Exhibit G - Custodial Eval Example.pdf

Firm Date

Dates Shift Covered

Track Custodial Labor Primary Other

Location(s) Shift

Supervisor Printed

Laborer Title Printed

Laborer Supervisor Signed

Signed

1 2 3 4 5 N/A

1 2 3 4 5 N/A

8 Demonstrates ability to adapt to new and/or unusual situations or circumstances.

7 Demonstrates ability to perform tasks with little or no supervision; works independently.

5 Communicates effectively with staff, facutly, students, and community.

Initiative, Work Proficiency, and Attendance

4 Cooperative when working with staff, faculty, students, and community.

3 Exhibits professional and trustworthy demeanor.

2 Maintains appropriate and professional boundries.

Laborer and Supervisor

Evaluation Criteria

Demeanor and Responsibility

1 Demonstrates respectful, courteous, and considerate conduct wth coworkers.

Laborer signature only denotes that evaluation took place and is not to be interpreted as acceptance and/or approval.

9 Possesses skills and knowledge to perform the job competently.

D R A F T

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

Uses chemicals in a correct and safe manner.

14 Completes scheduled tasks and work in a timely manner with attention to work quality.

Low-wage Laborer

Custodial Laborer

15 Shows initiative and takes independent actions as appropriate.

18 Uses equipment in a correct and safe manner.

13 Adeptness at analyzing facts, problem solving, decision-making, and demonstrating good judgment

19 Cleans assigned area(s) to designed APPA level.

16 Displays awareness of safety and security; wears PPE as necessary, and provides for security of equipment, materials, and facility as appropriate.

12 Reliability (attendance, punctuality, meeting deadlines)

11 Holds self accountable for assigned responsibilities; sees tasks through to completion in a timely manner

10 Skill at planning, organizing and prioritizing workload

24 Proficient and safe use of tools for task.

Initiative, Work Proficiency, and Attendance (Cont'd)

1 =

2 =

3 =

4 =

Attendance Punctuality 1 = 0 - 2 Absences 1 = 0 - 2 Late Shows 2 = 3 - 5 Absences 2 = 3 - 5 Late Shows 3 = 6 - 8 Absences 3 = 6 - 8 Late Shows 4 = 9 or Greater 4 = 9 or Greater

Satisfactory - performance represents competence and adeptness and consistently meets all position requirements.

Unsatisfactory - performance consistently fails to meet minimum position requirements; laborer lacks skill required or fails to utilize necessary skills.

Unsatisfactory with Insufficient Progress Over Time - performance continues to consistently fail to meet minimum position requirements after additional training or other corrrective actions were provided.

N/A or Not Applicable - Laborer has not been in position long enough to have demonstrated the essential elements of the position or is not applicable for the role they are fulfilling.

Custodial Evaluation Form

Instructions

Performance Categories

Form is to be completed by WVU Lead or Supervisor (if different) for each contracted laborer one month after first scheduled work day (post onboarding) and then every two months thereafter until contract termination or laborer is no longer performing services for WVU. Once completed, evaluation for should be saved as written documentation for the laborer and contrated firm. This form seeks to:

– Confirm job expectations and standards, and provide objective feedback to laborer and/or contracted firm.

– Provide feedback to laborer regarding performance and help establish corrective plans for improvement as necessary.

Exceptional - performance is consistently superior and significantly exceeds position requirements.