Information

  • Job No.

  • Audit Title

  • Client / Site / Project Name

  • Conducted on

  • Prepared by

  • Location
  • Project Supervision:

Field Discipline Report

  • Is this a A&P Employee?

  • Employee Name:

  • Date of Behavior Issue or Policy Violation

  • Violation Description:

  • Violation Photo

  • Summary:

  • Level Of Discipline

  • Does employee accept disciplinary action?

  • Employee has been made to understand that any failure to immediately correct behavior and or policy violation will result in possible immediate termination.

  • Employee Signature

  • Foreman or Superintendent Signature:

  • Report Sent To Regional Safety Director

Sub-Contractor Field Discipline Report

  • Is this a Sub-Contractor Employee?

  • Sub-Contractor Name:

  • Employee Name:

  • Date & Time of Violation

  • Violation Description:

  • Violation Photo

  • Summary:

  • Level of Discipline

  • Does employee accept disciplinary action?

  • Employee has been made to understand that any failure to immediately correct behavior and or policy violation will result in possible immediate termination.

  • Employee Signature:

  • Foreman or Superintendent Signature:

  • Report Sent To Regional Safety Director

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.