Personal Improvement Plan (PIP)
Employee Information
Employee Name:
Employee ID:
Supervisor:
Date:
Job Title:
Department:
Reason(s):
Reason(s):
Absenteeism
Violation of Policies/Procedures
Tardiness/Leaving Early
Details
Explanation :
Impact:
Plan for Improvement:
Areas of Interest:
Plan of Action:
Notes:
Substandard Work
Other:
Violation of Safety Rules
Type of Offense
Type of Notice
Inappropriate Behavior
Written Warning
Prior Verbal Warning
Employee Information
Employee Name:
Date:
Employee ID:
Supervisor:
Department:
Acknowledgement of Receipt of Personal Improvement Plan
By signing this form, you confirm that you understand the information in this Personal Improvement Plan. You also confirm
that you and your manager have discussed the plan for improvement. Signing this form does not necessarily indicate that
you agree with this PIP.
Employee Signature Print Name
Date
Supervisor Signature
Print Name
Date
Personal Improvement Plan (PIP)
Consequences/ Timelines