[104-10194-10001.pdf — page 96]
# SECRET(When Filled in)# FITNESS REPORT (Part 1) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICER: 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 organisation policy that you show Part 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. NAME(Last)TARASOFF(First)BorisGENERAL(Middle)D.2. DATE OF BIRTH2 Nov 19083. SEXM4. SERVICE DESIGNATIONST-OD5. OFFICE/DIVISION/BRANCH OF ASSIGNMENT00/FDD/USSR Branch7. GRADEGS-78. DATE REPORT DUE IN OP.11 Dec 195610. TYPE OF REPORT(Check one)[X] INITIALANNUAL6. OFFICIAL POSITION TITLEForeign Documents Officer9. PERIOD COVERED BY THIS REPORT (Inclusive dates)June 56 - 20 Nov 56REASSIGNMENT-SUPERVISORREASSIGNMENT-EMPLOYEESPECIAL (Specify)SECTION B.1. FOR THE RATER: THIS REPORT [X] HAS BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYNOTI Supervisor temporarily in another office.A. CHECK (X) APPROPRIATE STATEMENTS:[X] THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.IF INDIVIDUAL IS RATED "1" IN C1 OR 3. A WARNING LETTER WAS SENT TO HIM/A COPY ATTACHED TO THIS REPORT.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND MY IMMEDIATE SUPERVISORS.I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW I EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify):[X] I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.B. THIS DATE4 Dec 56C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLERosamund S/ Deutsch Chief, Industrial Section, USSR Branch2. 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.BY DATE 12-11-2Posted Pos. ControlReviewed by PUD777 12/19[ ] CONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE10 Dec 56B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING OFFICIALTalbot BielefeldtC. OFFICIAL TITLE OF REVIEWING OFFICIALChief, USSR BranchSECTION 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.41 - DOES NOT PERFORM DUTIES ADEQUATELY: HE IS INCOMPETENT.2 - BARELY ADEQUATE IN PERFORMANCE. ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING, HE OFTEN FAILS TO CARRY OUT RESPONSIBILITIES.INSERT3 - PERFORMS MOST OF HIS DUTIES ACCEPTABLY, OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.RATING4 - PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.NUMBER5 - A FINE PERFORMANCE: CARRIES OUT MANY 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.COMMENTS:FORM NO. 45 (Part 1)1 NOV 55REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45A WHICH ARE OBSOLETE.SECRETPerformance (4)