Action Plan Monitoring Discussion / Formal stage 1 / Formal stage 2 (delete as appropriate) Name of Employee: Job Title and personnel number: Name of Manager: Job Title: Date when action plan set: Department: (These are examples / prompts only, please personalise as appropriate) Action Point / Objective Employee’s Action Management Action/Support Target Date 1. e.g. Sickness absence what the employee needs to do: State what you will do to support reporting e.g. Telephone to report occurrences of the employee sickness absence 1 hour before normal e.g. Explain the start time requirements of the policy / e.g. telephone to advise a Statement of procedure Fitness for Work has been issued, on the day it is issued. 2. e.g. Keeping in touch State what the employee needs to do: State what you will do to support during periods of sickness e.g. Where the absence is not certified, the employee absence make telephone contact every third day e.g. ensure availability to of absence by 9.00a.m. receive a telephone call 3. State what the employee needs to do: State what you will do to support e.g. Engaging with the Council’s Health & Wellbeing e.g. Attend face to face appointments with the employee Service both management / Health and Wellbeing e.g. approval for time off to e.g. Participate in Health and Wellbeing attend a Health & telephone appointments and return their Wellbeing appointment e.g. arrange somewhere calls private for the employee to
Action Plan Monitoring Discussion / Formal stage 1 / Formal stage 2 (delete as appropriate) Name of Employee: Job Title and personnel number: Name of Manager: Job Title: Date when action plan set: Department: (These are examples / prompts only, please personalise as appropriate) Action Point / Objective Employee’s Action Management Action/Support Target Date 1. e.g. Sickness absence reporting what the employee needs to do: e.g. Telephone to report occurrences of sickness absence 1 hour before normal start time e.g. telephone to advise a Statement of Fitness for Work has been issued, on the day it is issued. State what you will do to support the employee e.g. Explain the requirements of the policy / procedure 2. e.g. Keeping in touch during periods of sickness absence State what the employee needs to do: e.g. Where the absence is not certified, make telephone contact every third day of absence by 9.00a.m. State what you will do to support the employee e.g. ensure availability to receive a telephone call 3. e.g. Engaging with the Council’s Health & Wellbeing Service State what the employee needs to do: e.g. Attend face to face appointments with both management / Health and Wellbeing e.g. Participate in Health and Wellbeing telephone appointments and return their calls State what you will do to support the employee e.g. approval for time off to attend a Health & Wellbeing appointment e.g. arrange somewhere private for the employee to
SicknessAbsenceActionPlan-template2016-07.docx