Record of Staff Search

This form is to be used in conjunction with the WHH Staff Search Policy.

You should download this form and save it on your computer before completing it.

Details of Staff Present During Search

Name of Employee:

Department:

Name of Manager:

Department:

Name of Witness:

Department:

Name of Employee Representative:

Department:

Date of Search:

Time of Search:

Details of Search

Reason for Search:
Outcome of Search:

Declaration of Staff Present During Search

I confirm that the information provided is correct and has been accurately recorded.

Name of Employee:

Employee Signature:

Date Signed:

Name of Manager:

Manager Signature:

Date Signed:

Name of Employee Representative:

Employee Representative Signature:

Date Signed:

Declaration of Witness

I confirm that the information provided is correct and has been accurately recorded.

Name of Witness:

Witness Signature:

Date Signed:

The form can be signed in a number of ways: Upload a JPEG image of your signature, OR Print the form, all sign on the date shown, scan the completed form and save it, OR The parties send you an email to confirm the form is an accurate record of the meeting. The witness will also need to confirm that the search was conducted in accordance with the policy. Save the emails.