离职清单Employee-Separation-Checklist

1EMPLOYEESEPARATIONCHECKLIST员工离职清单Remark:PleasemarkN/Aifitisnotapplicable如不适用，请在相应栏目前标注N/A.EmployeeInformation员工基本信息Name姓名：Associate’sID员工编号：Department部门：JobTitle职位：EmploymentDate受聘日期：LastWorkingDay最后工作日：DEPARTMENT本部门Owner:DepartmentManager责任人：部门经理□Worksummaryandhandoverlist(Seeattachment)工作总结及交接清单（见附件）□Companymaterials/Tools/Equipments公司物料、工具、设备□Jobrelatedcompanyconfidentialdocuments保密资料□Keys(office,desk,cabinet)钥匙（办公室、桌子、柜子）□Namecard名片□BlackBerry公司黑莓小电脑□Removable/Udisk可移动硬盘/U盘□Computeranti-spyscreen电脑防窥屏□Mobilephone手机□3G/SIMcard3G及SIM卡等□Otherspleasespecify其他，请注明：__________________Checkedby检查人：________________Date日期：________________ACCOUNTING财务Owner:GeneralAccountingManager责任人：总账会计经理□CashAdvance预支款□Companypaidairlinetickets公司已付机票款□CreditCard(s)公司信用卡□Otherfeesthatshallbepaidoff其他应结款项Checkedby检查人：________________Date日期：________________INFORMATIONSYSTEM信息系统Owner:ITManager责任人：信息经理□Computer(includingdesktop,laptop,workstation)returntoITandingoodconditionandfunctionwell电脑（包括台式电脑、手提电脑、工作站）返回IT，状态良好能正常使用□DesktopphonereturntoITandingoodconditionandfunctionwell桌面电话返回IT，状态良好能正常使用□Non-sharedFax/Printer/CopierreturntoITandingoodconditionandfunction非公用传真机，打印机，复印机返回IT，状态良好能正常使用□OfficepurposesoftwareandlicensereturntoIT办公用软件及许可证返回IT□NameremovedfromTelephoneSystem将姓名从电话系统移除□NameremovedfromlocalsystemWhichisnotsynchronizedwithGAIMSsystem将姓名从没有与GAIMS系统同步的本地系统中移除Checkedby检查人：________________Date日期：________________2EHS环境健康安全Owner:EHSManager责任人：环境健康安全经理□PPEanduniform个人劳保护具和工作服□Physicalcheckforspecialjob特岗离职体检□Clinic医务室Checkedby检查人：________________Date日期：________________HUMANRESOURCES人力资源Owner:HRManager责任人：人力资源经理□Exitinterview离职面谈HRBP/Specialist/ManagerHRBP/专员/经理□Borrowedbooks/articlesandotherdocuments培训书籍及资料□TrainingBond培训约定TrainingManager/Specialist/HRSpecialist培训经理/专员/HR专员□Compensationandbenefitsitems薪酬福利事项PayrollSpecialist薪酬专员□RequesttodeleteLotusNotes/CityrayID(onlyforHRstaff)申请取消LotusNotes/Cityray（仅适用于HR员工）□RequesttoremoveSAPIDbyhelpdesk申请取消SAP账号□RemoveZuserIDonGAIMSsystem在GAIMS中删除ZUserIDHRSystemSpecialistHR系统专员□Enablenon-competeAgreement(Y/N)是否启用竞业限制协议□EmployeeHandbook/BusinessCodeConduct员工手册/业务行为准则□IDbadge/Lockerkey员工识别卡和更衣箱钥匙□Others其他HRSpecialistHR专员Confirmedby确认人：________________Date日期：________________ASSOCIATEDECLARATION员工声明：-IherebycertifythatIhavecompletedtheaboveexitprocessandreturnallcompanyproperty.我确定我已完成上述离职程序，并已归还所有公司财产。-IfurtheragreetomaintaininconfidenceandkeepsecretallinformationwhichIpossessoracquireduringmyemploymentwithGoodyearwhichGoodyearusesandwhichGoodyearintendsorisobligatedtokeepsecret.IagreenottorevealsuchinformationtoanyoneorinanywaythatmaycompromisethebusinessandtechnicaleffectivenessofGoodyear.Ishallbearallthecorrespondinglegalresponsibilityuponmyviolationoftheabovecommitments.我承诺，我将对所有在公司工作期间所接触的公司使用的、认为需要保密的，或我必须要对其保密的信息保密。我承诺不会将这些信息以任何对公司业务及技术效能有损的方式透露给任何人。如有不实或违反，本人愿承担相应法律责任。Signature员工签名：________________Date日期：_______________HRspecialist/VendorRep.checkthisExitCheckListbeforetransferoutexitedassociate'spersonalrelationship.ThischecklistwillbekeptbyHRSpecialistandcopytoFESCORep.ifexitedassociatediscontract.HR专员/派遣公司代表在为各自离职员工办理转移其个人关系和档案时，需核查此离职移交清单。HR专员保存此离职移交清单。如果该员工为派遣员工，需将复印件转交给派遣公司代表。3Attachment附件：TaskDelivery待办事项交接单TASKDELIVERY待办事项交接单NO.序号Itemstodo待办事项Status进展情况Contact联系人及方式TakenSignature接收人签字Date签字日期DepartmentManager部门负责人签字：________________Date日期：________________