Employee Warning Notice

Employee Name Department TYPE OF VIOLATION Attendance Tardiness WARNING Violation Date Place Violation Occured PREVIOUS WARNINGS Oral 1 Warning
st

Date of Warning Shift

Safety Discipline

Work Quality Other

Violation Time

Written

Date

By Whom

2nd Warning 3rd Warning STATEMENTS Employer Date of Incident: Time: Employee I agree with employers statement I disagree with employers statement

Action to be taken:

Warning

Probation

Suspension

Dissmisal

Other

Consequence should incident occur again

I have read this Employee Warning Notice and I understand it

Signature of Employee: Signature of Supervisor: Date: Date: