DISCIPLINARY ACTION / COUNSELING REPORT

• Type pf Disciplinary

  Select Verbal Warning / Advertencia Verbal Written Warning / Advertencia escrita Second Warning / Segunda Advertencia Third Warning / Tercera Advertencia

  • Verbal Warning / Advertencia Verbal
  • Written Warning / Advertencia escrita
  • Second Warning / Segunda Advertencia
  • Third Warning / Tercera Advertencia

• Conducted on

  Date

• Prepared by

• Employee receiving the counseling

• Report Date

  Date

• Date of Occurrence

  Date

• Time of Occurence

  Date
• Location
  Address

• Action Taken (Depending on the nature of the offense, Piedmont Steel Company reserves the right to skip any steps at its discretion.)

  Select Coaching Verbal Warning Written Warning Suspension Termination Other

  • Coaching
  • Verbal Warning
  • Written Warning
  • Suspension
  • Termination
  • Other

• How Many Days?

• What Action Will Be Taken?

• What Action Will Be Taken?

• What Action Will Be Taken?

• What Action Will Be Taken?

• How many times has the employee been counseled?

  First

  Second

  Third

  Final Warning

Description of Issue

• Select all that apply

  Select Absence Tardiness Conduct Safety Violation Policy Violation Substandard Performance Other

  • Absence
  • Tardiness
  • Conduct
  • Safety Violation
  • Policy Violation
  • Substandard Performance
  • Other

• What was the issue?

• Detailed explanation of issue

• Goals and/or Corrective Behaviors

Should your record continue to be unacceptable in the above area(s), the company will find it necessary to take the following disciplinary action (or more depending on the situation):

• Select all that apply

  Select Written Warning Final Warning Suspension Termination Other

  • Written Warning
  • Final Warning
  • Suspension
  • Termination
  • Other

• How many days?

• Enter the type of disciplinary action

• Employee Comments

You are formally being warned to bring to your attention the SEVERITY of this situation. Failure to correct this behavior and/or further violation of company policy will result in additional disciplinary action up to and including discharge. By signing below you acknowledge that you have received this notice.

• Was the reason for this disciplinary explained to you?

  Yes

  No

• Employee's Name

  Sign

• Name of Person Conducting Counseling

  Sign

• Witness's Name

  Sign

• Date and time of completion

  Date