Employee Warning Disciplinary Notice

							                                  EMPLOYEE WARNING NOTICE


        A copy of this document to be given to employee on each occasion a warning is given.


                                                DETAILS

Employee name

Date of warning

Time

Employee/Payroll No.

Department

Shift

                                 REASON(S) FOR ISSUE OF WARNING

Attendance                                              Timekeeping

Attitude                                                Work performance
                                                        Wilful damage/vandalism to material
Discrimination (specify below)
                                                        or equipment
Failure to follow instruction/
                                                        Unsatisfactory conduct
Insubordination
Neglect of Company policies (specify
                                                        Working on non-Company business
below)
Health and Safety rules                                 Other (please specify below)

                                 FULL DETAILS OF THIS OCCURRENCE

Date of incident                                                ………/………/………

Time                                                            …….………. am / pm

Details:
                    PREVIOUS WARNINGS

Verbal warning


Date issued

By whom

Brief description




Written warning


Date issued

By whom

Brief description




Final warning

Date issued

By whom

Brief description




                     ACTION TO BE TAKEN

 Verbal warning

 Written warning

 Final warning

 Dismissal

 Other




                      EMPLOYEE DECLARATION
I have read the contents of this Notice and understand it.

Signature

Date                                                         ………/………/………

Manager who issued the warning

Signature

Date                                                         ………/………/………

Appeals procedure: If you believe the decision is unfair, you may appeal to a senior member of staff or
manager unconnected with the decision within five working days (or time specified in your contract of
employment). He or she will make a final decision as to whether the warning shall stand or not.

Copy issued to employee on (date)                            ………/………/………
Signed as received