TDCJ EMPLOYEE PERFORMANCE LOG Employee Name: SSN: Position Title: Supervisor Comments or Recommended Actions: Employee Comments: For example, discussion notes, expectations, action plans, time lines, and other measures and records of significant events. Observation Dates - From: To: Supervisor’s Initials: Date: Employee’s Initials: Date: MM/DD/YYYY MM/DD/YYYY Observation Dates - From: To: Supervisor’s Initials: Date: Employee’s Initials: Date: MM/DD/YYYY MM/DD/YYYY Observation Dates - From: To: Supervisor’s Initials: Date: Employee’s Initials: Date: MM/DD/YYYY MM/DD/YYYY The original of this form shall be maintained in a supervisory file in accordance with PD-55, Resources Records and Files.” This form shall not be attached to “Human the employee’s performance evaluation. A copy may be placed in an employee’s disciplinary file only when it is used to support a disciplinary action taken in accordance with PD-22, Rules of Conduct and Disciplinary Action Guidelines for Employees.” “General Note to Employee: With few exceptions, you are entitled upon request: (1) to be informed about the information the TDCJ collects about you; and (2) under Government Code §§552.021 and 552.023, to receive and review the collected information. Under Texas Government Code §559.004, you are also entitled to request, in accordance with TDCJ procedures, incorrect information the TDCJ has collected about you be corrected.
TDCJ EMPLOYEE PERFORMANCE LOG Employee Name: SSN: Position Title: Supervisor Comments or Recommended Actions: For example, discussion notes, expectations, action plans, time lines, and other measures and records of significant events. Employee Comments: Observation Dates - From: To: Supervisor’s Initials: Date: MM/DD/YYYY Employee’s Initials: Date: MM/DD/YYYY Observation Dates - From: To: Supervisor’s Initials: Date: MM/DD/YYYY Employee’s Initials: Date: MM/DD/YYYY Observation Dates - From: To: Supervisor’s Initials: Date: MM/DD/YYYY Employee’s Initials: Date: MM/DD/YYYY The original of this form shall be maintained in a supervisory file in accordance with PD-55, “Human Resources Records and Files.” This form shall not be attached to the employee’s performance evaluation. A copy may be placed in an employee’s disciplinary file only when it is used to support a disciplinary action taken in accordance with PD-22, “General Rules of Conduct and Disciplinary Action Guidelines for Employees.” Note to Employee: With few exceptions, you are entitled upon request: (1) to be informed about the information the TDCJ collects about you; and (2) under Government Code §§552.021 and 552.023, to receive and review the collected information. Under Texas Government Code §559.004, you are also entitled to request, in accordance with TDCJ procedures, incorrect information the TDCJ has collected about you be corrected.
pers-401.docx