Audit

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

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.