Employee details
- Employee: [Name], [ID]
- Role and team: [Role, team]
- Supervisor: [Name]
- Period observed: [From] to [To]
- Date of review: [Date]
The 20 observable behaviours
Mark each: Y (seen regularly), S (sometimes), N (not seen), or NA (no chance to observe). Add a short example in the last column.
| No. | Observable behaviour | Y / S / N / NA | Example seen |
|---|---|---|---|
| 1 | Arrives at the start time, ready to work, on most working days. | ||
| 2 | Tells the supervisor before the start time if running late or absent. | ||
| 3 | Starts and ends meetings on time. | ||
| 4 | Keeps the workspace tidy and tools in their place. | ||
| 5 | Wears the uniform, ID or dress the role requires. | ||
| 6 | Greets colleagues and customers politely. | ||
| 7 | Speaks without raising their voice or using abusive words, even under pressure. | ||
| 8 | Listens without interrupting, and repeats back what was asked. | ||
| 9 | Replies to messages and calls within the time agreed for the team. | ||
| 10 | Writes emails and messages with a clear subject and polite tone. | ||
| 11 | Meets agreed deadlines, or says early that a deadline will be missed. | ||
| 12 | Owns mistakes and says what they will do to fix them. | ||
| 13 | Follows instructions and safety rules without being reminded. | ||
| 14 | Handles company property and information with care. | ||
| 15 | Keeps customer and employee information private. | ||
| 16 | Asks for help instead of hiding a problem. | ||
| 17 | Gives credit to others and does not blame colleagues in public. | ||
| 18 | Accepts feedback calmly and acts on it. | ||
| 19 | Helps teammates when their own work is done. | ||
| 20 | Records work done honestly, including time and expenses. |
Summary
- Strengths seen: [ ]
- Behaviours to work on: [ ]
- Support offered by the supervisor: [ ]
- Training or coaching needed: [ ]
Agreed action
| Behaviour | What will change | By when | Check on |
|---|---|---|---|
Signatures
Supervisor: ______________________ Date: ____________
Employee: ______________________ Date: ____________
Note on use
This checklist supports coaching. If it feeds into pay, promotion or discipline, check the process against your policies, contracts and applicable rules with a qualified adviser.
A starting point, not legal advice. Check the final wording against your contracts and the rules of your state, and have a qualified professional review it before you issue it.
