Custodial Evaluation Template 022015

1 Custodian Evaluation Form 01/2015

Employee: Click here to enter text. Title Click here to enter text. Employee ID#:Click here to enter text.

Evaluator: Click here to enter text. Title: Click here to enter text. School Year: 2014-15

Evaluation Type: ☐ Annual ☒ Probationary

Exceeds Meets Approaching Does Not Meet

1. Job Performance Expectations Expectations Expectations Expectations

Completes all assigned tasks based on scheduling. ☐ ☐ ☐ ☐

Is flexible to the needs of the building. ☐ ☐ ☐ ☐

Shows pride and interest in work. ☐ ☐ ☐ ☐

Initiates new or challenging job-related assignments. ☐ ☐ ☐ ☐

Works productively and solves problems efficiently. ☐ ☐ ☐ ☐

Uses time appropriately and effectively. ☐ ☐ ☐ ☐

COMMENTS: Click here to enter text.

Exceeds Meets Approaching Does Not Meet

2. Job Knowledge Expectations Expectations Expectations Expectations

Demonstrates proficient knowledge of the

Custodial Procedure Manual (CPM). ☐ ☐ ☐ ☐

Maintains skill level appropriate to job. ☐ ☐ ☐ ☐

Understands/follows policies, procedures and

practices established within district / building/ ☐ ☐ ☐ ☐

facilities department.

Participates in training & cross-trains as necessary. ☐ ☐ ☐ ☐

COMMENTS: Click here to enter text.

Exceeds Meets Approaching Does Not Meet

3. Quality of Work Expectations Expectations Expectations Expectations

Consistently meets standards of work quality

as defined in the CPM. ☐ ☐ ☐ ☐

Cleans assigned areas to maintain safe, sanitary ☐ ☐ ☐ ☐

and healthy conditions.

Work reflects accurate and thorough cleaning. ☐ ☐ ☐ ☐

COMMENTS: Click here to enter text.

Exceeds Meets Approaching Does Not Meet

4. Communication Expectations Expectations Expectations Expectations

Communicates in a professional manner. ☐ ☐ ☐ ☐

Understands and responds appropriately to ☐ ☐ ☐ ☐

verbal and written communication promptly.

COMMENTS: Click here to enter text.

Custodial Performance Evaluation Knowing every student by name, strength and need.

2 Custodian Evaluation Form 01/2015

Exceeds Meets Approaching Does Not Meet

5. Human Relations Expectations Expectations Expectations Expectations

Demonstrates positive, respectful, and responsive ☐ ☐ ☐ ☐

customer service to staff, students and community.

Establishes and maintains good working relationships ☐ ☐ ☐ ☐

with co-workers; maintains professional boundaries.

Easily cooperates with supervisors, staff & students. ☐ ☐ ☐ ☐ Handles difficult situations with courtesy & tact. ☐ ☐ ☐ ☐

Accepts direction, instruction and constructive ☐ ☐ ☐ ☐ feedback in a positive manner.

COMMENTS: Click here to enter text.

Exceeds Meets Approaching Does Not Meet

6. Safety & Maintenance Expectations Expectations Expectations Expectations

Possess a working knowledge of safety and ☐ ☐ ☐ ☐

maintenance procedures as defined in CPM.

Demonstrates proper and safe use of chemicals, ☐ ☐ ☐ ☐

including proper storage and disposal.

Operates & maintains equipment, tools, and ☐ ☐ ☐ ☐

supplies in a safe and efficient manner.

Uses appropriate PPE as defined in the CPM. ☐ ☐

COMMENTS: Click here to enter text. Meets Does Not Meet

7. Attendance & Punctuality Expectations Expectations

Maintains good attendance and gives adequate notice of ☐ ☐

absences, departures and vacations as defined in the CPM.

Is punctual; follows assigned work schedule. ☐ ☐

COMMENTS: Click here to enter text.

It is my judgment, based upon the adopted criteria, that this staff member’s overall performance:

☐ Has Exceeded Expectations ☐ Has Met Expectations ☐ Is Approaching Expectations ☒ Does Not Meet

Expectations

for the evaluation period covered in this report.

EVALUATOR COMMENTS:

3 Custodian Evaluation Form 01/2015

Click here to enter text. Click here to enter text. Evaluator (Please Print) Evaluator Title

Evaluator Signature Date

EMPLOYEE COMMENTS:

Click here to enter text.

Click here to enter text. Click here to enter text. Employee Name Employee Position

___________________________________ Employee Signature Date

The signature of the employee above does not necessarily imply that the employee agrees with the preceding report, but only that he/she has

seen and discussed the evaluation with the evaluator.