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Description:

Violation Notice

Date: Rev: Form #

Project : Date of Issue Report # :

Details of employee / company to whom the notice is issued:

Name & Roll :

Occupation :

Company :

Details of violation committed

1st Warning 2nd Warning 3rd Warning Dismissal


"The employee is hereby warned that he could be dismissed if the violation is repeated after 3rd warning."

Description of violation:

Therefore, the following disciplinary action will be taken against you:


Type of disciplinary action taken:

Written warning
Wage deduction: 2 hrs. 4 hrs. 1 day 2 days 3 days
Suspended for the period from to (Total days)
Dismissal from location / Site / company

Originator: Approved by: PM/PD/ DGM-HSE

Name : Name

Designation : Designation

Signature Signature

Note:
Dismissal from site has to be approved by PD and from company by VP.

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