CGB/PC/03B

COUNTY GOVERNMENT OF BUNGOMA

Staff performance appraisal

(For officers on Job Group ‘H’ and below in the

2024/2025
1. Preamble
1. The Staff Performance Appraisal System (SPAS) is a component of Performance
Management System in the Public Service integrating employee participation through work
planning, target setting and execution, evaluation, feedback and reporting.
2. This appraisal form will be completed by officers in Job Group ‘H’ and below and
equivalent grades in the public service
3. The Appraisee and the Supervisor should read the SPAS guidelines prior to embarking
on the actual appraisal.
4. The Appraisee and the supervisor will agree on the specific tasks/responsibilities to be
performed, which should be aligned to the Department objectives.
5. The supervisor and appraisee shall discuss and agree on the performance evaluation and
rating at the end of the appraisal period.
6. The completed SPAS report shall be submitted to the Head of HRM at the end of the
appraisal period for deliberation by the Departments Performance Management Committee.
7. Ratting Scale: The following rating shall be used to indicate the level of performance by
an Appraisee
Achievement of Performance Targets Rating Scale
Achievement higher than 100% of the agreed performance Excellent 101% +
targets.

Achievement up to 100% of the agreed performance targets. Very Good 100%

Achievement between 80% and 99% of the agreed Good 80%- 99%
performance targets.
Achievement between 60% and 79% of the agreed Fair 60% -79%
performance targets.
Achievement up to 59% of the agreed performance targets. Poor Poor 59%
and Below

8. Where the Appraisee is not satisfied with the SPAS evaluation, He/she may appeal to the
CPMC/CPSB but where the appraisee is not satisfied with CPMC/CPSB he/she may appeal to
the PSC as provided in the SPAS guidelines.
STAFF PERFORMANCE APPRAISAL REPORT

Performance Appraisal Period: From 1ST JULY 2024 To 30TH JUNE 2025

Section 1: Employment Details

(i) Personal No …………………………………………… Surname ………………………………………………….

First Name …………………………………………….. Other Names ……………………………………………

Gender ………………………………………………….

(ii) Designation ……………………………………………………………………………………

Job Group/Salary Scale/Pay Grade ……………………………………………………

(iii) Terms of Service …………………………………………… (Permanent/Contract)

(iv) Department: HEALTH AND SANITATION

(v) Section/Unit.......................................................................................

(vi) Duty Station.......................................................................................

(vii) Supervisor’s Name..........................................................................

Designation....................................................................................
Section 2: Agreed Performance Targets /Specific Tasks Assignment
(A) Agreed Performance (B) Performance C) Achieved results in line D) Performance
Targets Indicator(s) with the performance Appraisal Score (See
indicator Rating Scale)
(To be completed by the Appraisee in (To be completed by the Supervisor in consultation
consultation with the Supervisor at the With the Appraisee at the end of the appraisal
beginning of the appraisal period) period)
1

Total appraisal score on performance targets

Section 3: Staff Training and Development Needs (signed at the beginning of

appraisal period)

Appraisee’s training and development needs in order of priority as identified by the appraisee

and supervisor based on performance gaps

............................................................................................................................................

............................................................................................................................................

Appraisee’ Signature........................................... Date......................................................

Immediate Supervisor’s Name..........................................................................................

Signature............................................................. Date...................................................
Section 4: Appraisee’s Comments (signed at the end of appraisal period)

Appraisee’s comments on performance including any mitigating factors

............................................................................................................................................

............................................................................................................................................

............................................................................................................................................

Supervisor’s (immediate) remarks if any on Appraisee performance

............................................................................................................................................

............................................................................................................................................

Name..................................................................................................

Signature................................................ Date.....................................

Section 5: Recommendation of rewards or sanctions or other intervention(s) to the County

Secretary by the County Performance Management Committee:

i) Reward type (Bonus, Commendation letter etc): ..............................……………………………

ii) Other interventions (Counselling, Training and Development,etc).....................................

iii) Sanction (Warning, Separation, etc): .............................................................................

iv) Minute No.............................................. Meeting held on.............................................

Authorized Officer: Approved / Not Approved.................................................................

............................................................................................................................................

Name...................................................................................................................................

Signature: ...................................................... Date: ..........................................................