Skip to content
SafetyCulture
Template

Employee Counseling Form

by Tom Mohler, from the Community

Downloads: 10+
Get this template

This Employee Counseling Form helps HR and managers document workplace incidents and performance issues with a consistent, compliant process. Sections include incident details, type of occurrence (attendance, conduct, harassment, policy/rules, performance, safety, other), actions taken (verbal or written counseling, time off without pay, termination), expected conduct, and employee comments. It also includes acknowledgment language clarifying that signatures confirm receipt, not agreement. Adapt the template to your policies and applicable laws before use.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.