[104-10291-10013.pdf — page 123]
# SECRET(when Filled In)# FITNESS REPORT (Part I) 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 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 section. 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) (First) (Middle)NOEL James A.5. OFFICE/DIVISION/BRANCH OF ASSIGNMENTDD/P/WH/Br.I7. GRADE 8. DATE REPORT DUE IN OP03-15 4 November 195610. TYPE OF REPORT(Check one)SECTION B.INITIAL -X ANNUAL REASSIGNMENT/EMPLOYEE SPECIAL (Specify)11. FOR THE RATER: THIS REPORT -X HAS HAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHY12. CHECK (X) APPROPRIATE STATEMENTSTHIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDI- IF INDIVIDUAL IS RATED "1" OR D. A WARNING LETTER WAS SENT TO HIM & A COPY ATTACHED TO THIS REPORT.VIDUAL.THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HOWAND PREVIOUS SUPERVISORS. TO EVALUATE HIS JOB PERFORMANCE BECAUSE (Specify)HAVE DISCUSSED WITH THIS EMPLOYEE HISSTRENGTHS AND WEAKNESSES SO THAT HE KNOWS WHEREHE STANDSTHIS DATE C. TYPED OR PRINT 13. SIGNATURE OF SUPERVISOR D. SUPERVISOR'S OFFICIAL TITLE7 DEC 1950 Frank Holcomb Deputy Chief/WH14. FOR THE REVIEWING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, OR ANY OTHER IN- FORMATION, WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.BY DATESFEDPoster:Review:2-2-57CONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE B. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING C. OFFICIAL TITLE OF REVIEWING OFFICIALOFFICIAL4-28-57 J. C. King Chief/WHSECTION C. JOB PERFORMANCE EVALUATIONI. 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 respon- sibility. Factors other than productivity will be taken into account later in Section D.1 - DOES NOT PERFORM DUTIES ADEQUATELY, HE IS INCOMPETENT.2 - BADLY 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 WELL.6 - PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS. KNOWN TO THE SUPERVISOR.INSERTRATING5NUMBERCOMMENTS:FORM NO.1 NOV 5545 (Part 1)REPLACES PREVIOUS EDITIONSOF FORMS 45 AND 45A WHICHARE OBSOLETE.SECRETPerformance