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1 Custodian Evaluation Form 01/2015
Employee: Click here to enter text. Title Click here to enter text. Employee ID#:Click here to enter text.
Evaluator: Click here to enter text. Title: Click here to enter text. School Year: 2014-15
Evaluation Type: ☐ Annual ☒ Probationary
Exceeds Meets Approaching Does Not Meet
1. Job Performance Expectations Expectations Expectations Expectations
Completes all assigned tasks based on scheduling. ☐ ☐ ☐ ☐
Is flexible to the needs of the building. ☐ ☐ ☐ ☐
Shows pride and interest in work. ☐ ☐ ☐ ☐
Initiates new or challenging job-related assignments. ☐ ☐ ☐ ☐
Works productively and solves problems efficiently. ☐ ☐ ☐ ☐
Uses time appropriately and effectively. ☐ ☐ ☐ ☐
COMMENTS: Click here to enter text.
Exceeds Meets Approaching Does Not Meet
2. Job Knowledge Expectations Expectations Expectations Expectations
Demonstrates proficient knowledge of the
Custodial Procedure Manual (CPM). ☐ ☐ ☐ ☐
Maintains skill level appropriate to job. ☐ ☐ ☐ ☐
Understands/follows policies, procedures and
practices established within district / building/ ☐ ☐ ☐ ☐
facilities department.
Participates in training & cross-trains as necessary. ☐ ☐ ☐ ☐
COMMENTS: Click here to enter text.
Exceeds Meets Approaching Does Not Meet
3. Quality of Work Expectations Expectations Expectations Expectations
Consistently meets standards of work quality
as defined in the CPM. ☐ ☐ ☐ ☐
Cleans assigned areas to maintain safe, sanitary ☐ ☐ ☐ ☐
and healthy conditions.
Work reflects accurate and thorough cleaning. ☐ ☐ ☐ ☐
COMMENTS: Click here to enter text.
Exceeds Meets Approaching Does Not Meet
4. Communication Expectations Expectations Expectations Expectations
Communicates in a professional manner. ☐ ☐ ☐ ☐
Understands and responds appropriately to ☐ ☐ ☐ ☐
verbal and written communication promptly.
COMMENTS: Click here to enter text.
Custodial Performance Evaluation Knowing every student by name, strength and need.
2 Custodian Evaluation Form 01/2015
Exceeds Meets Approaching Does Not Meet
5. Human Relations Expectations Expectations Expectations Expectations
Demonstrates positive, respectful, and responsive ☐ ☐ ☐ ☐
customer service to staff, students and community.
Establishes and maintains good working relationships ☐ ☐ ☐ ☐
with co-workers; maintains professional boundaries.
Easily cooperates with supervisors, staff & students. ☐ ☐ ☐ ☐ Handles difficult situations with courtesy & tact. ☐ ☐ ☐ ☐
Accepts direction, instruction and constructive ☐ ☐ ☐ ☐ feedback in a positive manner.
COMMENTS: Click here to enter text.
Exceeds Meets Approaching Does Not Meet
6. Safety & Maintenance Expectations Expectations Expectations Expectations
Possess a working knowledge of safety and ☐ ☐ ☐ ☐
maintenance procedures as defined in CPM.
Demonstrates proper and safe use of chemicals, ☐ ☐ ☐ ☐
including proper storage and disposal.
Operates & maintains equipment, tools, and ☐ ☐ ☐ ☐
supplies in a safe and efficient manner.
Uses appropriate PPE as defined in the CPM. ☐ ☐
COMMENTS: Click here to enter text. Meets Does Not Meet
7. Attendance & Punctuality Expectations Expectations
Maintains good attendance and gives adequate notice of ☐ ☐
absences, departures and vacations as defined in the CPM.
Is punctual; follows assigned work schedule. ☐ ☐
COMMENTS: Click here to enter text.
It is my judgment, based upon the adopted criteria, that this staff member’s overall performance:
☐ Has Exceeded Expectations ☐ Has Met Expectations ☐ Is Approaching Expectations ☒ Does Not Meet
Expectations
for the evaluation period covered in this report.
EVALUATOR COMMENTS:
3 Custodian Evaluation Form 01/2015
Click here to enter text. Click here to enter text. Evaluator (Please Print) Evaluator Title
Evaluator Signature Date
EMPLOYEE COMMENTS:
Click here to enter text.
Click here to enter text. Click here to enter text. Employee Name Employee Position
___________________________________ Employee Signature Date
The signature of the employee above does not necessarily imply that the employee agrees with the preceding report, but only that he/she has
seen and discussed the evaluation with the evaluator.