5-Level Performance Mgmt System b

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    Employee participation encouraged Established within 60 days No more than 5 performance elements

    All must be critical elements

    At least one element linked to a company goal Mandatory element for supervisors/managers

    Established by rating official no higher levelreview required

    divisions MAY establish 2nd

    level supv review

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    Focused on results Credible measures

    quality, quantity, timeliness, cost-effectiveness,etc.

    Established at the Fully Successful level(minimum required) Benchmark (generic) standards provided at

    all levels

    May be augmented with standards specific tothe position

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    Must allow for margin of error or deviation Must be able to exceed the standard

    Must clearly state measurement criteria

    Use benchmark as a guide

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    12 months Coincides with FY or CY

    Divisions/departments must request variation fromHR

    May extend up to 90 days

    Progress reviews Required mid-year

    Continuous feedback encouraged

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    Under signed performance plan for at least90 days In same position

    Supervised by same rating official

    Includes details over 120 days Rating official must consider ratings from details

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    Completed within 30 days of end ofappraisal period Original submitted to HR within 60 days Copy to employee and supervisor

    Employee on temporary assignment Rating official is supervisor of record

    May NOT use arbitrary distribution system(such as a bell curve)

    Presumptive ratings not allowed Include narratives (required for all)

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    Rating Level Standard Pts

    Exceptional Particularly excellent performance of

    such high quality that organizational

    goals have been achieved that would not

    have been otherwise

    5

    Superior Unusually good performance that exceeds

    expectations in critical areas and exhibits

    a sustained support of organizational

    goals

    4

    Fully

    Successful

    Good, sound performance that meets

    organizational goals. Employee

    effectively applies technical skills and

    organizational knowledge to get the jobdone

    3

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    Rating Level Standard Pts

    Minimally

    Successful

    Performance shows serious deficiencies

    that require correction. Work is marginal

    and only meets the minimum requirements

    with close supervision

    2

    Unsatisfactory Quality and quantity of work are not

    adequate for the position. Work products

    do not meet the minimum requirements

    expected

    0

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    Derived from numerical average of all elements

    Summary Rating Points Summary Rating

    4.60 - 5.00ANDNo critical

    element lower than Superior

    Exceptional

    3.604.59ANDNo criticalelement lower than Fully

    Successful

    Superior

    3.003.59ANDNo critical

    element lower than Fully

    Successful

    Fully Successful

    2.002.99ANDNo critical

    element rated lower than

    Minimally Successful

    Minimally Successful

    One or more Critical elements

    rated Unsatisfactory

    Unsatisfactory

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    Supervisor of record leaves in final 90 days ofrating period Prepare summary rating to serve as rating of record

    Employee does not have standards

    Not eligible for rating Employee not supervised by rating official for

    90 days Second level supervisor may rate

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    Interim appraisals Upon completion of temp assignment over 120

    days

    Employee or supervisor changes positions

    Document level of competence Becomes rating of record

    Copy to employee and new supervisor

    Used to determine annual summary rating

    Not Rated When employee does not have opportunity to

    perform a critical element

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    Discuss with employee AFTER ratingcompleted

    If employee refuses to sign Document refusal on rating form

    Supplemental written comments May be submitted by employee May address element rating, overall rating,

    and/or narrative comments

    Forwarded to HR and filed in 201 file

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    Departments may develop their ownprocess

    Criteria: Dissatisfaction with an elementrating that would affect the Summary Rating

    CBA with reconsideration process governs Must notify all employees of the

    reconsideration process developed

    Reconsideration Process must include: Informal and Formal procedures

    Reasonable timeframes

    Final decision must remain within department.

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    Written request to HR within 7calendar days of receipt of informaldecision

    HR reviews to determine ifappropriate for acceptance Not accepted return with explanation Accepted referred within 14 calendar

    days Employee may be represented Review limited to reconsideration of

    rating on critical element(s)

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    Reconsideration Official Reviews evidence

    Consults with necessary individuals

    Makes changes if appropriate

    Issues final written decision within 20 calendar days Copy to employee and filed in 201 file

    Decision is final no further right of review

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    Summary Rating Narrative

    required?

    Award Eligibility & Actions Required

    Exceptional YES Eligible for a cash award up to 5% of

    base pay, Time-Off, up to 5% increase in

    base pay

    Superior No Eligible for cash (up to 3% of base pay)

    or Time-Off award

    Fully Successful NO Eligible for career ladder promotion

    Minimally

    Successful

    YES Not eligible for career ladder

    Unsatisfactory YES Requires formal corrective action

    (Performance Improvement Plan)

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    XYZ INCORPORATEDEmployee Performance Appraisal Plan

    Employee Name and Social Security Number: Title/Se ries/Grade:

    Duty Station: Appraisal Period: From: To:

    Part A: Notification of Standards: Signatures certify that critical elements and performance standardswere discussed. Critical elements and performance standards are contained in Part E.Employee: Rating Official: Reviewing Official (if applicable*):

    Date: Date: Date:

    *If determined by Bureau/Office

    Part B: Progress Review: Signatures certify that performance was discussed.Employee: Date: Rating Official: Date:

    Part C: Summary Rating Determination: To determine a summary rating, assign one of thenumerical rating levels that accurately reflects the employees performance for each of the criticalelements (Use only whole numbers:Exceptional = 5 points; Superior = 4 points, Fully Successful =3 points, Minimally Successful = 2 points, and Unsatisfactory = 0 points.) See reverse forcomplete instructions for assigning a Summary Rating.

