Disciplinary Notice

  • Enter Name of Team Member Here Followed by "Disc":

Disciplinary Notice

  • Employee Name

  • Operator/Supervisor Name

  • Witness Name(s) if any:

  • Choose Documentation Type

  • Please provide a statement of the issue/occurrences (include date, location and description of incident/issue)

  • Relevant Unit Policy

  • Has the team member received prior warnings on the subject?

  • How many and what kind?

  • Was the Team Members activity in violation of a written Unit policy?

  • If yes, describe how:

  • Describe the corrective action to be taken by the team member:

  • Consequences of failure to improve performance or correct behavior:

  • Team member statement:

  • By signing below, I am stating that I have read and understand the information provided in this notice. I also understand that further violations/occurrences could lead to further disciplinary action up to and including termination.

  • Team Member Signature:

  • Leadership Signature:

  • Witness Signature:

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.