Support plan form This form should be completed to document any agreed actions which need to be taken to help improve the colleague’s behaviour/performance following the admission of a drug or alcohol problem. It should be completed by the manager. Both the colleague and the manager should sign this to confirm their agreement and keep a copy for their records. The manager’s copy should be kept confidentially in the colleague’s personnel file. Colleague’s Name: Manager’s Name: Meeting date: Store Number: Details of any agreed actions (next steps):
Support plan review date: (normally 2 weeks) Is there any additional support we can offer you at this time? Colleague’s signature:
xi / Return d : Is there any
Review details. Date of review:
Have the agreed steps above been actioned?
Yes / No
Date: Colleague’s signature:
Page 1 of 1 – Support plan form. Version 1, April 2016