Part 86, page 32

Transcript

The scan is the source; the transcript is machine-generated from it.

NORTHERN VIRGINIA DOCTORS HOSPITAL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT

Date: 10/14/72

Name: COFFELT TUCK Last First Initial

3 Mos. Probationary Period___ Annual___ Termination ✓

Department: O.R. Station: OR Position: ORDerly Full Time: ✓ Part Time; Shift: 9 [guess: to] 5-30 Temporary:_________ Permanent: ✓

Grading from left to right indicates lowest to highest: Unsatisfactory / Marginal / Satisfactory / Excellent / Outstanding

NOTE: If employee is graded unsatisfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents.

Remarks

Attendance: [Satisfactory - checkmark] Job Performance: [Satisfactory - checkmark] Ability: [Satisfactory - checkmark] Industry: [Marginal - checkmark] Dependability: [Marginal - checkmark] until Recently Cooperation: [Marginal - checkmark] Appearance: [Marginal/Satisfactory - checkmark] Personality: [Marginal - checkmark] Health: [Satisfactory - checkmark]

GENERAL REMARKS: Ms. Coffelt has [guess: been] [guess: observed] several mo. ago due [guess: to] necessity to have extended. [guess: Wkcp] was Rehired as positial was vacant. Has again felt need For Extended [guess: Wkcp] - 3wk + 2[guess: %]. Was told to report for work 10/13/72 or he would be replaced. He's not worked yet.

Employee's Signature [REDACTED] Department Signature [REDACTED]

Approved X Disapproved___

Date________

Remarks [REDACTED] b6 b7C Administr[ator] [REDACTED]

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DB Cooper-37876