Professional Documents
Culture Documents
This serve as a notice to submit your written explaination on or before May 6, 2019 why no disciplinary
action should be taken against you for the infraction/s committed below as per Code of Conduct /Safety
Rules and Regulations
(Kini nagsilbing usa ka pahibalo sa pagsumiter sa imong isulat na pagpatin-aw sa dili pa muabot ang May
6, 2019 kung nganong dili ka silutan sa maong salaud na imong gihimo ubos sa atong COC/Safety Rules
and Regulations
Basis of Violation as per COC/SOP (Basehan ng nagawang paglabag ayon sa COC/SOP.
Employee Name/Signature/Date:
EMPLOYEE's EXPLANATION
(You may use the backside for additional space/Maaring gamitin ang likurang bahagi ng papel
para sa karagdagang espasyo/Pwede gamiton ang likod sa papel para sa dugang nga lugar).
I certify that all Information stated above are tru and correct/Ako ay nag papatunay na ang nasa
itaas na mga pahayag ay totoo at tama/Ako iseguro nga ang mga inpormasyon sa ibabaw
tinuod og sakto.
Signature/Pirma Date
DISCIPLINARY ACTION NOTICE
ACTION TAKEN
EXONERATED
WRITTEN WARNING
PREVENTIVE SUSPENSION : Day/s Effective:
SUSPENSION : Day/s Effective: _____________
TERMINATION: Effective
OTHERS: Re-orientation of Safety Rules and Regulations.
Initiated By (Immediate Superior): Reviewed by (HR):
JESSIE N. PAGARAN
Vincent Rene L. Namoc
PCM Officer
Name/Signature/Date:
Recommending Approval (Department Manager):
Arnilo C. Milaor
Name/Signature/Date: Name/Signature/Date: