1
Enter the employee's identifying details
Complete the employee identification block with the full legal name, job title, department, hire date, and direct manager. Pull the name from payroll records to ensure it matches.
π‘ Include the employee ID number if your HR system uses one β it prevents confusion in organizations with multiple employees sharing a name.
2
Describe the triggering issue with dates and facts
Write a factual, chronological summary of the specific performance failure, misconduct, or policy violation. Include dates, locations, and observable behaviors β not interpretations.
π‘ Use the same language and level of detail you would use if reading the description aloud in an employment tribunal. If it sounds defensible there, it is defensible here.
3
Record all prior warnings and disciplinary steps
List every prior verbal warning, written warning, and PIP with dates and outcomes. Attach copies of signed warning letters to the completed checklist.
π‘ If prior warnings were given verbally without documentation, note that now and schedule a retroactive written summary of those conversations before proceeding.
4
Cite the specific policy or contract clause violated
Reference the exact section of the employee handbook, company policy, or employment contract that the employee's behavior violated. Confirm the employee received and acknowledged this policy.
π‘ If your handbook requires an annual acknowledgment signature, verify the employee's most recent signature date before citing the policy.
5
Document the business impact
Describe the concrete effect on the team, customers, or operations β missed targets, client complaints, revenue lost, or team hours consumed addressing the issue.
π‘ Quantify where possible: '3 client complaints in 30 days' is stronger evidence than 'repeated client dissatisfaction.'
6
Confirm remediation steps were taken
List every coaching session, training opportunity, accommodation, or support measure offered before the termination decision. Include dates and outcomes.
π‘ If a PIP was used, attach the original PIP document and the final performance review against its targets.
7
Obtain HR and legal sign-off before acting
Route the completed checklist to HR for review. For senior employees, roles involving protected-class risks, or jurisdictions with mandatory notice requirements, also obtain legal sign-off.
π‘ Never schedule the termination meeting before HR sign-off is confirmed in writing β verbal approval is not sufficient documentation.
8
Complete the termination type and recommendation block
State whether the termination is for cause or without cause, enter the recommended effective date, and sign and date the form as the decision-maker.
π‘ Store the completed, signed checklist in the employee's personnel file immediately β do not wait until after the termination meeting.