Free employee warning notice 05Free employee warning notice 05
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Employee Warning Notice
Employee Name
Employee Payroll #

Department

Date of Warning
Shift

1. Type of Violation
Attendance
Failure to follow instructions
Unsatisfactory work quality
Violation of safety rules
Rudeness to employees or customers
Other
2. Previous Warnings
Oral

Tardiness or early quit
Carelessness
Working on personal matters
Willfull damage to material or equipment
Violation of company policies or procedures

Written

Date

By whom

1st Warning
2nd Warning
3rd Warning
3. Employer Statement
Date of Incident

Time

4. Employee Statement
I agree with Employer's Statement.
I disagree with Employer's description of violation for these reasons:

5. Action(s) to be taken
Warning
Probation
Consequence should incident occur again

Suspension

6. Notice acknowledgment
I have read this Empoyee Warning Notice and understand it.
Signiture of employee
Signiture of supervisor who issued warning

Dismissal

Other

(Rev. 08/03)

f.x.hr.wa