EXIT INTERVIEW CHECKLIST

(Involuntary Termination)

Employees Name: EDWIN C. DE GUZMAN

Position & Department: POLISHER / HELPER IN FABRICATION

 Reasons for termination (check all that apply)

___lay off
___substandard performance
___continued poor attendance
___insubordination
___violation of policy
___position eliminated
___temporary or seasonal position
Others ________________________________

 RECOMMENDATION FOR DISCHARGE

___ All normal steps of progressive discipline have been completed and there is no realistic
hope for improvement.

___ Employee has been repeatedly counseled and assisted regarding performance deficiencies,
but there is no realistic hope for improvement.

___ All alternatives such as transfer and retraining have been considered.

___ All employees infraction and all above steps have been fully documented and records
included with the recommendation for discharge.

___Recommendation for discharge and all supporting documents been placed in the employees
personnel file.