Information
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Employee Observation and Action Report
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Employee Name
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Project Name and Number
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Conducted on
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Prepared by
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Location
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I have made the following observation:
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Add a drawing here to help explain the situation if needed.
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Add pictures here to help explain the situation if needed
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I have spoke with the employee and we discussed the following:
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The employee needs to make the following actions:
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Failure to accomplish the above actions will result in negative impacts on the employee's employment and may result in termination.
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This form will be emailed to the employee for thier records and a record will be placed in the employees personnel file.
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Supervisors Nameand Signature
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Employees Name and Signature
