitals.

3. Personal/Agreed objectives are derived from the Organisation’s work plan (Strategic plan, Annual operating plans or
Action plans) and are expected to be implemented in the current year.

4. Sections 2, 3 and 4 of this Form shall be filled by the Appraisee in consultation with the Supervisor and sections 5-6 in
the presence of a third party if necessary.

5. Please note that appraisals that are rated as 1 are the best performers and appraisals rated as 5 are the worst performers.
These should be brought to the attention of top management and usually to the attention of the Chief Executive
Officer of their respective Organisation.

SECTION 1: PERSONAL INFORMATION

Vote Code Check Number

Vote Description

Sub Vote Present Station

Sub-vote description
M F
Name in Full v
Surname First name Middle name Gender

Academic Qualification

Duty Post Substantive Post

Date of First Appointment Date of Appointment to present post

D D M M Y Y Y Y
D D M M Y Y Y
Y

Salary Scale Period served under Date of

Present Supervisor Birth
No. of D D M M Y Y Y Y
Months
Terms of Service
DD= Day, MM= Month, YYYY= Year, F= Female, Male= Male

1
 SECTION 2: PERFORMANCE AGREEMENT

To be filled by the Appraisee in consultation with the Supervisor

2.1 S/N 2.2 Agreed 2.3 Agreed Performance 2.4 Agreed 2.5 Agreed
Objectives Targets Performance Criteria Resources
Corporate legal To represent the 1. Reports of As per
service Corporation on various number of 2021/22
undertaken by cases in courts of law and cases attended. Budget
quassi judicial bodies by 2. Number of
June, 2022
June, 2022 cases
concluded.

To rehabilitate To rehabilitate 20km of Reports of number of As per

track to 80lb rail Railway track from 0km Kilometers rehabilitated. 2021/22
and bridge to 20km by June 2022. Budget
improvements
from Tabora-
Kigoma (411
Km)Meter Gauge
railway line by
June, 2022

To supervise Reports of certificate of As per

rehabilitation of 20 km work, number of 2021/22
and 10 bridges of Railway kilometers & bridges. Budget
track by June 2022.

To identify and To conduct local market 1. Number of As per

solicit block train survey for block train market reports 2021/22
customers for costumers by June 2022. survey. Budget
regional and local 2. Number of
segments by June, costumers
2022 registered.
To analyze customers’ 1. Reports of As per
accounts & types of cargo cargo 2021/22
transported by June 2022. transported by Budget
each segment.

To monitor rental, To register all TRC Land 1. Number of land As per

leasing and Property & properties by June & properties 2021/22
Management matters 2022. registered. Budget
by june,2022
To manage/supervise 1. Number of As per
leased agreements by June leased 2021/22
2022. agreements Budget
supervised.
To ensure rental are 1. Report of rental As per
collected as per signed collected. 2021/22
contract by June 2022. Budget

To rehabilitate 20km 1. To prepare 1. Reports of

of Railway track estimate & estimates
from 0km to 20km required submitted.
by June 2022. materials by June 2. Report of types
2022. & amount of
 2. To maintain material used.
culverts, building 3. Report of
and track works rehabilitation
by June 2022. work done.
4. Report of
number of
culverts,
building &
track works
rehabilitated.
To inspect 1. To ensure that
rehabilitation of 20 rehabilitation
km and 10 bridges of designs &
Railway track by specifications are
June 2022. undertaken/imple
mented as
planned by June
2022.
2. To test
construction
materials for
rehabilitation in
laboratories by
June 2022.

2.6 Appraisee 2.7 Supervisor

……………………………………………. ……………………………………………………

Name (in capital letters) Signed Name (in capital letters) Signed

Date………………… …………… Date…………………… ………............

 SECTION 3: MID-YEAR REVIEW (DECEMBER)
To be filled by the Appraissee in Consultation with the Supervisor
3.1 3.2 Agreed Objectives 3.3 Progress Towards 3.4 Factors affecting
S/N (As per Section 2) Target Performance
Corporate legal service 12 Cases attended against 20. Assignment of the new
undertaken by June, 2022 5 Cases concluded against judge.
30.
 SECTION 4: REVISED OBJECTIVES (if any)

4.1 S/N 4.2 Agreed Revised 4.3 Agreed 4.4 Agreed Performance 4.5 Agreed
Objective(s) Performance Targets Criteria Resources
N/A N/A N/A N/A

4.6 Appraisee 4.7 Supervisor

Name (in capital letters) Signed………… Name (in capital letters) Signed …….

Date: …………………. Date: …..…………

SECTION 5: ANNUAL PERFORMANCE REVIEW & APPRAISAL (JUNE 2022)
To be filled by the Appraisee and the Supervisor

5.1 5.2 Agreed Objective(s) 5.3 Progress made 5.4 Rated Mark
S/N Appraise Supervisor Agreed
Mark
1 Corporate legal 18 Cases attended out 2 1 1
service undertaken by of 20.
June, 2022 15 Cases concluded out
of 30.

Overall Performance Mark: This should reflect the

overall performance and achievement of agreed
objectives in Section 5.

Rating:
1 =Outstanding performance 2 =Performance above average 3=Average performance
4 =Poor performance 5 =Very poor performance
 SECTION 6: ATTRIBUTES OF GOOD PERFORMANCE
To be filled by the Appraisee and the Supervisor
6.1 6.2 MAIN 6.3 QUALITY 6.4 RATED MARK
S/N FACTORS ATTRIBUTE Appraisee Supervisor Agreed
Mark
Ability to work in team
1 WORKING Ability to get on with other staff
RELATIONSHIPS Ability to gain respect from others
Ability to express in writing
Ability to express orally
2 COMMUNICATION Ability to listen and comprehend
AND LISTENING Ability to train and develop
subordinates
Ability to plan and organize
3 MANAGEMENT Ability to lead, motivate and resolve
AND LEADERSHIP conflicts
Ability to initiate and innovate
PERFOMANCE Ability to deliver accurate and
4 IN TERMS OF high quality output timely
QUALITY Ability for resilience and persistence
PERFORMANCE Ability to meet demand
5 IN TERMS OF
Ability to handle extra work
QUANTITY
RESPONSIBILITY Ability to accept and fulfil
6 AND JUDGEMENT responsibility
Ability to make right decisions
7 CUSTOMER FOCUS Ability to respond well to the
customer
Ability to demonstrate follower ship
skills
8 LOYALTY Ability to provide ongoing
support to supervisor(s)
Ability to comply with lawful
instructions of supervisors
Ability to devote working time
exclusively to work related duties
9 INTEGRITY Ability to provide quality
services without need for any
inducements
Ability to apply knowledge abilities
to benefit Government and not for
personal gains
Overall Performance Section 6
Rating:
1 =Outstanding performance 2 = Performance above average 3=Average performance
4 =Poor performance 5 = Very poor performance
 SECTION 7: OVERALL PERFORMANCE (AVERAGE OF SECTIONS 5 & 6)

COMMENTS BY APPRAISEE (if any):

Name of Appraisee Signature Date

COMMENTS BY OBSERVER (if any):

Name of Observer Signature Date

COMMENTS BY SUPERVISOR (if any):

Name of Supervisor Signature Date

SECTION 8: EMPLOYEE REWARDS/DEVELOPMENTAL

MEASURES/SANCTIONS

The supervisor will recommend the most appropriate reward, developmental measures or
sanctions against the appraisee in accordance to the level of agreed performance targets.