The Checklist for Giving Job Performance Feedback when a Problem has Occurred is a structured tool designed to help managers effectively address performance issues with employees. This checklist distinguishes itself by providing step-by-step guidance to facilitate constructive conversations, ensuring important points are covered without overwhelming the employee. It is an essential resource for improving workplace communication and resolving conflicts professionally.
This form should be used in situations where a performance issue has arisen with an employee. It is particularly beneficial when addressing problems that affect team dynamics, productivity, or customer satisfaction. The checklist can guide managers through difficult conversations to ensure that feedback is delivered clearly and compassionately.
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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
1) Attendance. Punctuality is one of the strongest virtues an employee can possess. 2) Innovation and Creativity. 3) Leadership. 4) Communication Skills. 5) Collaboration and Teamwork. 6) Time Management. 7) Customer Experience. 8) Problem Solving.
Communication. Collaboration and teamwork. Problem-solving. Quality and accuracy of work. Attendance, punctuality and reliability. The ability to accomplish goals and meet deadlines.
Provide examples of bad behavior One way to make feedback specific is to highlight past examples of the employee's poor attitude. Give actionable advice After you provide examples of bad behavior, clearly let the employee know how they should have behaved so they know what is expected of them going forward.
Ensure feedback is specific Don't just tell the employee their behavior needs to improve. Point out exactly what negative traits they have and the impact each has on other employees. Provide examples of bad behavior One way to make feedback specific is to highlight past examples of the employee's poor attitude.
Have your employee complete self-assessment first. Be open to amendments. Don't make it personal. Focus on strengths. Use concrete examples. Base the review against their job description. Include action items for moving forward. Follow up.
Create clear metrics of job performance. Have the right mindset. Collect 360 feedback from other team members. Have a one-to-one meeting. Use the Johari window matrix. Ask questions, listen, and understand. Collaborate on how to fix their poor performance.
Focus on the job, not the person. Be specific. Consider questions over statements. With positives, stick to process. Connect personally where you can. Get serious but don't get mean.
Let the employee know your concern. Share what you have observed. Explain how their behavior impacts the team. Tell them the expected behavior. Solicit solutions from the employee on how to fix the situation. Convey the consequences. Agree upon a follow-up date. Express your confidence.
Do: Be timely. The most effect feedback comes quickly after the action takes place. Do: Be specific. Don't: be emotional. Do: Focus on patterns. Don't: Use absolutes. Do: Give them reason(s) to change. Don't: Get irrelevant. Do: Be kind.