Acknowledgement of informal discussion

This record documents acknowledgement that an informal discussion has taken place on the conduct/performance points outlined below;

Informal discussion points

Action:

Impact:

Do:

Acknowledgement

Staff Signature

Manager Signature

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.