Employee Non-compliance Notice

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Employee Name:

• Employee Job Title:

  Select Black Hat Supervisor Part 2 Scaffolder Part 1 Scaffolder (Trainee) COTS Labourer Driver Other

  • Black Hat Supervisor
  • Part 2 Scaffolder
  • Part 1 Scaffolder (Trainee)
  • COTS Labourer
  • Driver
  • Other

• Department:

  Scaffolding Division

  Roofing Division

  Logistic Division

Type of Notice

• First Notice

  Date

• Second Notice

  Date

• Final Notice

  Date

Type of Offense

• Timekeeping.

  Yes

  No

  N/A

• Substandard Work.

  Yes

  No

  N/A

• Absenteeism.

  Yes

  No

  N/A

• Violation of Safety Rules.

  Yes

  No

  N/A

• Violation of Company Policies.

  Yes

  No

  N/A

• Type of Offense Rudeness to Customer/Coworkers.

  Yes

  No

  N/A

• Other/Please specify

  Yes

  No

  N/A

Acknowledgement of Receipt of Notice

• By signing this form, you confirm that you understand the information in this notice. You also confirm that you and your Manager/Supervisor have discussed the non-compliance and a Plan for Improvement . Signing this form indicates that you agree with this non-compliance notice.

• Employee Signature

  Sign

• Manager Signature

  Sign

• Witness Signature (if employee understands non-compliance notice but refuses to sign)

  Sign