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1. Employee Information: Basic details including employee name, ID, position, department, evaluation period, and evaluator information
2. Performance Rating Scale: Explanation of the rating system used (typically 1-5 or similar scale) with clear definitions for each rating level
3. Technical Skills Assessment: Evaluation of job-specific maintenance skills, equipment operation proficiency, and technical knowledge
4. Safety Compliance: Assessment of adherence to safety protocols, proper use of PPE, and accident prevention practices
5. Work Quality: Evaluation of work accuracy, attention to detail, and completion of maintenance tasks to required standards
6. Productivity: Assessment of work speed, efficiency, and ability to meet deadlines
7. Initiative and Problem Solving: Evaluation of self-direction, problem identification, and resolution capabilities
8. Teamwork and Communication: Assessment of collaboration with colleagues, communication effectiveness, and interpersonal skills
9. Overall Performance Summary: General assessment of employee's performance including key strengths and areas for improvement
10. Goals and Development Plan: Specific objectives for the next period and planned professional development activities
11. Acknowledgment and Signatures: Space for employee and evaluator signatures, dates, and any comments
1. Leadership Skills: For maintenance leads or supervisors - evaluates ability to guide and manage team members
2. Specialized Equipment Proficiency: For roles requiring specific technical certifications or specialized equipment operation
3. Project Management: For employees involved in managing maintenance projects or coordinating multiple tasks
4. Customer Service: For maintenance staff who interact directly with internal or external clients
5. Innovation and Process Improvement: For organizations focusing on continuous improvement and innovation in maintenance processes
6. Language Skills: For workplaces requiring bilingual capabilities or specific communication requirements
7. Emergency Response: For roles involving emergency maintenance or critical system response duties
1. Schedule A - Technical Skills Checklist: Detailed checklist of specific technical skills required for the role
2. Schedule B - Safety Compliance Checklist: Comprehensive list of safety requirements and standards to be evaluated
3. Schedule C - Performance Metrics: Specific KPIs and measurement criteria for quantitative evaluation
4. Appendix 1 - Equipment Proficiency Matrix: Detailed matrix showing required proficiency levels for different equipment types
5. Appendix 2 - Training and Certification Record: List of completed and required training programs and certifications
6. Appendix 3 - Incident Report Summary: Summary of any safety incidents or accidents during the evaluation period
7. Appendix 4 - Performance Improvement Plan Template: Standard template for documenting specific improvement requirements if needed
Performance Rating Scale
Satisfactory Performance
Unsatisfactory Performance
Technical Competency
Preventive Maintenance
Corrective Maintenance
Emergency Maintenance
Safety Protocols
Personal Protective Equipment (PPE)
Standard Operating Procedures (SOPs)
Work Order
Maintenance Log
Equipment Downtime
Response Time
Completion Time
Quality Standards
Workplace Hazards
Critical Equipment
Non-Critical Equipment
Maintenance Schedule
Professional Development
Technical Training
Safety Certification
Performance Improvement Plan
Evaluation Criteria
Maintenance Priority Levels
Root Cause Analysis
Preventive Maintenance Compliance
Safety Incident
Near Miss
Maintenance Backlog
Service Level Agreement
Quality Control
Competency Assessment
Job Safety Analysis
Maintenance Documentation
Performance Metrics
Evaluation Framework
Review Period
Technical Competency
Safety Compliance
Work Quality Standards
Productivity Metrics
Attendance and Punctuality
Communication and Teamwork
Problem Solving
Professional Development
Equipment Operation
Maintenance Documentation
Regulatory Compliance
Emergency Response
Quality Control
Time Management
Resource Management
Environmental Compliance
Customer Service
Leadership (if applicable)
Initiative and Innovation
Confidentiality
Data Protection
Training Requirements
Certification Maintenance
Workplace Conduct
Tool and Equipment Care
Risk Management
Standard Operating Procedures Compliance
Personal Protective Equipment Usage
Incident Reporting
Manufacturing
Commercial Real Estate
Healthcare
Education
Hospitality
Industrial
Retail
Transportation
Utilities
Facilities Management
Construction
Mining
Oil and Gas
Telecommunications
Public Sector
Facilities Management
Building Operations
Plant Maintenance
Technical Services
Engineering
Operations
Property Management
Asset Management
Building Services
Infrastructure Support
Equipment Maintenance
Preventive Maintenance
Human Resources
Health and Safety
Quality Assurance
Maintenance Technician
Facilities Maintenance Worker
Building Maintenance Supervisor
Maintenance Engineer
Plant Maintenance Manager
Equipment Maintenance Specialist
Maintenance Mechanic
Electrical Maintenance Technician
HVAC Technician
Maintenance Planner
Preventive Maintenance Coordinator
Maintenance Lead
Building Systems Technician
Industrial Maintenance Worker
Facility Operations Manager
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