Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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AF-C-052 EMP Record of Counselling
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Today's date
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Time and date of incident
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Employee's name
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Supervisor's name
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Details of matter or incident
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Hand drawn image if required
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Photo images if required
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Details of Counselling session including action points and outcome/s from Counselling
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Employee's signature
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Supervisor's signature
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This form is used to investigate a matter or incident. You may be contacted at a later date to provide further information.