[104-10225-10003.pdf — page 279]
SECRETFITNESS REPORT (Part I) PERFORMANCEFOR 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 organization policy that you show Part I of this report to the employee except under conditions specified in Regulation 20-170. 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   PICCOLO(Last)Joseph(First)S.(Middle)2. DATE OF BIRTH8 Dec 19353. SEXM4. SERVICE DESIGNATIONDS5. OFFICE/DIVISION/BRANCH OF ASSIGNMENTFI RI A&O6. OFFICIAL POSITION TITLEFile Clerk7. GRADE 8. DATE REPORT DUE IN OPGS-49. PERIOD COVERED BY THIS REPORT (Inclusive dates)4 Feb 1957-18 Oct 195710. TYPE OF REPORT(Check one)INITIALANNUALSPECIAL (Specify)SECTION B.1. FOR THE RATER: THIS REPORTHASHAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYNOT:A. CHECK (X) APPROPRIATE STATEMENTS:THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHERE HE STANDS.IF INDIVIDUAL IS RATED "I" IN C1 OR D. A WARNING LETTER HAS BEEN SENT TO HIM & A COPY ATTACHED TO THIS REPORT.I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOW I EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify):0. THIS DATEC. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE21 October 1957 Shirley SmithDesk Supervisor, RI/IN2. 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.Puried Pers. ContralReviewed by FUDDATEI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATEB. TYPED NAME OF REVIEWING OFFICIALC. OFFICIAL TITLE OF REVIEWING OFFICIAL22 October 1957 August J. ZarichakSupervisor, RI/IN SectionSECTION C. JOB PERFORMANCE EVALUATION1. RATING ON GENERAL PERFORMANCE OF DUTIES   DIRECTIONS: 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.24SERTING1. DOES NOT PERFORM DUTIES ADEQUATELY. HE IS INCOMPETENT.2. RARELY ADEQUATE IN PERFORMANCE, ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR 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 MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL6. PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY OTHER PERSONS KNOWN TO THE SUPERVISOR.COMMENTS:FORM NO. 45 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 45 AND 45b WHICH ARE OBSOLETE.SECRETPerformance