    Element Number Numerical Rating

    1

    2

    3

    4

    5

    Total:

    Total Numerical Rating Number of Elements = Numeric Summary Rating

    Part D: Overall Summary Rating: Use conversion chart below to determine Summary Rating. Check theappropriate box:

    Exceptional4.65.00 AND No critical element rated lower than Superior.

    Superior 3.64.59 AND No critical element rated lower than Fully Successful.

    Fully Successful 3.03.59 AND No critical element rated lower than Fully Successful.

    Minimally Successful 2.02.99 AND No critical element rated lower than Minimally Successful.Unsatisfactory One or more critical elements rated Unsatisfactory.

    Employee: Rating Official: Reviewing Official: (if applicable):

    Date: Date: Date:

    Check here if Interim Rating: ______

    Employees Signature above certifies that the overall summary rating was discussed. Reviewing Officials signature

    is required for Exceptional, Minimally Successful and Unsatisfactory ratings, and otherwise if determined byBureau/Office.

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    XYZ INCORPORATEDEmployee Performance Appraisal Plan

    Employee Name and Social Security Number: Title/Series/Grade:

    Duty Station: Appraisal Period: From: To:Sally Sarte 000-00-0000 Visitor Use Assistant, GS-303-05

    Quezon Plant 01/01/05 09/30/05

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    Part A: Notification of Standards: Signatures certify that critical elements and performance standards werediscussed. Critical elements and performance standards are contained in Part E.

    Employee: Rating Official: Reviewing Official (if applicable*):

    Date: Date: Date:

    *If determined by Bureau/Office

    Sally Sarte

    010105

    V. Good

    01/01/05

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    Part B: Progress Review: Signatures certify that performance was discussed.Employee: Date: Rating Official: Date:

    Sally Smart V. Good 05/01/0505/01/05

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    Part C: Summary Rating Determination: To determine a summary rating, assign one of thenumerical rating levels that accurately reflects the employees performance for each of the criticalelements (Use only whole numbers:Exceptional = 5 points; Superior = 4 points, FullySuccessful = 3 points, Minimally Successful = 2 points, and Unsatisfactory = 0 points. ) Seereverse for complete instructions for assigning a Summary Rating.

    Element Number Numerical Rating

    12

    3

    4

    5

    Total:

    Total Numerical

    Rating

    Number of Elements = Numeric Summary

    Rating

    5

    4

    3

    NR

    5

    17

    17 4.254

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    Part D: Overall Summary Rating: Use conversion chart below to determine Summary Rating. Check the appropriate box:

    Exceptional 4.6 5.00 AND No critical element rated lower than Superior.

    Superior 3.6 4.59 AND No critical element rated lower than FullySuccessful.

    Fully Successful 3.0 3.59 AND No critical element rated lower than FullySuccessful.

    MinimallySuccessful

    2.0 2.99 AND No critical element rated lower than MinimallySuccessful.

    Unsatisfactory One or more critical elements rated Unsatisfactory.

    Employee: Rating Official: Reviewing Official: (if applicable):

    Date: Date: Date:

    X

    Sally Sarte V. Good

    10/15/05 10/15/05

    Check Here If Interim Rating _____

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    Employee changes positions Employee completes temporary assignment

    or detail of more than 120 days The rating official leaves a supervisory

    position more than 90 days before the endof the rating cycle

    To document a level of competencedetermination for granting or denying a

    with-in-grade increase

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    Part E: Critical Elements and Performance Standards: List below each of the employees critical elements (at least one,but no more than 5) and their corresponding performance standards. If Benchmark Standards are used, indicate BenchmarkStandards areattached in the space below, and ensure they are attached to this form.

    Critical Element 1:

    Performance StandardsExceptional

    Superior

    Fully Successful

    Minimally Successful

    Unsatisfactory

    Narrative Summary

    Describe the employees performance for each critical element. A narrative summary must be written for eachelement assigned a rating of Exceptional, Minimally Successful, or Unsatisfactory.

    Rating for Critical Element 2:

    [ ] Exceptional-5 [ ] Superior-4 [ ] Fully Successful-3 [ ] Minimally Successful-2 [ ] Unsatisfactory-0

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    Were formerlythe CriticalResults

    1+ 1

    2

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    Standard

    Element #1

    Standard

    Element #2

    Strategic

    Goals

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    Specific Measurable

    Achievable

    Realistic Timely

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    Performanceindicators in thePass/Fail System

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    The employee demonstrates good, sound

    performance that meets organizational goals.All critical activities are generally completed

    in a timely manner and supervisor is keptinformed of work issues, alterations andstatus.