Employee Counseling Form printable pdf download

Employee Counseling Form

Employee Name:_________________________________ Date:_________________

Position:_____________________________ Company:________________________

Location: ______________________ Issued by:______________________________

Date of Incident: __________________ Approximate Time: ____________ AM/PM

Briefly state problem: __________________________________________________

_____________________________________________________________________

Corrective Action: _____________________________________________________

_____________________________________________________________________

Consequence should incident occur again: ________________________________

_____________________________________________________________________

Time Frame: __________________________________________________________

Employee Remarks: ___________________________________________________

_____________________________________________________________________

_____________________

__________

___

√ if Employee Refused

Employee Signature

Date

to Sign.

_____________________

__________

Manager Signature

Date

_____________________

__________

HR Representative Signature

Date

Employee Counseling Form