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Violation Notice

The document outlines the procedure for issuing an EHS (Environmental, Health, and Safety) violation notice within Expertise Contracting Company. It details the disciplinary actions for safety violations, including counseling, written reprimands, suspensions, and potential termination. The form requires signatures from both the employee and supervisor and will be kept in the employee's personnel file for two years.

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Salmañ Ashék
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0% found this document useful (0 votes)
19 views2 pages

Violation Notice

The document outlines the procedure for issuing an EHS (Environmental, Health, and Safety) violation notice within Expertise Contracting Company. It details the disciplinary actions for safety violations, including counseling, written reprimands, suspensions, and potential termination. The form requires signatures from both the employee and supervisor and will be kept in the employee's personnel file for two years.

Uploaded by

Salmañ Ashék
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Expertise Contracting Company

Business Unit Document Ref No. Rev. No. Effectivity Date Page No.
President & CEO Office FM-DIV00-EHSS-0008 01 6 December 2020
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EHS VIOLATION NOTICE

Company Name: Date of Violation:


Supervisor Name: Department:
Employee Name: Job Title:

1st Offense 2nd Offense 3rd Offense

Counseling/Retraining Written Reprimand Suspension Termination

The above-named employee was contacted today regarding the following safety violation:

The employee’s explanation of his/her behavior is the following:

I, ( ) understand that safety rules and practices are necessary


to reduce accidents and injuries on the job. Safe behavior on the job not only protects me, but my fellow
workers as well. It is also understood that my employer, by law, must impose disciplinary procedures, which
could include termination.

Employee Signature Date

This form is to be filled out by the manager/supervisor and the employee. The form will be maintained in the
employee’s personnel file for two years.

Supervisor Signature Date

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