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Sample PIP Form

This document outlines a 30-day Performance Improvement Plan (PIP) for an employee. The PIP defines performance deficiencies, clarifies expectations, and allows the employee to demonstrate ability to meet expectations. The plan includes steps for improvement, available resources, progress updates, and consequences for failing to meet expectations, including possible termination. Both the employee and supervisor must sign to acknowledge discussion of the PIP.

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NUR SARAH SALLEH
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1K views3 pages

Sample PIP Form

This document outlines a 30-day Performance Improvement Plan (PIP) for an employee. The PIP defines performance deficiencies, clarifies expectations, and allows the employee to demonstrate ability to meet expectations. The plan includes steps for improvement, available resources, progress updates, and consequences for failing to meet expectations, including possible termination. Both the employee and supervisor must sign to acknowledge discussion of the PIP.

Uploaded by

NUR SARAH SALLEH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Performance Improvement Plan (PIP)

Confidential
Name: Position:

Date: Department:

The purpose of this Performance Improvement Plan (PIP) is to define performance deficiencies,
clarify performance expectations, and allow you the opportunity to demonstrate your ability to
meet the performance expectations outlined below. To facilitate sustained improvement, the
following plan has been established. This plan may be modified as necessary depending on
your progress.

Description of Performance Deficiencies:

Previous Discussions:

Step 1: Improvement Plan: These are the expectations related to performance deficiencies to
be improved and addressed.

1.

2.

3.

Step 2: Resources: Listed below are resources available to you to complete your
Improvement activities.

1.

2.

3.
Step 3: Progress Updates: Performance will be monitored by Management with regular
follow-up meetings.

Date Comment Manager Employee

Timeline for Improvement, Consequences & Expectations:

Effective immediately, you are placed on a 30-day PIP. During this time you will be expected to
progress on the plan outlined above. Failure to meet or exceed these expectations, or any
display of gross misconduct may result in action up to and including termination. In addition, if
there is no significant improvement to indicate that the expectations and goals will be met within
the timeline indicated in this PIP, your employment may be terminated prior to 30 days. Failure
to maintain performance expectations after the completion of the PIP may result in additional
disciplinary action up to and including termination.

The PIP does not alter the employment-at-will relationship. Additionally, the contents of this PIP
are to remain confidential. Should you have questions or concerns regarding the content, you
will be expected to follow up directly with your supervisor.

You are expected to meet with your supervisor to review your progress. The dates of such
meetings are listed above. Please schedule accordingly.

By signing below, you acknowledge that you and your supervisor have discussed this
performance improvement plan.

Signatures:

Print Employee Name: _____________________________________

Employee Signature: _____________________________________

Date: ___________________________

Print Supervisor/Manager Name: __________________________

Supervisor/Manager Signature: _________________________

Date: ___________________________
Conclusion:

______ Employee has achieved required improvements as described above.

______ Employee has not achieved required improvements as described above.

Supervisor: _____________________________ Date: _________________

Employee: _____________________________ Date: _________________

Additional Comments:

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