Corrective And Prevention Action Report
Interpreter's Name
(Required)
Interpreter's ID Number
(Required)
Backstop's Name
(Required)
Call ID #
(Required)
Date Complaint Was Received
(Required)
MM slash DD slash YYYY
Date of Incident
(Required)
MM slash DD slash YYYY
Backstop Manager in Charge
(Required)
Description of Complaint Reported
(Required)
How long is he/she working as an Interpreter?
(Required)
How long is the Interpreter working with your network?
(Required)
Is the Interpreter a High/Low call taker?
(Required)
How many previous negative reports does the Interpreter have?
(Required)
How many previous positive reports does the Interpreter have?
(Required)
Please state a couple of key items from the Linguist’s cv to demonstrate his/ her skill set
(Required)
Interpreter's Comments (If any)
Backstop's Comments: Action to be taken to correct behaviour
Backstop's Comments: Action to be taken to correct behaviour
Please specify the target date as well
Backstop's Comments: Action to be prevent this from happening again
Please specify the target date as well
Backstop's Print Name
(Required)
First
Last
Backstop's Signature
(Required)
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