Employment (Termination Advice Form)

• Prepared by

• Conducted on

  Date

Personal Details

• Surname

• First Name

• Contact number

• Current Site

• Classification

  Select Administrator All Rounder Engineer Fitter Labourer Operator Safety Advisor Serviceman Senior Management Trainer Supervisor Other

  • Administrator
  • All Rounder
  • Engineer
  • Fitter
  • Labourer
  • Operator
  • Safety Advisor
  • Serviceman
  • Senior Management
  • Trainer
  • Supervisor
  • Other

• Specific Position (labourer etc)

You are only required to fill out one of the following two sections, either 'Resignation Details' or 'Dismissal Details'.

Resignation Details

• Date notice was given

  Date

• Number of days' notice was given

• What is their last working day

  Date

• Did they work out their notice

  Yes

  No

  N/A

Deductions

• Please specify to be followed up by HR (flights, courses, etc.)

Dismissal Deatils

• Was the employee given notice

  Yes

  No

  N/A

• If so, what date

  Date

• How much notice was given

• What is their last working day

  Date

• Reason for Dismissal

  Select Lack of Work End of Contract Poor Attendance Drugs/Alcohol Misconduct Unsafe Work Practices Poor Work Performance Unsuited to Work Accommodation Withdrawn Other

  • Lack of Work
  • End of Contract
  • Poor Attendance
  • Drugs/Alcohol
  • Misconduct
  • Unsafe Work Practices
  • Poor Work Performance
  • Unsuited to Work
  • Accommodation Withdrawn
  • Other

• Provide Details

Performance Report - MUST BE COMPLETED

• Standard/Performance
  1-2 Unacceptable
  3-4 Poor
  5-6 Acceptable
  7 Good
  8 Very Good
  9 High
  10 Excellent

• Safety

• Comments

• Attendance

• Comments

• Attitude

• Comments

• Ability

• Comments

• Flexibility

• Comments

• Output

• Comments

• Is this person suitable for re-employment in the future

  Yes

  No

  N/A

• Additional Comments

• Supervisor/Senior Management Signature

  Sign

Stored in Employment Directory