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employee warning letter

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					Sample: Element 1.7
Employee Warning Report



Employee Warning Report

Employee’s Name:       _________________________________________

Date of Warning:       _________________________________________

Project:               _________________________________________

Warning Issued by:     _________________________________________


Type of Violation:     [ ] SAFETY             [ ] OTHER


Supervisor’s Report
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Supervisor’s Signature: _______________________________ Date: _________________

Employee’s Statement
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________


Employee’s Signature: ________________________________ Date: _________________


[ ] I would like to receive a copy of this statement for my records.


                Please be aware that this report will be kept on file
                at the home office, and the issue may be discussed
                    at a health and safety meeting in the future.