Title Page
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Site conducted
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Conducted on
Untitled Page
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Manager in charge
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Employee name
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Violation
- Attendance
- Late
- Early quit
- Failure to complete required task
- Inappropriate Behavior
- Failure to follow directive
- other
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Description of Violation
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Action to be taken
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Consequences should incident occur again
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Employee comments
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Employee signature
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Manager comments
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Manager Signature
