Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
This report is designed to record detailed information of a corrective action task or tasks that has not been completed by a specified due date. This report is an official documented record and can and will be used if required for future disciplinary action
Employee details
-
Employee Name
-
Employee I.D
Task details
-
What was the specific task that was required to be completed?
-
When was the task due to be completed by?
-
What method was used to notify the employee that they had a specific task requiring corrective action?
-
Did the employee acknowledge that they received and understood the details of the task that was required?
-
Did the employee acknowledge that they understood when this task was due by?
-
Are you satisfied with the reason why this task was not completed?
-
Have you explained that non compliance to a fair and reasonable directive may result in disciplinary action?
-
Is disciplinary action required in this instance. If not provide a brief description as to why
-
When will the corrective action task be reviewed to confirm complete?
-
Does the employee understand that if this task is not completed by the review date disciplinary action will be taken?
Conclusion
-
I hereby acknowledge that this report has been carried out in a fair and reasonable manner. I acknowledge that this report may be used for disciplinary action and I acknowledge that all information is accurate to the best of my knowledge.
Review
-
Date corrective action reviewed
-
Have the corrective action item or items been completed?
-
Is any further action required?
-
If the corrective actions have not been carried out by the review date further action MUST be taken
-
I hereby sign off the acknowledge that the corrective action that was requested has been carried out to a satisfactory level and no further action is required
