One on One Employee Coaching Form

• Employee Name

• Department

• Supervisor/Manager

• Conducted on

  Date

Employee Coaching Form

• Documentation of concerns, issues or incidents involving:

  Select Metrics/KPIs Conduct of Behavior (Interpersonal Skills) Safety or Work Environment Customer Service Rules and Regulations Attendance Other

  • Metrics/KPIs
  • Conduct of Behavior (Interpersonal Skills)
  • Safety or Work Environment
  • Customer Service
  • Rules and Regulations
  • Attendance
  • Other

• Please specify

• Describe performance concern or issue (be specific, and include dates and examples)

• Describe agreed upon solution(s) or course of action

• Follow-up review plan date

  Date

Completion

• Full Name and Signature of the Employee

  Sign

• Full Name and Signature of the Supervisor or Manager

  Sign