Title Page

  • Employee Name

  • Department

  • Supervisor/Manager

  • Conducted on

Employee Coaching Form

  • Documentation of concerns, issues or incidents involving:

  • 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


  • Full Name and Signature of the Employee

  • Full Name and Signature of the Supervisor or Manager

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.