Performance Plan Progress Appendix A-C

Revised 06/23/03

Performance Plan, Progress Review and Appraisal Record	Employee's Name

Part I. Performance Plan

A. CRITICAL ELEMENTS (LIST at least TWO but no more than FIVE) (Expand size of blocks as desired)	B. RATING (Mark One)
1.	Meets or Exceeds	Does Not Meet

2.	Meets or Exceeds	Does Not Meet

3.	Meets or Exceeds	Does Not Meet

4.	Meets or Exceeds	Does Not Meet

5.	Meets or Exceeds	Does Not Meet

Part II. Progress Review Comments

Date(s) of review and initials of employee and rating official must be provided for each review. A summary of comments is optional unless expectations are not being met.
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No
Employee Initials:	Date:	Rating Official Initials:	Comments Attached:	Yes	No

Part III. Summary Level

NOTE: If any one or more of the Critical Elements in Part I above is marked ADoes Not Meet@ Expectations, the below Summary of Expectations must also be marked A Does Not Meet.@	Meets or Exceeds	Does Not Meet
Mark one of the following ------->
Check under AYes @ column if:	Yes
1. Written comments or explanations are attached.*
2. A Quality Step Increase is recommended (narrative justification attached)

Part IV. Performance Certification

(Employee’s signature certifies review and discussion with the Rating Official. It does not necessarily mean that the employee concurs with the information on this form.)
Rating Official Signature:	Date:
Rating Official Signature: (If Applicable)	Date:
Employee Signature:	Date:

NOAA 2-Level Performance Form, 11/97 See NAO 202-430 for Instructions

Appendix B

Performance Indicators	Applicable Critical Elements
1. Quality
A. Knowledge of Field or Profession: Maintains and demonstrates technical competence and/or experience in areas of assigned responsibility.	All 1 2 3 4 5
B. Accuracy and Thoroughness of Work: Plans, organizes, and executes work logically. Anticipates and analyzes problems clearly and determines appropriate solutions. Work is correct and complete.	All 1 2 3 4 5
C. Soundness of Judgment and Decisions: Documents assignments carefully. Weighs alternative courses of action, considering long and shortterm implications. Makes and executes timely decisions.	All 1 2 3 4 5
E. Timeliness in Meeting Deadlines: Completes work in accordance with established deadlines.	All 1 2 3 4 5

II.Teamwork
A. Participation: Willingly participates in group activities, performing in a thorough and complete fashion. Communicates regularly with team members. Seeks team consensus.	All 1 2 3 4 5
B. Cooperation: Supports team initiatives. Demonstrates respect for team members. Seeks team consensus.	All 1 2 3 4 5
C. Leadership: Provides encouragement, guidance, and direction to team members as needed. Adjusts leadership style to fit situation.	All 1 2 3 4 5
D. Other (Specify):	All 1 2 3 4 5

III.Customer Service
A. Quality of Service: Delivers high quality products and services to both external and internal customers. Initiates and responds to suggestions for improving service.	All 1 2 3 4 5
B. Timeliness of Service: Delivers quality products and services in accordance with time schedules agreed upon with customer.	All 1 2 3 4 5
C. Courtesy: Treats external and internal customers with courtesy and respect. Customer satisfaction is high priority.	All 1 2 3 4 5
D. Other (Specify):	All 1 2 3 4 5

NOAA 2-Level Performance Form, 11/97 See NAO 202-430 for Instructions

Appendix C

FORM CD-516 LF US DEPARTMENT OF COMMERCE (6-93)

Classification and Performance Management Record					New
					I/A:
					MR#:
					IP#:
- Performance Plan - Performance Appraisal - Performance Recognition - Progress Review - Position Description
Employee Name:		Social Security Number:		000B00-0000
Position Title:
Pay Plan, Series, Grade/Step:
Organization:		1.		2.
		3.		4.
		5.		6.
Rating Period:
Covered by:		Senior Executive Service		Demonstration Project
		General Workforce		Other:
Part A – Position Description
POSITION CERTIFICATION B I certify that this is an accurate statement of the major duties and respons ibilities of the position and its organization relationships and that the position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that this information is to be used for statutory purpose relating to appointment and payment of public funds and that false or misleading statements may constitute violation of such statute or their implementing regulations.
Classification/ Certification				Official Title:
PP:	SERIES:	FUNC:	GRADE:	I/A:	YES	NO
I certify that this position has been classified as required by Title 5, US Code, in conformance with standards published by the OPM or, if no published standard applies directly, consistently with the most applicable published standards.
Name and Title of Certifier:		Signature:		Date:
Part B – Performance Plan
This plan is an accurate statement of the work that will be the basis of the employee=s performance appraisal.
NAME & TITLE OF FIRST LINE SUPERVISOR/RATING OFFICIAL		SIGNATURE		DATE
APPROVAL B: I agree with the certification of the position description and approve the performance plan.
NAME & TITLE OF APPROVING OFFICIAL OR SES APPOINTING AUTHORITY		SIGNATURE		DATE
EMPLOYEE ACKNOWLEDGMENT B: My signature acknowledges discussion of the position description and receip t of the plan, and does not necessarily signify agreement.		SIGNATURE		DATE
PRIVACY ACT STATEMENT B Disclosure of your social security number on this form is voluntary. The num ber is linked with your name in the official personnel records system to ensure unique identification of your records. The social security number will be used solely to ensure accurate entry of your performance rating into the automated record system.