Title Page

  • Employee Name

  • Employee Number

  • Position

  • Department

  • Hire Date

  • Separation Date

  • Prepared by

  • Conducted on

  • Location

Company Property and Accounts

  • This section is mandatory. If you do not have an answer to the question (i.e. you did not receive a computer), place N/A in the field.

Phones

  • Wireless Number

  • Lock Code

  • Model

  • Serial Number

  • Is the device fully functional and undamaged?

Tablets

  • Wireless Number

  • Lock Code

  • Model

  • Serial Number

  • Is the device fully functional and undamaged?

Computers

  • Username

  • Password

  • Serial Number

  • Is the device fully functional and undamaged?

Vehicles

  • Year, Make, and Model

  • VIN Number

  • License Plate

  • Number of Keys

  • Has all personal property been removed?

  • Has the vehicle been cleaned?

  • Is the vehicle fully functional and undamaged?

Email

  • Username

  • Password

  • Is there any other company property that you have? If so, list it below.

  • Are there any other company accounts you have access to? If so, list the account name, username, and passwords below.

Exit Questionnaire

  • Please fill out the information below to the best of your ability. You may use specific examples or events and identify people and companies.

  • Why have you decided to leave?

  • What has been good or enjoyable about your time with us?

  • What has been frustrating or difficult about your time with us?

  • How do you generally feel about Lee Lewis Construction, Inc.? What did you like most and least?

  • Did your job duties turn out to be expected?

  • Did you receive enough training to do your job effectively?

  • Did you receive adequate support to do your job?

  • What would you improve to make our workplace better?

  • What do you think it takes succeed at this company?

  • Would you consider returning to work for this company in the future?

  • Would you recommend Lee Lewis Construction, Inc. to friends or family?

  • Are you moving to a competitor of Lee Lewis Construction, Inc.?

  • What does your new company offer that this company doesn't?

  • What examples of waste (material or effort), pointless reports, meetings, bureaucracy, etc., could you point too?

  • What specific suggestions would you have for how the organization could manage this situation/ these issues better in the future?

  • Employee Signature

  • Interviewer Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.