Outlet Visit Acknowledgement Form

• Franchise Outlet

• Conducted on

  Date

• Prepared by

• Designation

Employee details

• Employee Name

Summary of Visit:

• What is the purpose of this visit?

Summary of Guidance Provided:

• Please outline the key areas of guidance and information shared during the visit:

Observation:

• undefined

• Actions Required by the Outlet:

• Did the employee acknowledge that they received and understood the details of the task that was required?

  Yes

  No

  N/A

• Have you explained that non compliance will affect outlet overall?

  Yes

  No

  N/A

Conclusion

• I hereby acknowledge that this report has been carried out in a fair and reasonable manner. I acknowledge that this report may be used for disciplinary action and I acknowledge that all information is accurate to the best of my knowledge.

  Sign

Review

• Is any further action required?

  Yes

  No

  N/A

• If the corrective actions have not been carried out by the review date further action MUST be taken

• I hereby sign off the acknowledge that the corrective action that was requested has been carried out to a satisfactory level and no further action is required

  Sign

• I acknowledge that the information and guidance provided during this visit have been clearly explained. I understand the actions required and commit to addressing any issues highlighted.

  Sign