"Performance Improvement Plan" - City and County of San Francisco, California

Performance Improvement Plan is a legal document that was released by the Department of Human Resources - City and County of San Francisco, California - a government authority operating within California. The form may be used strictly within City and County of San Francisco.

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  • Released on February 1, 2010;
  • The latest edition currently provided by the Department of Human Resources - City and County of San Francisco, California;
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PERFORMANCE IMPROVEMENT PLAN
Employee Name:
Employee Classification & Title:
Purpose:
Your performance is currently below competent and effective and does not meet the primary objectives for this position. The key areas that need
improvement are listed below. This performance improvement plan has been established to provide you with a tool to focus on areas that need improvement.
Improvement is necessary in order to successfully meet the requirements of this position. This performance improvement plan provides up to three rating periods with
formal review at the end of each rating period. The duration of the performance improvement plan may be extended as necessary.
PERFORMANCE PERIOD
Period 1
Period 2
Period 3
Start Date:
Start Date:
Start Date:
PERFORMANCE NEEDING
SUPERVISOR COMMENTS
End Date:
End Date:
End Date:
IMPROVEMENT
1. Performance Improvement Area/Issue:
Met Goal?
Met Goal?
Met Goal?
Period 1:
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
2. Performance Improvement Area/Issue:
Period 1:
Met Goal?
Met Goal?
Met Goal?
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
3. Performance Improvement Area/Issue:
Met Goal?
Met Goal?
Met Goal?
Period 1:
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
4. Performance Improvement Area/Issue:
Period 1:
Met Goal?
Met Goal?
Met Goal?
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
DHR_Revised 2-2010
Page 1 of 2
PERFORMANCE IMPROVEMENT PLAN
Employee Name:
Employee Classification & Title:
Purpose:
Your performance is currently below competent and effective and does not meet the primary objectives for this position. The key areas that need
improvement are listed below. This performance improvement plan has been established to provide you with a tool to focus on areas that need improvement.
Improvement is necessary in order to successfully meet the requirements of this position. This performance improvement plan provides up to three rating periods with
formal review at the end of each rating period. The duration of the performance improvement plan may be extended as necessary.
PERFORMANCE PERIOD
Period 1
Period 2
Period 3
Start Date:
Start Date:
Start Date:
PERFORMANCE NEEDING
SUPERVISOR COMMENTS
End Date:
End Date:
End Date:
IMPROVEMENT
1. Performance Improvement Area/Issue:
Met Goal?
Met Goal?
Met Goal?
Period 1:
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
2. Performance Improvement Area/Issue:
Period 1:
Met Goal?
Met Goal?
Met Goal?
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
3. Performance Improvement Area/Issue:
Met Goal?
Met Goal?
Met Goal?
Period 1:
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
4. Performance Improvement Area/Issue:
Period 1:
Met Goal?
Met Goal?
Met Goal?
 Yes
 Yes
 Yes
Period 2:
GOAL:
 No
 No
 No
Period 3:
DHR_Revised 2-2010
Page 1 of 2
A. Reviewer Signature – Prior to Implementation
1. REVIEWER JOB CLASS/TITLE & SIGNATURE:
2. SUPERVISOR JOB CLASS/TITLE & SIGNATURE:
3. EMPLOYEE JOB CLASS/TITLE & SIGNATURE:
Name:
Name:
Name:
Job Class/Title:
Job Class/Title:
Job Class/Title:
Signature:
Date:
Signature:
Date:
Signature:
Date:
B. Performance Plan Meeting Sign-Off – End of Period 1
1. SUPERVISOR SUMMARY STATEMENT:
2 SUPERVISOR SIGNATURE:
3. SUPERVISOR JOB CLASS & TITLE:
4. MEETING DATE:
5. EMPLOYEE SIGNATURE:
6. DATE SIGNED:
 I AGREE WITH THIS REPORT
 I DO NOT AGREE WITH THIS REPORT
 I HAVE ATTACHED A REBUTTAL
 DECLINED TO SIGN
SUPERVISOR - INITIAL _________
C. Performance Plan Meeting Sign-Off – End of Period 2
1. SUPERVISOR SUMMARY STATEMENT:
2 SUPERVISOR SIGNATURE:
3. SUPERVISOR JOB CLASS & TITLE:
4. MEETING DATE:
5. EMPLOYEE SIGNATURE:
6. DATE SIGNED:
 I AGREE WITH THIS REPORT
 I DO NOT AGREE WITH THIS REPORT
 I HAVE ATTACHED A REBUTTAL
 DECLINED TO SIGN
SUPERVISOR - INITIAL _________
D. Performance Plan Meeting Sign-Off – End of Period 3
1. SUPERVISOR SUMMARY STATEMENT:
2 SUPERVISOR SIGNATURE:
3. SUPERVISOR JOB CLASS & TITLE:
4. MEETING DATE:
5. EMPLOYEE SIGNATURE:
6. DATE SIGNED:
 I AGREE WITH THIS REPORT
 I DO NOT AGREE WITH THIS REPORT
 I HAVE ATTACHED A REBUTTAL
 DECLINED TO SIGN
SUPERVISOR - INITIAL _________
7. REPORTING SUPERVISOR/MANAGER SIGNATURE:
8. REPORTING SUPERVISOR JOB CLASS & TITLE:
9. DATE SIGNED:
cc: Official Employee Personnel File
DHR_Revised 2-2010
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