Employee Warning Record

EMPLOYEE WARNING RECORD
Clock or
Payroll No.
Dept.
Employee's Name
Date of
a.m.
Time
Shift
Warning
p.m.
Date of Violation
NATURE
Substandard Work
Conduct
Tardiness Attitude
Time of Violation
OF
Carelessness Disobedience
VIOLATION
Place Violation Occurred
WHEN WARNED and BY WHOM
HAS EMPLOYEE
Form of
Warning
BEEN WARNED
3rd Warning
1st Warning 2nd Warning
PREVIOUSLY?
YES
No
The absence of any statement on the part of the EMPLOYEE indicates his/her agreement with the report as stated.
I have entered my version of the matter above.
Employee's Signature
Date
Approved By
Date
Name
Title
I have read this ''warning'' and understand it.
Signature of person
Date
Title
who prepared warning
Employee's Signature
Date
DISTRIBUTION OF COPIES
Employee
Personnel Department
Supervisor's Signature
Date
Foreman or
Plant Manager
Employee's Union Rep.
Supervisor
WARNING
COMPANY REMARKS
EMPLOYEE' S REMARKS RE: VIOLATION
ACTION TO BE TAKEN
BA Form #30
Verbal
Written
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