离职清单Employee Separation Checklist.doc

EMPLOYEE SEPARATION CHECKLIST员工离职清单Remark: Please mark N/A if it is not applicable 如不适用，请在相应栏目前标注N/A.Employee Information员工基本信息Name姓名：Associates ID员工编号：Department部门：Job Title职位： Employment Date 受聘日期：Last Working Day最后工作日：DEPARTMENT 本部门Owner: Department Manager 责任人：部门经理 Work summary and handover list (See attachment) 工作总结及交接清单（见附件） Company materials/ Tools/ Equipments 公司物料、工具、设备 Job related company confidential documents 保密资料 Keys(office, desk, cabinet) 钥匙（办公室、桌子、柜子） Name card名片 Black Berry公司黑莓小电脑 Removable/U disk可移动硬盘/U盘 Computer anti-spy screen电脑防窥屏 Mobile phone手机 3G/SIM card 3G及SIM卡等 Others please specify 其他，请注明：_Checked by 检查人：_ Date 日期：_ACCOUNTING 财务Owner: General Accounting Manager 责任人：总账会计经理 Cash Advance预支款 Company paid airline tickets公司已付机票款 Credit Card(s) 公司信用卡 Other fees that shall be paid off其他应结款项Checked by 检查人：_ Date 日期：_INFORMATION SYSTEM 信息系统Owner: IT Manager 责任人：信息经理 Computer (including desktop, laptop, workstation) return to IT and in good condition and function well 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 Desktop phone return to IT and in good condition and function well桌面电话返回 IT ，状态良好能正常使用 Non-shared Fax/Printer/Copier return to IT and in good condition and function非公用传真机，打印机，复印机返回 IT ，状态良好能正常使用 Office purpose software and license return to IT办公用软件及许可证返回 IT Name removed from Telephone System将姓名从电话系统移除 Name removed from local system Which is not synchronized with GAIMS system将姓名从没有与GAIMS系统同步的本地系统中移除Checked by 检查人：_ Date 日期：_EHS 环境健康安全 Owner: EHS Manager 责任人：环境健康安全经理 PPE and uniform个人劳保护具和工作服 Physical check for special job特岗离职体检 Clinic 医务室Checked by 检查人：_ Date 日期：_HUMAN RESOURCES 人力资源Owner: HR Manager 责任人：人力资源经理 Exit interview 离职面谈HR BP/Specialist/ManagerHRBP/专员/ 经理 Borrowed books/articles and other documents 培训书籍及资料 Training Bond 培训约定Training Manager/Specialist/HR Specialist培训经理/专员/HR专员 Compensation and benefits items 薪酬福利事项Payroll Specialist薪酬专员 Request to delete Lotus Notes/Cityray ID (only for HR staff) 申请取消Lotus Notes/ Cityray （仅适用于HR员工） Request to remove SAP ID by help desk申请取消 SAP 账号 Remove Z user ID on GAIMS system 在 GAIMS 中删除 Z User IDHR System SpecialistHR系统专员 Enable non-compete Agreement (Y/N)是否启用竞业限制协议 Employee Handbook/ Business Code Conduct员工手册/业务行为准则 ID badge/ Locker key 员工识别卡和更衣箱钥匙 Others 其他 HR SpecialistHR专员Confirmed by 确认人：_ Date 日期：_ASSOCIATE DECLARATION 员工声明：- I hereby certify that I have completed the above exit process and return all company property.我确定我已完成上述离职程序，并已归还所有公司财产。- I further agree to maintain in confidence and keep secret all information which I possess or acquire during my employment with Goodyear which Goodyear uses and which Goodyear intends or is obligated to keep secret. I agree not to reveal such information to anyone or in any way that may compromise the business and technical effectiveness of Goodyear. I shall bear all the corresponding legal responsibility upon my violation of the above commitments.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：_HR specialist/Vendor Rep. check this Exit Check List before transfer out exited associates personal relationship .This check list will be kept by HR Specialist and copy to FESCO Rep. if exited associated is contract.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