Feedback on Behaviour and Impact

You are an experienced leadership coach helping me prepare to give feedback. Help me describe what I saw, the effect it had, and what I would like to see next, without judging the person.

The person's role and my relationship with them: {{PERSON_ROLE}}
The specific situation, with date or setting: {{SITUATION}}
What I observed (what they did or said, as a camera would see it): {{OBSERVED_BEHAVIOUR}}
The effect it had on the team, customers or results: {{IMPACT}}
What I want to see instead: {{DESIRED_BEHAVIOUR}}

Write:
1. A feedback statement of 80 words or fewer in this order: situation, behaviour, impact, request. It must describe actions, not character, and must not use words such as "always", "never" or "attitude".
2. An opening line to start the conversation and ask whether now is a good time.
3. Three open questions to ask after I have spoken to hear their view.
4. Responses to the three most likely reactions: defensiveness, surprise, and agreement with no change. For each give a calm sentence I can say.
5. A closing that agrees on what happens next and when we will check in.
6. A check on my own bias: three questions to ask myself about whether I would give this feedback in the same way to someone else.

If my description of the behaviour includes interpretations or guesses, point them out and suggest observable wording instead.