Misconduct or Non-Performance Report
	
To ensure that principles of natural justice and procedural fairness are observed, Program Supervisors must complete this report with complete details of any relevant incidents or behaviours and submit it to the Manager.
	
Employee details	
Last name:	First name:	
Position:	Program area:	
Indicate whether: 		Misconduct		Non-performance 	(Please tick relevant box)	
Incident/Behaviour details	
Date/s of incident/s or behaviour/s:		
Details of incident/s or behaviour/s:		
Action/s taken:		
Signature of Witnesses:

	Date:	
Signature of Program Supervisor:	Date:	
Signature of Employee:	Date:	
Interview report
(To be completed by Manager)	
Persons present:
	Date of interview:	
Misconduct or non-performance proved:		Yes		No	(Please tick relevant box)	
Summary of discussion:	
Action/s to be taken by employee:
	
Signature of employee and date:	
Signature of Program Supervisor and date:	
Signature of Manager and date: