Constructive Intervention Meeting Agenda Template Page 2

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It is expected that you complete your assigned duties timely and efficiently to
provide the highest level of custodial service possible. You are expected to be
accountable for your whereabouts, work products and actions in the workplace.
Ask the employee to please explain why he did not empty the trash receptacles?
Note the explanation(s):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
SET EXPECTATIONS
Provide hard copies and review applicable duty statement, policies and procedures. Ask
for employee’s signature acknowledging receipt.
You are expected to bring your work performance and attendance to the established
expectations and to sustain it at that level. You are expected to follow the directions of
management. You are expected to complete your cleaning duties as assigned. You are
expected to be in your assigned work areas unless you are on break or lunch.
If you do not achieve these expectations, or if other problems arise or circumstances
change, it may result in my using the matters discussed in our meeting to support a
formal disciplinary action. I understand there may be many reasons for poor job
performance, and I will do all I can to assist you in overcoming problems impacting your
ability to succeed at work.
OPTIONAL: Beginning ________, you and I will meet on a
weekly/biweekly basis every ____ (day) at ___ (time) in _____ (location).
Ask employee if he has any questions and provide answers if appropriate.
PROVIDE EAP REFERRAL
Please be aware the department does offer a confidential Employee Assistance
Program (EAP) through a contract with Managed Health Network (MHN). Your use of
the program is strictly voluntary. If you believe the Program may be helpful, you may
contact MHN directly for a confidential consultation at 1-866-327-4762. You may use
state time to set up your first appointment; however, you will need to use your own time
to attend any appointments.

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