F. Performance Improvement Plan (PIP)

Name of Employee Employee No. & Range

Title Group & Location

Review Period From : To : Name of Supervisor

The Performance Improvement Plan form MUST be completed when an employee receives a rating of “Partially Performing” on any Goal or Core Behavioural Competency during a Mid-Year Review or Final Appraisal. This form will be attached with the employees Performance Agreement at the end of the Performance Management Cycle.

Performance Improvement Areas

(Be sure to indicate the Goals and/or Core Behavioural Competencies that relate to the deficiency and whether they are currently meeting

expectations.

Action Plan and Timescales

Identify specific corrective action to be implemented by the employee and steps taken by the supervisor. Also, include consequences for

failure to meet specified actions.

Evaluation

Describe how performance improvement will be measured.

Performance Improvement Plan (PIP)Employee Signature: Date:      

Supervisor Signature: Date:      

PIP Follow UpDate(s) for a follow-up discussion: 1. Did the employee implement corrective action? ___Yes ___ No2. If ‘NO’, what further actions will be/have been taken?

_____________________________ ______________________________ _______________________________Employee Signature/Date Supervisor Signature/Date Next Level Supervisor Signature/Date