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Staff records · SR-09

Supervision Record

A free printable supervision form — workload or caseload, wellbeing, development and agreed actions, signed by both people.

First page of the Supervision Record — Record a supervision session so both people agree afterwards what was discussed and what was agreed.
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One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Record a supervision session so both people agree afterwards what was discussed and what was agreed.

Who it is for

Care, support, youth work, counselling services, nurseries and any sector where supervision is part of the job.

How to use it

  1. Agree the agenda at the start, including anything the supervisee wants to raise.
  2. Write what was said, not a summary written afterwards from memory.
  3. Record wellbeing honestly; it is a section, not a formality.
  4. Both sign, and both keep a copy.
  5. Set the date of the next session before you finish.

What is on the sheet

One page, top to bottom:

Printed under the title: A supervision session recorded properly: caseload or workload, wellbeing, development, and what was agreed.

Both people sign it. Written and signed by both people, because the point of supervision is that both sides agree what was said. Nothing here sets a frequency or a format — many sectors have their own requirements, and yours take precedence over this sheet.

Write-on lines: Supervisee · Supervisor · Date · Session number · Period covered · Last session held on · Next session due

Workload and cases

Ruled lines

Wellbeing, support and development

Ruled lines

Agreed actions

Table, 2 rows: Action · Who · By when

Signature strip: Supervisee · Supervisor · Date

Questions

How often should supervision happen?

Many sectors have their own requirements and some are set by a regulator. This sheet sets no frequency and no format — follow whatever applies to your service.

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