Peter Bishop (2346)

Occur. #

6

Title: Operator

Location: Nicollet

Next Shift: 9 FEB 8PM - 4AM

Manager: Tony Stark

Apply FMLA

Eligibility Date:

Has available FMLA hours?
  FMLA Used: hhh
  Remaining: hhh
  Undesignated: hh : mm
Available FMLA Certificates (click to apply)

FMLA History

Absence Management

Return to Absence Hub
Absence: mm/dd/yyyy - mm/dd/yyyy FMLA 020
mm/dd/yyyy - mm/dd/yyyy [insert Pay Code] Hours: 00:00
Source comments go here.
mm/dd/yyyy - mm/dd/yyyy [insert Pay Code] Hours: 00:00
Source comments go here.

Chargeable Occurrence (Yes): 5

Chargeable Occurrence:

Reason for changing chargeability:

Change Notes: (required)

Sign-Off Milestone

Signature(s) needed from:

  • [insert employee name/badge #]
  • [insert manager name]

Counseling Milestone

Reason for Counseling: Absenteeism Record

Chargeable Absence Dates:

# DATE(S) PAY CODE
6 07/06/2016 - 07/07/2016 1024 - Sick
5 07/01/2016 1024 - Sick
4 06/28/2016 2029 - Request Off Chargeable
3 06/27/2016 2006 - No Show
2 06/20/2016 2005 - Late for Work
1 06/13/2016 2005 - Late for Work

A review of your absenteeism record shows that you have had [ ] absence occurrences in a 12-month period from [ ] to the most recent on [ ]. This is not acceptable, and poor attendance will not be tolerated by Metro Transit.

It is your responsibility to improve your attendance record if you are to avoid future disciplinary action.

Regular attendance is a critical component of your job. Customers expect and need our services to be on time; employees with dependable attendance patterns are necessary to succeed in that effort.

Management believes you can be successful in turning this record around. The commitment to do so must come from you.

* Describe events or behavior leading to this counseling:
[Login Name] on [date/time]: [Populate submitted comments here.]

Action Plan:
* 1. What are the consequences if performance does not improve?
[Login Name] on [date/time]: [Populate submitted Performance Improvement Plan here.]

* 2. Describe the actions employee will take to improve performance.
[Login Name] on [date/time]: [Populate submitted Performance Improvement Plan here.]

Employee Action:

I received information regarding the Employee Assistance Program (EAP).

My signature indicates my agreement that this is an accurate summary of the counseling discussion. I understand this is not a disciplinary action, but will be entered into my personnel record. If my attendance does not improve, progressive discipline may be administered.

[insert employee name/badge #] signed.

[insert manager name/badge #] signed.

[insert witness name/badge #] signed as witness.

[insert first name] [insert last name], [insert description] signed as witness.

#unique doc id