[104-10194-10019.pdf — page 118]
# SECRET(When Filled In)# FITNESS REPORT (Part I) PERFORMANCE## INSTRUCTIONSFOR THE ASIINISTRATIVE OFFICES: Consult current instructions for completing this report.FOR THE SUPERVISOR: This report is designed to help you express your evaluation of your subordinate and to transmit this evaluation to your supervisor and senior officials. Organization policy requires that you inform the subordinate where he stands with you. Completion of the report can help you prepare for a discussion with him of his strengths and weaknesses. It is also organization policy that you show Part I of this report to the employee except under conditions specified in Regulation 20-370. It is recommended that you read the entire form before completing any question. If this is the initial report on the employee, it must be completed and forwarded to the Office of Personnel no later than 30 days after the date indicated in item 8, of Section A below.## SECTION A.1. NAMERICHARDSON Jacques(Last) (First) (Middle)2. DATE OF BIRTH 3. SEX 4. SERVICE DESIGNATION20 Jan. 1924 M DI5. OFFICE/DIVISION/BRANCH OF ASSIGNMENT 6. OFFICIAL POSITION TITLETokyo Station RSO.CCO Area Operations Officer7. GRADE 8. DATE REPORT DUE IN OF 9. PERIOD COVERED BY THIS REPORT (inclusive dates)GS-14 1 October 1956 to 30 September 195710. TYPE OF REPORT(Check one)INITIAL X ANNUAL REASSIGNMENT-EMPLOYEE SPECIAL (Specify)## SECTION B.## CERTIFICATION1. FOR THE RATER: THIS REPORT HAS HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN EXPLAIN WHYCompleted at Headquarters; subject not available (Copy sent to field).A. CHECK (X). APPROPRIATE STATEMENTS:*   THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.*   INDIVIDUAL IS RATED "I" IN C1 OR D. A WARNING LETTER WAS SENT COPY ATTACHED TO THIS REPORT.*   THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.*   CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW I EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify):*   I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT MEANS WERE HE STANDS.B. THIS DATE C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE16 Oct 1957 Edward Marchin, Chief SOV Branch Japan Station2. FOR THE REVIEWING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER INFORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.![signature]PostedReview![signature]DATE7 1957I certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE B. TYPED OR PRINTED NAME OF REVIEWING C. OFFICIAL TITLE OF REVIEWING OFFICIAL23 Oct 57 Lloyd George COS, Tokyo## SECTION C.## JOB PERFORMANCE EVALUATION1.  RATING ON GENERAL PERFORMANCE OF DUTIESDIRECTIONS: Consider ONLY the productivity and effectiveness with which the individual being rated has performed his duties during the rating period. Compare him ONLY with others doing similar work at a similar level of responsibility. Factors other than productivity will be taken into account later in Section D.1 - DOES NOT PERFORM DUTIES ADEQUATELY: HE IS INCOMPETENT.2 - BARELY ADEQUATE IN PERFORMANCE: ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE IN TRAINING, HE OFTEN FAILS TO CARRY OUT RESPONSIBILITIES.3 - PERFORMS MOST OF HIS DUTIES ACCEPTABLY: OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.4 - PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.5 - A FINE PERFORMANCE: CARRIES OUT WAY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.6 - PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR.6INSERT RATING NUMBERCOMMENTS:FORM NO. 45 (Part 1) REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45b WHICH ARE OBSOLETE.1 NOV 55SECRET Performance (4)