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Employee Discipline Documentation Record

This document records an employee disciplinary incident including the employee and supervisor names, date and location of the incident, policy violated, previous violations, actions taken such as warnings or suspension, required improvements, and signatures of those involved. Witnesses, explanations given to the employee, and potential further actions are also documented. The matters will be reviewed on a set date or if another incident occurs.

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Alex Hii
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489 views1 page

Employee Discipline Documentation Record

This document records an employee disciplinary incident including the employee and supervisor names, date and location of the incident, policy violated, previous violations, actions taken such as warnings or suspension, required improvements, and signatures of those involved. Witnesses, explanations given to the employee, and potential further actions are also documented. The matters will be reviewed on a set date or if another incident occurs.

Uploaded by

Alex Hii
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMPLOYEE DISCIPLINE DOCUMENTATION RECORD

Employee Name Supervisor/ HR Name Date / Time of Incident Location of Incident Description of Incident : : : : : Designation Designation Incident Information : :

Witness of Incident

: Yes No

Was this incident in violation of a company policy? If yes, specify which policy and how the incident violated it.

Has employee violated this policy within last 12 months? If yes, give date(s): Action Taken Date of Meeting with Employee : Verbal Counseling Suspension

Yes

No

In Person

By others Yes No Written Warning Dismissal

Has the impropriety of the employees actions been explained to the employee? What action will be taken against the employee? Improvement Required of Employee:

These matters will be reviewed on

(date) or upon next occurrence.

*Additional incidents may result in further disciplinary action up to and including dismissal.

Employee Comments

Employee

Supervisor/ HR

Executive Management

(Signature) Name : Date : Name : Date :

(Signature) Name : Date :

(Signature)

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