Discipline

• Name of Employee - Employee Write Up - Supervisor

• Written on:

  Date

• Prepared by:

  Select Jason Corbin Scott Taylor Anthony Beverly James Brown Lee Ratliff Richard Dickinson Hugh French Michael Wright James Shifflett Chuck Ayers Joseph Bailey Michael Dwyer Doug Tait Susan Tait Christopher Cole Tom Chestnut Sudip Umachigi Tom Manley Gary Berghan Clyde Eppard Mark Davis

  • Jason Corbin
  • Scott Taylor
  • Anthony Beverly
  • James Brown
  • Lee Ratliff
  • Richard Dickinson
  • Hugh French
  • Michael Wright
  • James Shifflett
  • Chuck Ayers
  • Joseph Bailey
  • Michael Dwyer
  • Doug Tait
  • Susan Tait
  • Christopher Cole
  • Tom Chestnut
  • Sudip Umachigi
  • Tom Manley
  • Gary Berghan
  • Clyde Eppard
  • Mark Davis
• Location (Drop Pin for GPS & Address):
  Address

VIOLATION

• Employee name:

• Employee Photo:

  Media

• Supervisor name:

  Select Jason Corbin Scott Taylor Anthony Beverly James Brown Lee Ratliff Richard Dickinson Hugh French Michael Wright James Shifflett Chuck Ayers Joseph Bailey Michael Dwyer Doug Tait Susan Tait Christopher Cole Tom Chestnut Sudip Umachigi Tom Manley Gary Berghan Clyde Eppard Mark Davis

  • Jason Corbin
  • Scott Taylor
  • Anthony Beverly
  • James Brown
  • Lee Ratliff
  • Richard Dickinson
  • Hugh French
  • Michael Wright
  • James Shifflett
  • Chuck Ayers
  • Joseph Bailey
  • Michael Dwyer
  • Doug Tait
  • Susan Tait
  • Christopher Cole
  • Tom Chestnut
  • Sudip Umachigi
  • Tom Manley
  • Gary Berghan
  • Clyde Eppard
  • Mark Davis

• Type of Problem or Violation:

  Select Tardiness Absenteeism Insubordination Quality of Work Quantity of Work Carelessness Drug or Alcohol Use Safety Violation Harassment Violation of Company Policy Other

  • Tardiness
  • Absenteeism
  • Insubordination
  • Quality of Work
  • Quantity of Work
  • Carelessness
  • Drug or Alcohol Use
  • Safety Violation
  • Harassment
  • Violation of Company Policy
  • Other

• Please explain:

• Violation Date & Time

  Date

• Details of occurrence:

• Type of warning

  Verbal Warning

  Written Warning

  Serious Warning

  Other

• Offense level

  Verbal

  1st offense

  2nd offense

  Final offense

• Picture of violation, behavior or other if applicable:

  Media

ACTION

• Action taken:

  Select Verbal Warning Written Reprimand 1-Day Suspension 3-Day Suspension Indefinite Loss of Driving Privledges Indefinite Loss of Equipment Operator Privledges Termination for Cause

  • Verbal Warning
  • Written Reprimand
  • 1-Day Suspension
  • 3-Day Suspension
  • Indefinite Loss of Driving Privledges
  • Indefinite Loss of Equipment Operator Privledges
  • Termination for Cause

• Corrective action plan (Include a clear statement as to consequences for failing to improve).

• Deadline for improvement

  Date

W.C. Spratt, Inc. Employee Statement (Check Proper Box)

• I agree with the details identified in this report

• I disagree with the details identified in this report because:

• Please explain:

• Employee Signature:

  Sign

• Employee statement:

Approvals

• Was this a safety based infraction?

  Yes

  No

• Safety Manager

  Sign

• Direct Manager:

  Sign

• Senior Management:

  Sign

• Human Resources:

  Sign

• Executive:

  Sign