Discipline Documentation Form

The document is a Discipline Documentation Form used to record employee infractions. It includes sections for employee information, details of the infraction, witnesses, corrective actions, and expected improvements. Both the employee and supervisor are required to sign and date the form to acknowledge understanding of the disciplinary action.

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Discipline Documentation Form

Uploaded by

jaigovind boob

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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Discipline Documentation Form

Name of Employee: _______________________________________________

Employee’s Job Title:

______________________________________________

Infraction Information

Date/Time of Infraction:
______________________________________________

Location of Infraction: _______________________________________________

Type of infraction:
Attendance, Safety
Conduct, Tardiness
Performance, Other: ___________

Description of Infraction: ___________________________________________

_______________________________________________________________
_______________________________________________________________

Witnesses: ____________________________________________________

Corrective Action to be Taken

________________________________________________________________
________________________________________________________________

Expected Improvement:
________________________________________________________________
________________________________________________________________

I, undersigned, (Name of the employee) read and understood the present

disciplinary document.

Signature of the employee: ______________________

Date: __________________________________________________

Signature of the supervisor: ______________________

Date: __________________________________________________

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Discipline Documentation Form

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Discipline Documentation Form

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Discipline Documentation Form

Name of Employee: _______________________________________________

Employee’s Job Title:

Location of Infraction: _______________________________________________

Description of Infraction: ___________________________________________

Corrective Action to be Taken

I, undersigned, (Name of the employee) read and understood the present

Signature of the employee: ______________________

Signature of the supervisor: ______________________

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