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Employee Disciplinary Action Form

The document is an Employee Disciplinary Action Form used to record violations by an employee, including details such as the type of violation, dates, and statements from both the employer and employee. It also includes sections for previous warnings and signatures to acknowledge receipt of the warning. The form aims to formalize the disciplinary process within a workplace setting.

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0% found this document useful (0 votes)
5 views

Employee Disciplinary Action Form

The document is an Employee Disciplinary Action Form used to record violations by an employee, including details such as the type of violation, dates, and statements from both the employer and employee. It also includes sections for previous warnings and signatures to acknowledge receipt of the warning. The form aims to formalize the disciplinary process within a workplace setting.

Uploaded by

adriaanjbrgr
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EMPLOYEE DISCIPLINARY ACTION FORM

Employee: ___________Bonginkosi Sibiya__ Date of Warning: _________________


Department: _______________________ Supervisor: ________________________

________________________________
Type of Violation

✘ - Attendance - Carelessness - Disobedience - Safety - Tardiness

- Work Quality - Other (explain)


_______________________________________________

________________________________
Warning

Violation Date: ________________________ Violation Time: ________________________

Violation Location: ________________________________________________

________________________________
Employer’s Statement
____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

________________________________
Employee’s Statement
____________________________________________________________________________

____________________________________________________________________________
____________________________________________________________________________

________________________________
Decision
____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Decision Approved by: _________________ Title: _________________ Date: _____________

________________________________
Previous Warnings
1st Warning - Date: _________________ Type: - Verbal - Written

2nd Warning - Date: _________________ Type: - Verbal - Written

3rd Warning - Date: _________________ Type: - Verbal - Written

________________________________
Signatures
Employer’s/Supervisor’s Signature: ___________________________ Date: _______________

Print Name: ___________________________ Title: ___________________________

I have read this "warning decision". I understand it and have received a copy of the same.

Employee’s Signature: ___________________________ Date: _______________

Print Name: ___________________________ Title: ___________________________

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