Title Page
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Late Form
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Conducted on
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Prepared by
Please complete this form with your colleague and send to HRSC to store on personal file
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Business Area:
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Location:
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Employees Name:
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Employees Payroll Number:
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Line Manager Name:
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Line Managers Job Title:
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Line Managers Contact Number:
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Line Managers Email Address:
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Date and Time Employee due at work
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Date and Time Employee arrived at work:
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Reason for lateness:
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Number of instances of lateness in the last 3 months (list dates):
Action plan - The purpose of an action plan is to address and support your team member. The action plan can be for both you as a manager and your team member.
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Action Plan Details (Who, Actions, By When):
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If 3rd lateness within a 3 month rolling period - Conduct investigation
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Employee Signature:
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Line Manager Signature: