Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Supervision recording template
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Name of supervisee:
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Name of supervisor:
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Date:
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Actions from the previous meeting
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What has been my biggest achievement since my last supervision?
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How do I continue to display the values of the organisation in my everyday work?
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Are there any challenges that remain? If so, what is needed to help me overcome them?
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What do I want to achieve before my next supervision?
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Feedback from supervisor:
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Other areas of discussion:
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Please talk about any concerns/health and safety issues
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Agreed actions:
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Employee Signed:
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Date:
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Team Leader/Manager Signed:
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Date: