Record of Discussion

• Employee name

• Payroll No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Job number (if applicable)

Employee name and payroll no

• Select date

  Date

Reason for meeting

• Add media

  Media

Conversation notes

• Add media

  Media

• Add media

  Media

Please sign to agree and confirm understanding

• Managers signature

  Sign

• Engineers signature

  Sign