PAS FORM 1
REPUBLIC OF ZAMBIA
CONFIDENTIAL Issued By: THE PERMANENT SECRETARY
PERFORMANCE APPRAISAL SYSTEM (PAS) FORM PUBLIC SERVICE MANAGEMENT DIVISION
ANNUAL/INCREMENTAL/CONFIRMATION/PROMOTION (Delete which is not applicable)
Note: 1. Confirmation and Promotion Appraisals to be channeled to Teaching Service Commission.
2. Annual and Incremental Appraisals to be channeled to 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:
FOR THE PERIOD: (Month)____________________ 20______ TO (Month)_________________ 20______
TS NO:
PMEC EMPLOYEE NO: (AS IT APPEARS ON PAYSLIP):
SURNAME:________________________________ OTHER NAMES:________________________________________
JOB TITLE:___________________________________________ SALARY SCALE:______________________________
DATE OF APPOINTMENT TO PRESENT POST:__________________________________________________________
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)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2.2. Individual Work Plan and Ratings
Note: Attach the duly completed Individual Work Plan
2.3. Comments by the Appraisee on Targets (as set in the Individual Work Plan):
For Public Service
a) Achieved: Management
Division/Teaching
Service Commission
Official use
only
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:……………………………………..
2.5. Additional contributions made by the Appraisee to the Ministry/Department
(to be completed by the Supervisor)
Signature:…………………………………………….. Date:……………………………………..
PART 3:PERFORMANCE COMPETENCIES (To be completed by Supervisor using rating key*below)
3.1. COMPETENCIES/ATTRIBUTES RATING*
a. Management/Supervisory skills:-
Ability to guide others towards meeting set goals and objectives
b. Job knowledge:-
Level of understanding and ability to apply knowledge and skill to
perform the job.
c. Quality of Work:-
The degree to which an employee applies himself/herself in performing
work to the required standards i.e. completes his/her work with accuracy,
minimal error.
d. Promptness in completing assignments:-
Completing assignments on time.
e. Dependability:
Ability to follow instructions, maintain good conduct, time-keeping and
devotion to government duties.
f. Accountability:
Willingness to shoulder responsibility and to be answerable for the
achievement/non achievement of objectives.
g. Initiative and Creativity:
Ability to be innovative, resourceful, creative, promote new ideas and
resolve problems within or outside set guidelines.
h. Communication skills:
Ability to communicate effectively both orally and in writing.
i. Tact and Courtesy:
The employee’s sensitivity, integrity, politeness and temperament in
dealing with others.
j. Attitude:
Interest shown towards the job.
k. Adaptability:
Ability to cope with changing ideas, work environment, technologies as
well as ability to get along with superiors, peers and subordinates.
l. Team work:
Co-operation with fellow workers and supervisors and promoting an
environment which encourages open communication and consensus.
Overall Rating on Competencies/Attributes**
3.2. What type of follow-up action do you recommend for the appraisee?
(Overall recommendation) For Public Service
Management
Division/Teaching
Service Commission
Official use only
Date:………………………………..…….. Signature:………….……………………………………………………
Name:………………………..……………. Job Title:………………………………………………………………..
*
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:……………………………………
4.3. Comments by Permanent Secretary (Delete which is not applicable)
I, Permanent Secretary, agree/disagree with the appraisal made by the supervisor because of the
following reasons:
Signature:…………………………………………………. Name:……………………………………………………….
Date:……………………………………………………
INDIVIDUAL WORK PLAN
(To be attached to every Appraisal as may be appropriate)
Name of Job Holder:………………………………………………………………………………… Work Plan Period:……………………………………………………………………………………
Job Title:…………………………………………………………………………………………………… Department/Section:……………………………………………………………………………
Job Purpose (As in the Job Description)
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
(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
