Title Page
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Company name:
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Location:
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Official document title:
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Document prepared by:
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Policies and procedures issued on:
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Policies and procedures approved by:
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Select "Add note" option under the "Policies and procedures approved by:" item above and indicate the Title of the person approving the code of conduct policies and procedures and, if applicable, the Department they belong to.
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Policies and procedures effective on:
Code of Conduct Policy
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Policy title:
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Policy number:
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Policy issued by:
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Definition of terms used in this policy:
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*FOR EXAMPLE:
[Company value] - [Description] -
Purpose of this policy:
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Official policy statement:
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*FOR EXAMPLE:
[Company name]'s Code of Conduct policy requires its [affected group] to [description of desired behavior]. [Affected group] are not allowed to [description of behavior violating the code of conduct]. -
Procedures related to this policy:
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*FOR EXAMPLE:
When communicating with others in the company, [affected group] should:
When collaborating with others in the company on a project or initiative, [affected group] should: -
Scope of this policy:
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Responsibilities of persons with regards to this policy and related procedures:
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References:
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Help contact:
For policy review:
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Policy reviewed on:
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Policy reviewed by:
For policy revision:
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Policy version number:
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Policy revised on:
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Policy revised version approved by:
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Policy revised version effective on:
Non-Smoking Policy
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Policy title:
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Policy number:
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Policy issued by:
Definition of terms used in this policy:
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Smoking
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Cigarette
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Smoking area
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Smoking prohibited area
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Purpose of this policy:
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Official policy statement:
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*FOR EXAMPLE:
Employees are not allowed to smoke in the following areas:
Customers are not allowed to smoke in the following areas:
Cigarettes and lighters are not allowed to be brought in the following areas: -
Procedures related to this policy:
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Scope of this policy:
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Responsibilities of persons with regards to this policy and related procedures:
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References:
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Help contact:
For policy review:
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Policy reviewed on:
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Policy reviewed by:
For policy revision:
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Policy version number:
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Policy revised on:
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Policy revised version approved by:
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Policy revised version effective on:
Drugs and Alcohol Policy
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Policy title:
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Policy number:
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Policy issued by:
Definition of terms used in this policy:
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Illegal drug
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Intoxicant
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Controlled substance
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Drug use
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Drug possession
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Drug sale
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Drug conveyance
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Drug distribution
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Drug manufacture
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Alcohol
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Using alcohol
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Under the influence of alcohol
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Working hours
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Hours of operation
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On company property
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Using company property
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Near company property
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Purpose of this policy:
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Official policy statement:
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*FOR EXAMPLE:
It is a violation of this policy for any [member of affected group] to use, possess, sell, convey, distribute, or manufacture illegal drugs, intoxicants, or controlled substances. Any attempt to do the same is also a violation of this policy.
It is a violation of this policy to use or be under the influence of alcohol at any time during the [member of affected group]'s working hours and during the company's hours of operation while on, using, or near company property. -
Procedures related to this policy:
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Scope of this policy:
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Responsibilities of persons with regards to this policy and related procedures:
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References:
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Help contact:
For policy review:
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Policy reviewed on:
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Policy reviewed by:
For policy revision:
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Policy version number:
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Policy revised on:
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Policy revised version approved by:
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Policy revised version effective on: