Performance Management System (PMS)

Performance Planning and Performance Evaluation Form for Project Employee

Performance Appraisal Form

For the period form: 1st January, 2023 to 31st December, 2023
Name of the Project: Maintaining Access to (WASH) Services for the Rohingyas in Bangladesh.
Duration of the Project: 1st January, 2023 to 31st December, 2023 (One Year)
Last Extension Period of the project: 1st January 2022 to 31st December 2022
Employee Appraisal Period: 1st January 2023 to 31st December 2023
Employee Service Contact: arafatrayin@gmail.com (01628846598)

1. Particulars of the Employee: (To be completed by the Appraiser) (Please put tick mark in the
appropriate box) (If not applicable please write N/A)

2. Types of Appraisals

√ Annual Special Periodic

3. Classification of Employee

Regular √ Project Contractual Probationary Others

Name (in Block Letters) MD. YASEER ARAFAT

Staff ID: C0948
Date of Birth 1st January 1993
Designation Supervisor
Date of Joining 21th March, 2021
Validity Date of Service Contract/Appointment 31st December,2022
Place of Posting Camp-05
Project NGOF-UNHCR Project
Present Salary TK 45,076 /-
Academic Qualification (Last) MSS (Master’s in Economics)
Professional Attainment (Degree/Diploma) N/A
Date of Last Enchantment 1st January,2022
Date of Last Up-gradation N/A
Period under Appraisee From: 01-01-2023 To: 31-12-2023

_____________________________
Appraiser’s Signature
Name : Rafiqul Islam Majumder
Designation : Camp Manager
Staff ID : C0506
Date : 25-10-2023
 Performance Management System
(PMS)

A. JD Based (Quantitative Assessment) B. Achievement report

To be completed by staff member and supervisor. Once completed, 1= not achieved; 2= partly achieved;
two originals should be printed and signed. One should be kept by 3= fully achieved; 4 = exceed
the supervisor and one given to the staff member. expectations

A1. Using your project plan and your job analysis as a guide, list the main B1. Self-review B2. Supervisor’s
responsibility expected to be completed during the review period. assessment
Responsibilities should be specific, measurable, achievable, relevant and
1 2 3 4 1 2 3 4
time-bound, and must also be consistent.
Note: Please avoid duplication/repetition of same duties/responsibilities
in different perspectives
Major Responsibility/Duty01: 4
Monitoring the WaSH facilities Status, reporting and making plan of
actions.
Key Performance/Achievement:
To be ensured the demand of beneficiaries and taken rapid action for
survive condition at camp well-known shared by the community. To be
made a scope for the needy purpose and to be community engaged
participatory.
Due date: 31st December, 2023
Major Responsibility/Duty 02: 3
Maintain water production data at borehole along with water supply.
Key Performance/Achievement:
Supplying water to the community 20L per person per day with proper
justification.
Due date: 31st December, 2023
Major Responsibility/Duty 03: 4
I have created and put the plans in place to provide a reliable and efficient
service for the collection, transportation and disposal of waste.
Key Performance/Achievement:

Due date: 31st December, 2023

Major Responsibility/Duty 04: 4
Quick Response in any situation. Site visit, primary selection of all WaSH
Facilities. Formation latrine, Bath house, GB and All New Construction
(FGD).
Key Performance/Achievement:
Immediately done the all types of objections from the community.
Ensured the new construction site selection according to community need
based. Also, formation group ensured community involvement.
Due date: 31st December, 2023
Major Responsibility/Duty 05: 4
Prepare Daily, Weekly and Monthly reports and Monthly work plan
Regarding the work plan Execution.
Key Performance/Achievement:
All software and Hardware related tasks smoothly and properly done.
Due date: 31st December, 2023
A2. Total Score 19

Employee ID: C01180 2

 Performance Management System
(PMS)

A3. Average Score obtained by Supervisor (Above score has to be

converted by giving 40% weight) (Total obtained mark / total score X 100)
X .4= 36

B. Remarks on JD Based Assessment (A) Verification of Review By signing this form, you confirm that
you have discussed this review in detail with your supervisor. Signing this form does not necessarily
indicate that you agree/disagree with this evaluation.

B.1. Remarks by employee at end of JD Based Assessment (additional pages may be attached):

I am Md. Yaseer Arafat who is your discipline maintained, rules obligated time bound staff (SUPERVISOR)
Under UNHCR WaSH project. I have tried to fulfill all of my responsibilities with honesty where I got the
support of my supervisor, Managers and Project management. All of the performed activities have been
shared for your kind Information and exploring about my status. I hope the best effort and best recognition
from yours. Your justification will be a wonderful achievement for me. And I trust to above questioners are
deep classified and declared mark will help me to brightend in future.

