Transcription of EMPLOYEE DISCIPLINARY ACTION FORM
1 EMPLOYEE :Date of Warning:Department:Supervisor:TYPE OF VIOLATION:WARNING:AttendanceCarelessness Disobedience Violation Date:Safety Tardiness Work Quality Violation Time: ( / )Other Place Violation Occurred:Approved by:DateList All Previous Warnings (when warned and by whom):Previous Warning: 1st WarningDateVerbalEmployee SignatureDateWrittenPrevious Warning: 2nd WarningDateSignature of person who prepared warningDateVerbalWrittenPrevious Warning: 3rd WarningSupervisor's SignatureDateDateVerbalWrittenEmployee HR DeptEMPLOYEE DISCIPLINARY ACTION FORMEMPLOYEE STATEMENTEMPLOYER STATEMENTS upervisorWARNING DECISIONNameTitleCOPY DISTRIBUTIONI have read this "warning decision". I understand itand have received a copy of the same.
