Performance appraisal form: a worked example
कार्यसम्पादन मूल्याङ्कन फाराम
Accountant · FY 2082/83 · Annual review
1. Employee and review details
- Company
- Your Company Pvt. Ltd.
- Fiscal year evaluated
- 2082/83
- Employee name
- Ramesh Thapa
- Employee ID
- EMP-0142
- Designation (post)
- Accountant
- Department
- Finance
- Date of joining (BS)
- 1 Magh 2079
- Review type
- Annual
- Period from (BS)
- Shrawan 2082
- Period to (BS)
- Ashad 2083
- Reviewer (name, post)
- Kabita Adhikari, Finance Head
- Discussion held on (BS)
- 12 Shrawan 2083
2. Rating scale
- 5 Outstanding
- 4 Exceeds expectations
- 3 Meets expectations
- 2 Needs improvement
- 1 Unsatisfactory
3. Key performance indicators (KPIs)
Agree the KPIs, weights and targets with the employee before the period begins (Labour Act 2074, Section 112(3)). The weights should total 100%.
| # | KPI and how it is measured | Weight | Target | Actual | Self | Reviewer | Weighted |
|---|---|---|---|---|---|---|---|
| 1 | Month-end close on timeDay of the next BS month by which the books are closed and the trial balance is ready | 25% | By day 7, every month | By day 7 in 10 of 12 months | 4 | 3 | 0.75 |
| 2 | Statutory deposits on timeMonths in which TDS, SSF and VAT were deposited and filed by their due dates | 25% | 12 of 12 months, no late fee | 12 of 12 months, no late fee | 5 | 4 | 1.00 |
| 3 | Bank reconciliationBank accounts reconciled each month with no unexplained difference | 20% | Every account, every month | Every account; one difference cleared a month late | 3 | 3 | 0.60 |
| 4 | Accuracy of entriesCorrections found in the manager's review or the audit | 15% | Fewer than 5 a quarter | 3 a quarter on average | 4 | 4 | 0.60 |
| 5 | Receivables follow-upShare of receivables more than 90 days old at the month end | 15% | Below 10% | 14% at the year end | 3 | 2 | 0.30 |
| Total | 100% | KPI score, out of 5 | 3.25 | ||||
KPIs agreed on (BS): 5 Shrawan 2082, signed by both. The form has room for 6 KPIs.
4. Competencies
Rate each competency from 1 to 5 on what the employee actually did in the period.
| # | Competency and what a 3 looks like | Self | Reviewer |
|---|---|---|---|
| 1 | Job knowledgeKnows the rules, systems and products the role uses, and keeps up when they change. | 4 | 4 |
| 2 | Quality of workWork is accurate and complete the first time and needs little checking. | 4 | 3 |
| 3 | CommunicationKeeps the manager and colleagues informed, in writing where it matters. | 3 | 3 |
| 4 | TeamworkHelps colleagues, shares information and handles disagreement politely. | 4 | 4 |
| 5 | Initiative and problem solvingSpots problems early, proposes a fix and acts within the role's authority. | 4 | 3 |
| 6 | Reliability and punctualityKeeps working hours and deadlines, and raises a delay before it happens. | 4 | 4 |
| Competency score, out of 5 | 3.50 | ||
5. Overall rating
The overall score blends the KPI score and the competency score by the split beside them. The rating is read from the scale in section 2.
- KPI score · 70% of overall
- 3.25
- Competency score · 30% of overall
- 3.50
- Overall rating
- 3.33
- Meets expectations
6. Strengths
After scoring, discuss the strengths and the weaknesses with the employee and agree how to improve (Section 112(4)).
Every TDS, SSF and VAT deposit was on time across the year with no late fee, and the quarterly corrections stayed well under the target.
7. Development areas and the support agreed
Receivables over 90 days ended the year at 14% against a 10% target. Agreed: a monthly ageing report to the sales head, and a follow-up call list from the first week of each month. The month-end close slipped past day 7 twice; the bank statements will be downloaded on day 1.
8. Employee's comments
An employee who disagrees records it here and still signs the form (Section 112(5)). The disagreement then goes to review (Section 112(6)).
Does the employee agree with the evaluation? Agree
I agree with the scores. Two large customers paid late in Chaitra. I will send the ageing report every month from Shrawan.
9. Review of a disagreement
Left blank here, because the employee agreed. When an employee disagrees, the person reviewing it, the date and the outcome go here, as Section 112(6) requires a review to be arranged.
10. Signatures
- EmployeeRamesh ThapaSignature · 14 Shrawan 2083
- ReviewerKabita AdhikariSignature · 14 Shrawan 2083
- Approved by (HR or head of office)Sita Sharma, HR OfficerSignature · 15 Shrawan 2083
Keep the signed form for at least three years (Labour Rules 2075, Rule 63(3)).