Staff member’s signature with date:

C. Remarks on JD Based Assessment (A)

C.1. Remarks by Supervisor at end of JD Based Assessment (additional pages may be attached):

Supervisor’s signature with date:

Section D

Qualitative Assessment by the Supervisor

Rating Score
Assessment Criteria
1 2 3 4

1. Job Knowledge: Possesses knowledge of work procedure and

requirements of job, shows technical competence/ skill in the job.

2. Initiative: Self Starter, ability to work independently without detail

instructions, has a degree of innovation and creativity, ability to make
constructive suggestions, goes beyond assigned role.
3. Communication Skill: Can receive and convey information effectively
with others through written, verbal and non-verbal ways, bargain to
manage conflicts towards win-win situation.

Employee ID: C01180 3

 Performance Management System
(PMS)

Rating Score
Assessment Criteria
1 2 3 4

4. Quality of works: Perform work accurately, consistently and output

based.

5. Teamwork: Can effectively work as a team member, and believe

teamwork and make effort on team building.
6. Punctuality: Exactness in keeping time in attending office, appointment,
discharge official duties and observance of time limit as per requirements
of the assignments.
7. Decision Making: Ability to make and implement decisions effectively.
Ability to arrive at conclusion promptly and to take on a definite course of
action.
8. Professionalism: Maintain professional appearance, appropriate conduct
in the work place, has knowledge of and compliance with NGO Forum’s
policies and procedures.

9. Interpersonal Relation: Maintain positive relationship with the

management, pears & team members and participating with others to
accomplish tasks.
10. Planning & Organization: Ability to grasp problems well and works out
overall and detailed solutions, exceptional skills in planning and
organizing. Anticipates subtle and difficult issues and deploys resources
imaginatively.
11. Dependability: Ability to consistently accomplish allocated jobs without
supervision.

12. Accountability: Has obligation to the assigned activities and taking

responsibilities for them and disclose the result of the performance in a
transparent manner.

13. Honesty & Integrity: Ability to maintain an honest approach in all

dealings.

14. Health: Ability to withstand and perform successfully under physical and
mental strain and stress.

15. Core Values: Performance on the compliances of NGO Forum’s core

values.

D1. Total Score

(Total obtained mark/ total
scoreX100)X.6
D2. Average Score (Above score has to be converted by giving 60% weight)

Employee ID: C01180 4

 Performance Management System
(PMS)

E. Total Score Obtained

Sl
Areas Weight in % Obtained Score
No.

A.3 Quantitative Assessment – JD based

40%

D.2 Quantitative Assessment 60%

Total 100%

F. Overall Rating: (The appraiser must put his/her signature in the appropriate box)

1. Below
2. Good 3. Very Good 4. Excellent
satisfactory
(01-49) (50-69) (70-89) (90-100)

Employee ID: C01180 5

 Performance Management System
(PMS)

4. Remarks by supervisor at the end of review period (Please put tick mark in the appropriate box)

1  Service period may be extended for 6.  Competent for promotion/up-

_____months until_____________ for the gradation to upper position
new phase/project ____________________

2  Service period may not be extended 7.  Salary enhancement not

recommended

3  Eligible for salary enhancement 8.  Others __________

5  Recommended for additional enhancement

Date: Name (Full name) ……………………………… Signature:

……………………………………

Employee ID: C01180 6

 Performance Management System
(PMS)

5. Second-level supervisor’s appraisal if applicable

a) Second-level supervisor’s comments

Date: Name (please print) ……………………………… Signature: ………………………………………..

b) Comment/Recommendation of Project Coordinator/Project Manager if applicable

Signature: .....................Name:..........................................Designation:................................... Date:..................

c) Comment/Recommendation of Project Focal if applicable

Signature: .....................Name:..........................................Designation:................................... Date:..................

d) Comment/Recommendation of Finance & Accounts Department

Signature: .....................Name:..........................................Designation:................................... Date:..................

e) Comment/Recommendation of HR & Admin Department

Signature: .....................Name:..........................................Designation:................................... Date:..................

f) Comment/Recommendation (if any ) and Approval of Executive Director

Signature: .....................Name:..........................................Designation:................................... Date:..................

Employee ID: C01180 7