EMPLOYEE DISCIPLINE REPORT

Employee Name: Savita Vaid Department: Sales

Supervisor Name: Piyush Arora Date of Meeting: November 14, 2023
Type of Infraction: Communication
Attendance Efficiency
Conduct Quality
Productivity Teamwork / Collaboration
Reliability Other (define)

Date of Incident: Verbal Notice

November 14, 2023
First Written Warning
Time of Incident: Second Written Warning
Final Warning
Location of Incident: Other:
Via phone (text messages)

Description of Incident:

Savita initiated a text communication with colleague Poonam Sharma regarding Diwali bonus after Piyush
had informed all staff to keep bonus information confidential. She intended to find out how much Poonam
received in bonus. After some communication exchange, Savita became upset as she thought the bonus
amount she received was unjustified.

Piyush was informed about the communication exchange and discussed with Savita.

Witnesses to Incident:
N/A

HR Form: HR-004
Effective Date: 08/04/2022 Revision: 08/04/2022
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EMPLOYEE DISCIPLINE REPORT
What is the impact to performance, business operations, or the well-being of other employees?
This incident between Savita and Poonam resulted in a disruption in their working relationship, as well as
with other team members. This also affects the trust between Piyush and Savita.

Did this incident violate a company policy?  Yes  No

If yes, specify the policy and how it was violated

Yes – Piyush had instructed her to remain confidential regarding bonus, however Savita did not remain
confidential and seeked information from Poonam.

Action plan to improve performance or change behavior / Consequences if no improvements are

made:
• Must respect supervisor. If there are concerns, Savita should address with Piyush, Divya, or
Cynthia.
• If it is mentioned to maintain confidentiality, Savita must follow accordingly. If there is a concern,
she may address to Piyush, Divya or Cynthia.
• Repeated action may lead to further disciplinary action, up to and including termination.

HR Form: HR-004
Effective Date: 08/04/2022 Revision: 08/04/2022
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EMPLOYEE DISCIPLINE REPORT

Has the impropriety of the employee’s actions been  Yes  No

explained to the employee?

If yes, provide the employee’s explanation of the misconduct:

Yes, Piyush has discussed with Savita.

I acknowledge that the content has been discussed with me and that I fully understand its
contents. I have received a copy of this report and I understand that I remain an employee-at-
will.

Signatures:

Employee Signature Date

Employee Printed Name

Witness Date

Supervisor / Manager Date

HR Dept Date

HR Form: HR-004
Effective Date: 08/04/2022 Revision: 08/04/2022
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