PERFORMANCE IMPROVEMENT PLAN
P
ARTICIPANTS
Employee Name: _______________________________________________ Position: _________________________________________________
E
mployee Office/Branch: ________________________________________
M
anager/ Supervisor Name: ______________________________________ Position: _________________________________________________
S
enior Manager Name: __________________________________________ Position: _________________________________________________
R
EVIEW PERIOD
Review will be documented in a Performance Improvement Review Report completed by the supervisor/manager
Performance improvement period: From _______________________ to ___________________
Performance will be reviewed weekly commencing: ____________________________________
Final review will be conducted on: ________________________ __________________________
RESPONSIBILITIES
Employee Responsibilities
Manager/Supervisor Responsibilities
Senior Manager Responsibilities
Meet the performance expectations outlined in
this document
Report immediately to Manager/Supervisor any
ci
rcumstances that may impact the ability to
meet the expectations.
Conduct weekly review meetings for the
duration of the plan
Document progress in a Performance Review
R
eport
Provide honest, constructive, timely feedback
and reasonable support on an ongoing basis
Identify and provide any additional a
nd
r
easonable resources, training and assistance
the employee requires to achieve a satisfactory
performance.
Ensure that the process identified in this
document is adhered to:
- That the decision maker is free from bias,
objective and has no personal interest i
n
t
he matter being decided
- That the employee is advised of the
a
llegations and has the opportunity to
present their case before a decision is
made.
PERFORMANCE ISSUES BEING ADDRESSED:
___________________________________________________________________________________________________________________________
____
_______________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
PERFORMANCE EXPECTATIONS AND ASSESSMENT
This section should clearly outline the performance expectations that need to be achieved (Vision and Core Values should be used as a minimum
performance standard to follow). The strategies, actions, or tasks to achieve the performance expectations should be realistic, clear, and measureable. The agreed
performance indicators, outcomes and/or timeframes should be achievable and monitored during each review meeting.
Performance Expectations
(What needs to be achieved)
Agree Performance Indicators/Required
Outcomes/Timeframes
(How are the required outcomes going to be
measured)
Strategies / Actions / Tasks
(How is this outcome going to be achieved)
SIGNATURES
_______________________________________________ _______________________________________________
Employee Printed Name Employee Signature / Date
____________________________________________________ ____________________________________________________
Manager/Supervisor Printed Name Manager/Supervisor Signature / Date
click to sign
signature
click to edit
click to sign
signature
click to edit
___________________________________________________________________________________________________________________________
PERFORMANCE IMPROVEMENT REVIEW REPORT
___________________________________________________________________________________________________________________________
REVIEW
The Performance Improvement Program commenced on: _________________________
The final review was conducted on: ______________________________
REVIEW OUTCOME
Include whether the performance expectations were met or were below the required expectation. If the performance expectations were below the requirement,
then an explanation why the performance expectations were below requirement(s) should be included in the review comments.
Performance Expectations
(What needs to be achieved)
Agree Performance Indicators/Required
Outcomes/Timeframes
(How are the required outcomes measured)
Review Comments
Meets Expectations / Below Expectations
Employee Comments:
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
REVIEW OUTCOME
Review met expectations _____ Review did not meet expectations _____
Meets Expectations: Include in the employee’s Performance Appraisal the agreed actions in the instance that there is a reoccurrence of performance that is
below expectation.
Below Expectations: Failure to meet performance expectations without a satisfactory reason may result in further discipline up to and including termination.
SIGNATURES
_______________________________________________ _______________________________________________
Employee Printed Name Employee Signature / Date
____________________________________________________ ____________________________________________________
Manager/Supervisor Printed Name Manager/Supervisor Signature / Date
click to sign
signature
click to edit
click to sign
signature
click to edit