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Doc NO:
LR 7
Revision:
1
Next Revision: Jan 2026
Controlled by:
Authorised by:
Subject: Poor Work Performance Counselling
Employee number: ______________________________________
Name of Employee: __________________________________________
Job Title: ______________________________
Date and time of councelling: ___/___/2026_____:_____
Description of Standard, Procedure or Expected work Performance not met:
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2:________________________________________________________________________________
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Standard, Procedure or Expected work Performance:
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2:________________________________________________________________________________
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2:________________________________________________________________________________
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Agreement: Training, Adjustment, Commitment and Time frame:
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Employee: ______________________________________
Date: __________________________________________
Councellor: ______________________________
Date: __________________________________________
Date and time of follow up: ___/___/2026_____:_____
Name of Employee: ______________________________________
Job Title: __________________________________________
Date and time of councelling: ___/___/2026_____:_____
Description of Standard, Procedure or Expected work Performance met:
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2:________________________________________________________________________________
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2:________________________________________________________________________________
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Description of Standard, Procedure or Expected work Performance not met:
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2:________________________________________________________________________________
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Action to be taken:
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