Teaching service PAS - Form (revised)_112851
Teaching service PAS - Form (revised)_112851
REPUBLIC OF ZAMBIA
CONFIDENTIAL Issued By: THE PERMANENT SECRETARY
PERFORMANCE APPRAISAL SYSTEM (PAS) FORM PUBLIC SERVICE MANAGEMENT DIVISION
PART 1: PERSONAL PARTICULARS (To be completed by the Appraisee but initiated by the Human
Resources and Administration Department)
PERFORMANCE APPRAISAL:
TS NO:
MINISTRY/PROVINCE:____________________________________________________________________________
DISTRICT:______________________________________________________________________________________
STATION:_______________________________________________________________________________________
PART 2: WORK PLAN AND PERFORMANCE (Completed by Appraisee and Supervisor as indicated on
the Individual Work Plan)
2.1. Job Purpose (To be completed by the Appraisee, as stated in the Job Description)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
b) Not Achieved:
Signature:…………………………………………….. Date:……………………………………..
2.4. Comments by the Supervisor on Targets (as set in the Individual Work Plan):
a) Achieved:
b) Not Achieved:
Signature:…………………………………………….. Date:……………………………………..
Signature:…………………………………………….. Date:……………………………………..
PART 3:PERFORMANCE COMPETENCIES (To be completed by Supervisor using rating key*below)
Date:………………………………..…….. Signature:………….……………………………………………………
*
Rating Key: Outstanding = 4 Good = 3 Fair = 2 Poor = 1 Non Applicable = x
**
Overall rating on Competencies/Attributes is total rating divided by the number of Competencies/Attributes rated.
PART 4: COMMENTS ON APPRAISAL
4.1. Comments by Appraisee
The appraisal ratings and comments were discussed with my Supervisor and my comments are:
Signature:…………………………………………………………. Date:………………………………………………….
4.2. Comments by Countersigning Officer (Refer to paragraph 13 User Guide. Delete which is not applicable).
I, as countersigning officer, agree/disagree with the appraisal made by the supervisor because
of the following reasons:
Signature:…………………………………………………. Name:……………………………………………………….
Title:………………………………………………………………………………….. Date:……………………………………
Signature:…………………………………………………. Name:……………………………………………………….
Date:……………………………………………………
INDIVIDUAL WORK PLAN
(To be attached to every Appraisal as may be appropriate)
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
(To be completed by the Appraisee while the rating be completed during Appraisal by the Supervisor)
KEY RESULT AREA PRINCIPAL ACCOUNTABILITIES SCHEDULE OF ACTIVITIES TARGETS RATING
Supervisor’s key for Rating: Above Target = 3, On Target = 2, Below Target = 1, Overall Target Rating =
(i.e. total rating divided by the number of targets)
KEY RESULT AREA PRINCIPAL ACCOUNTABILITIES SCHEDULE OF ACTIVITIES TARGETS RATING