HODGE CONSTRUCTION, LLC EMPLOYEE REPRIMAND / NOTIFICATION SHEET

EMPLOYEE NAME: MIKE KOVACH

NOTIFICATION

9/28/2012 AND 12/17/2012

NON - SERIOUS OFFENSE
X

REPRIMAND

SERIOUS OFFENSE

OFFENSES:
LATE TO WORK DESTRUCTION OF HCI PROPERTY
X

VIOLATION OF SAFETY GUIDELINES

CALLED OFF WORK

INSUBORDINATION

IMPROPER WORK ATTITUDE

DIDN'T SHOW UP FOR WORK

IMPROPER DRESS / BOOTS

OTHER

DESCRIPTION OF OFFENSE:

NAIL GUN INJURY, REPORTED TO CONSOL AND OSHA. THEN PRESCRIPTION DRUG ABUSE ON 12/17/2012. WRECKED TRUCK, TRAFFIC CITATIONS

LOSS OF MONTHLY BASIC BONUS (ONE MONTHLY CYCLE) AND TRUCK DAMAGE TO BE PAID FOR $150 PER PAY UNTIL PAID OFF AFTER ONE MONTH LOSS OF BASIC DUE TO SAFETY. JESSICA WILL GIVE RUNNING BALANCE. ALSO SEE INCIDENT REPORT GENERATED FOR CONSOL AND SENT TO KOVACH. CAN NO LONGER DRIVE COMPANY VEHICLE. OUR INSURANCE MIGHT MANDATE DRUG ABUSE CLASS. THIS WILL BE DETERMINED. ONE MORE SAFETY OR SERIOUS REPRIMAND WILL RESULT IN LOSS OF EMPLOYMENT

ACTION TO BE TAKEN:

EMPLOYEE COMMENTS:

BY SIGNING THIS FORM I UNDERSTAND THAT THIS OFFENSE AND ALL OTHER OFFENSES WILL BECOME A PART OF MY PERMANENT RECORD OF EMPLOYMENT AT HC. I ALSO ACKNOWLEDGE THE NATURE OF THE REPRIMAND AND ACTIONS THAT ARE TO BE TAKEN AS LISTED ABOVE.
EMPLOYEE SIGNATURE: DATE:

SUPERVISOR SIGNATURE:
1 OF1

ALLEN HODGE

DATE: 2/15/2013
2/15/2013

KOVACH, MIKE REPRIMAND NAIL GUN INCIDENT-TRUCK DAMAGE 20120928