Exit Interview Monitoring Form

Instructions
This form should be completed by the Line Manager undertaking the exit interview as a record of the points that were
discussed.

The employee should be informed that the purpose of the exit interview is to enable the Council to examine the reasons why
people leave the organisation and to identify any improvements in employment practice that could be made. Details
supplied will be recorded on a database and used to produce regular monitoring information to hel p the Council develop its
employment practices.

The employee should be made aware that any comments made during the interview would not influence future references
or re-employment with the Council.

If you have any queries regarding this form or the exit interview process, please contact HR.

In the event that after discussion an employee refuses to take part in the process, managers should indicate this in the form
and make a best effort to return the form with the monitoring details completed.

Through discussion with the employee you should establish their views on the different aspects of working with
Highland Council listed below and record any comments or suggestions for improvements. Example questions to
stimulate discussion are included.

Monitoring Details
Employee Name: John MacDonald Payroll Number: 32456789

Job Title: Home Carer Date of Birth: 08/01/1955

Sex: Male Length of Service: 01 years

Female 06 months

Service: Care & Learning Location: The Orchard

Leaving Date: 23/09/05 Employee on Rota? Yes No

Contract Type: Permanent Work Pattern: Full-time

Temporary / Fixed Term Part-time
Variable/ As and When

Type of Job that Retail Assistant Name of employer Morrisons

employee is leaving that employee is
for:: leaving for::

1. Method of Leaving
Retirement Where the method of leaving is resignation
Ill-health Retirement please complete Section 2
Redundancy
Dismissal
Resignation
End of Temporary Contract
2. Reasons for Resignation
Personal Reasons Reasons relating to Reasons relating to the Reasons relating to the
Health career progression job workplace
Home relocation Promotion/higher Lack of job security Problems with work
Caring paid job Dissatisfaction with colleagues
responsibilities Lack of workload Problems with Manager
Not returning to work training/career Dissatisfaction with Discrimination
following maternity development duties Harassment and/or
leave opportunities Dissatisfaction with bullying
Need for change Taking up full/part- working environment
Travel problems/work time education/study
closer to home
Other personal
reasons

Interview Notes
Trigger Questions  Do you find your job satisfying? Why has this been the case?
 Are there any changes to your job description or working environment that could have been made to
improve your level of job satisfaction? Tell me about them.
 How did you feel about the workload associated with your job?

Job Satisfaction John stated that he was satisfied with the role and really enjoyed his duties he was asked
to do because every day was different and brought its own challenges. His Job
Description was up to date as he had only been in post for 18 months. Overall the
workload was fine too, most of the time.

The main problems, however, were that he was not sure when his next shift would be,
sometimes he would only get a call to come into work with only one hour notice. There was
also no guarantee of weekly hours or shifts and most of the time he was only asked to
cover the night shifts which had a knock on affect on his personal life. The pay was also
an issue with John feeling like he would be better off working for a local supermarket.
Taking all those factors into account John was finding it difficult to secure a mortgage on a
new property as there was no gaurantee of regular income. So whilst he enjoyed the job
and the duties he was asked to perform, he felt that he had to move posts in order to
satisfy other aspects in his life.

Trigger Questions  How would you describe the training provided to carry out your job?
 How have you had the opportunity to develop your career at Highland Council?
 Could any changes be made to improve training and career opportunities at Highland Council? Tell
me about them.
Career Progression John felt that the training was sufficient to carry out the role he was asked to do although
and Development he could have done with further Health and Safety guidance in relation to manual handling.
Trigger Questions  Can you suggest any improvements that could be made to Council employment policies?

Employment John was really concerned about the level of pay which he received for what he believes is
Policies a highly responsible post. Hence why he chose to go to a job with less prospects but more
pay.

The other thing that irked John was the pension entitlement. No one at interview stage told
him that he had to actually apply to enter the scheme, he thought he would automatically
entered as is the case with Full or Part time staff.

Trigger Questions  Have you made use of any of the Council’s flexible working arrangements? Which ones have how
have they benefited you?
 Could you suggest any improvements that the Council could make to help you balance your home
and work life?
Work-Life Balance Would have preferred more day shifts.

Miscellaneous None
Comments

Please note any

other comment
made:
Manager Feedback
Has the Employee Yes No If Yes, what Although the rate of pay and
decided to stay? changed their number of shifts could not be
mind? changed, John has agreed to stay
on in a relief capacity and we will
still call on his services as and
when required when he is
available from his other job.

Are there any Regularly rotate shifts for relief staff so the same ones are not working regular nights
changes that you
intend to make
locally as a result of
the exit interview

What The service to look at guaranteed hours for relief staff.

improvements/ A checklist to be made available at interview and induction stage to remind relief staff that
changes would you they will need to fill in a form to request entry into the pension scheme.
propose for the
Service as a result
of the exit
interview?

Signature of Line Manager: Date

Signature of Employee: Date