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1.1 How satisfied is the staff member with their current with their current workplace conditions?
1.2 Details of any specific workplace issues (including workplace health & safety) identified & resolution/feedback:
2. Achievements, goals & recognition
2.1 How satisfied is the staff member that they are currently adequately recognised and rewarded, including remuneration, for their efforts?
2.2 Details of any specific issues identified & resolution/feedback:
3.1 How satisfied is the staff member with their current work (work type, load, balance)?
3.2 Details of any specific issues or opportunities identified & resolution/feedback:
4. Training & professional development
4.1 Training and needs identified by staff member/supervisor:
4.2 Details of actions/outcomes agreed to regarding specific training requirements:
4.3 Are any of the above training needs relevant for future MacFrank training events? (please specify):
5. Staff Performance
5.1 Are there any on-going issues with aspects of staff performance (i.e. improvement is needed)?
Quality & quantity of work
Planning & time management
Relationships (clients & colleagues)
5.2 Please list any actions or KPIs in place or agreed to (action required and key dates)
6. Position description
6.1 Are any changes required to the staff member's existing position description?
6.2 Details of proposed position description changes:
7.1 Are there any specific issues that require follow up or action before November 2013?
7.2 Other comments (optional)
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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