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IMPAIRED PERFORMANCE INCIDENT CHECKLIST CONFIDENTIAL A. Instructions If Then Other Employee appears violent, verbally abusive, or otherwise threatening Call 911 Make reasonable efforts to protect

How to fill out impaired performance incident checklist

How to fill out impaired performance incident checklist:

1. Gather all relevant information: Start by collecting all the necessary information related to the impaired performance incident. This includes the date and time of the incident, the names of the individuals involved, and any supporting documents or evidence.
2. Describe the incident: Provide a detailed description of the impaired performance incident. Include the specific behaviors or actions that were observed, as well as any impact it had on the individual's performance or the overall work environment.
3. Assess the severity: Determine the severity of the impaired performance incident. This can be done by considering the potential risks or harm caused by the incident, as well as the frequency or recurrence of similar incidents.
4. Identify contributing factors: Identify any factors that may have contributed to the impaired performance incident. This could include personal and professional challenges, health issues, or any external influences that may have influenced the individual's performance.
5. Document any corrective actions taken: If any corrective actions were taken to address the impaired performance incident, make sure to document them in the checklist. This can include coaching or counseling sessions, performance improvement plans, or any other interventions implemented to rectify the situation.

Who needs an impaired performance incident checklist?

1. Employers and managers: Employers and managers can use an impaired performance incident checklist to document and address instances of impaired performance within their organization. It helps them identify patterns, take appropriate actions, and ensure a fair and consistent approach towards performance management.
2. Human Resources department: The HR department can benefit from having an impaired performance incident checklist to support their role in managing employee performance. It allows them to have a standardized process for handling impaired performance incidents, ensuring fairness and compliance with company policies.
3. Employees: While employees may not directly use the impaired performance incident checklist, they can benefit from its existence. By having a consistent and well-defined process for addressing impaired performance, employees can have a clear understanding of expectations and consequences, promoting a healthy work environment.

For pdfFiller’s FAQs

What is impaired performance incident checklist?

The impaired performance incident checklist is a document used to record and track incidents of impaired employee performance in the workplace.

Who is required to file impaired performance incident checklist?

Managers or supervisors who observe or are made aware of impaired performance incidents are required to file the checklist.

How to fill out impaired performance incident checklist?

The checklist should be filled out with detailed descriptions of the incident, including date, time, location, individuals involved, and actions taken.

What is the purpose of impaired performance incident checklist?

The purpose of the checklist is to document incidents of impaired performance, identify trends, and take appropriate corrective actions.

What information must be reported on impaired performance incident checklist?

Information such as date, time, location, nature of incident, individuals involved, witnesses, and actions taken must be reported on the checklist.

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