Confidential Document

The Supreme Industries Ltd.

Injection Moulding Unit

APPRAISAL REPORT

For the Period …JAN -2013 TO MAR -2013

Name of the employee : V. MARIMUTHU Designation : EXECUTIVE

Date of Joining : Date of Confirmation:

Name of the Appraiser :MR.SUSIL Date :

Nomenclature 1 Appraisee : Employee whose performance is being evaluated

2 Appraiser : Person whom Appraisee Reports

3 Reviewer : Peer of appraiser or the person to whom Appraiser Reports

Procedure Guidelines

1. Appraiser will hand over this form to Appraisee for Self Evaluation in Section A (i.e. Performance Evaluation Section)

2. After Appraisee Completes his self Appraisal, he hands over form to Appraiser, who appraises employee in Section-A and further fill-up the whole form:

Section B Core competencies Assessment.

Section C Result Areas

Section D Assessment of major Goals and Achievements during the year

3. Appraiser calls Appraisee for a meeting to show how he has appraised, discusses his appraisal with him, and asks Appraisee to write his comments in Section E. Appraisee then puts his signature at a place provided as a token of his understanding how he was evaluated.

4. Appraiser then write his overall comments/ recommendation Section F, gives overall rating for Appraisee’s Performance during the period of review. He then sends the form to Reviewer.

5. Reviewer goes through all the forms and marks his comments / recommendations in Section G. (Reviewer may call a meeting with Appraisee / Appraiser, if he feels so.)

6. There is Section I on KRA Planning for the next year. This has to be filled and sent back to HR / Personnel dept by ……………………………

7. Once all the sections are completely filled and the Annual Appraisal Report is duly signed, please forward the same to HR Department for their records / further actions.

8. Subject appraisal review to be done every quarterly, half yearly and yearly.

SCHEDULE FOR COMPLETION

1. Forms to reach respective Appraisers ………………….

2. Appraisee to complete Section A ………………….

3. Appraiser to complete Section B ………………….

4. Appraiser to send the Form to Reviewer ………………….

5. Return to Secretary to EVP ………………….

Notes:

1. Employees joined after ………… will not be covered for Performance Appraisal Report

2. This is performance and competencies evaluation and NOT person evaluation.

3. Please follow the schedule as mentioned, and regarding queries relating to the Appraisal process

contact EVP / HR

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APPRAISAL REPORT

FOR THE YEAR……2012………….

SECTION B: Key Result Areas (KRAs)

S.No. Performance Evaluation Evaluation of achievement RemarksAppraisee’s assessment

Appraiser’s assessment

KRA’s Marks Q1 Q2 Q3 Annual Q1 Q2 Q3 Annual1

MATERIAL PLANNING - IPD

10 8

2RECOVERY

GRINDING – IPD

10 8

3MIXING - IPD

5 3

SECTION B: Core Competencies Evaluation

Si. No. Core Competencies

4 3 2 1Employee exhibits the competency dominantly

Employee exhibits the competency most of the times

Employee exhibits the competency on some occasions

Employee does not exhibit the competency

1 Quality aspect in execution

2 Team Player

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3 Analyzing & Problem solving

4 Communication & Influencing

5 Result Oriented

SECTION C: Result Areas (RAs)

S.No. Performance Evaluation Evaluation of achievement RemarksAppraisee’s assessment

Appraiser’s assessment

RA’s Marks Q1 Q2 Q3 Annual Q1 Q2 Q3 Annual1 RAW MATERIAL AND

REGRIND TAKE PHYSICAL STOCK

5 4

FOR THE DAY PLAN MAKING WORK ORDER

5 4

AS PER THE PLANISSUE PACKING MATERIAL AND COMPONENTS

5 4

MATERIAL FOLLOW- UP FROM STORES

5 4

PACKING MATERIALAND COMPONENTSMINIMUM STOCK FOLLOW WITH PURCHASE DEPOT

5 4

MAKING WORK ORDER VS PRODUCTION REPORT

5 4

2 ON LINE GRINDINGFOLLOW UP

5 4

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REGRIND MATERIALCONSUMPTION FOLLOW UP

5 4

MAN POWER FOLLOW UP

5 4

GRINDING M\C MAINTANCE WORK AND BLADE CHANGE FOLLOW UP

5 4

MAKING SCRAP REPORT

5 5

SUB-CONTRACT MATERIAL FOLLOW UP (LUMPS CONVERT RP)

5 5

3 AS PER THE PLANMATERIAL MIXINGAND FEEDING THE MACHINE

5 5

AS PER THE STDRG MIXING

5 4

MAINTAIN HOUSE KEEPING 5S

5 4

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SECTION D.Assessment of New Initiatives,Ma jor Goals & Major Projects (little more than regular responsibilities)

Use this section to describe the new initiatives taken by employee and special achievements for major goals and major Projects completed during the performance evaluation period

S.No. New initiative taken, Achievement of major Goals & major

Projects

Appraisee’s comments

Appraiser’s Comments

1

IPD SCRAP STOCK MAINTAIN IN TO 5 TONS

2 REDUCE THE PACKING MATERIAL WASTE

3

4

5

Other Comment, if any:

SCORE CARD:

S. No.

Particulars Weightage (Total

Score Remarks,if any

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100%) Q1 Q2 Q3 Q4

1 KRA’s 50%

2 Core Co8mpetencies

3 RA’s 25%

4 New Initiatives, Major Projects & Major goals

25%

Total Final Score 100

SECTION E. Employee Comment

Employee Use only: Enter personal comments on your performance evaluation.

Comments:

Need to improve in KRA

SECTION F. Appraiser’s Comment and Overall Rating

Appraiser’s Use only: Refer to overall rating for the employee, and then enter summary comments.

Overall Performance Rating:

POOR(Needs Improvement)

SATISFACTORY (Contributor)

GOOD (Effective Contributor)

VERY GOOD (Excellent Contributor)

Comments (or any recommendation)

SECTION G: Remarks / Recommendations by ReviewerReviewer’s Use only : Refer to overall performance rating for employee, then enter summary commentsComments (or any recommendation)

Good Need to improve in KRA & RA

SECTION H. Signature

Employee Signature DateConfidential Document Page 6 of 7

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Appraiser Signature Date

Reviewer Signature Date

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