Disciplinary Action Memo

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

EMPLOYEE : WARNING DATE:

BRANCH:
EMPLOYEE NO. POSITION: ROCKWELL
VIOLATIONS
 ATTENDANCE  PERSONAL WORK  UNAUTHORIZED ABSENCE
 CARELESSNESS  REFUSAL TO WORK OVERTIME WORK QUALITY
 MISCONDUCT  SAFETY  WILLFUL DAMAGE TO COMPANY PROPERTY
INSUBORDINATION TARDINESS  OTHER
WARNINGS PREVIOUSLY
WARNING # DATE OFFENSE ACTION TAKEN DATE SIGNED

COMPANY STATEMENT

Please submit a written explanation, within five (5) days from receipt hereof, to show cause why no
disciplinary sanction should be imposed upon you with respect to the foregoing incident listed above.

Your failure to provide a written explanation, despite notice, shall be taken to mean as
voluntary and valid waiver of your right to present your evidence and the Company shall resolve the
disciplinary matter based on evidence on record.

Please be guided accordingly.

ACTION TAKEN

I have read this Warning Notice and understand it.

EMPLOYEE'S SIGNATURE DATE

HR OFFICER DATE

 This form was refused by the Employee


SUPERVISOR DATE

* If the Employee Warning Notice, after completion, contains information on the medical condition or history of an employee, then it must be maintained
in a separate medical file and treated confidential in accordance with applicable law and regulations.
Employee Warning Notice

DISCIPLINARY

Wooden Spoon Inc. / Disciplinary Action /abs Page 1


EMPLOYEE STATEMENT
 I agree with the Company Statement.
 I disagree with the Company Statement
REASONS

Name of Employee: ____________________


Signature

Wooden Spoon Inc. / Disciplinary Action /abs Page 2

You might also like