Performance Tracking Worksheet

Instructions 

  • After every employee contact, enter the date, the code for the action you took and the reason for the contact.
  • When you determine that the problem has been solved, advise the employee and draw a circle around the action code. 
  •  
    • Use the following codes:

    K = Kudo (Praise, Positive Reinforcement)

    C = Counseling/Training Session

    1 = Step One:  The Verbal Reminder

    2 = Step Two:  The Written Reminder

    3 = Step Three:  The Final Written Reminder

    4 = Step Four:  Suspension; termination

    Date, Action, Reason


Corrective Notification Form

Employee Name _____________________________________

 

 Date _________________________________________

 
Corrective Notification Steps:

______The Verbal Reminder

______The Written Reminder

______The Final Written Reminder; correction must be made or it may result in your dismissal

______Suspension; termination

 
The following MINOR/SERIOUS/MAJOR incident occurred:

 
You HAVE/HAVE NOT received previous corrective notifications.

 
You have been informed that the following correction shall be made.

 
A meeting (if applicable) to review this matter will be held on ___________________ (Date)

 
Supervisor’s comments on review meeting:

 
Supervisor’s Signature __________________________________

 

 Date __________________

 
Employee:  I have read the above statement.

I DO _____   I DO NOT _____ wish to submit written comments of my own about this matter.

Employee's Comments:
 
 
 
Employee’s Signature ____________________________

 

 Date________________

 

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