Employee Written Warning

• Warning Title (Name - Area - #)

• Employer

  Green Country Interiors

  Express

  RTM

  AA

• Date/Time of Incident

  Date

• Job Site Name & Number

  Select HighRisk LDR - OU Children's Hospital (15031) OU PAC Stage 2 Reno - TCH (15052) Gulfport Energy Headquarters Building (15054) State Capitol Building Improvements (15059) OSU Spears School of Business (16004) St Francis Xavier Catholic Church (16006) OSU Central Plant (16013) OUMC Presbyterian Tower (16031) OSU Engineering North 5th Floor (16041) OSU Multi-Species Facility (16053)

  • HighRisk LDR - OU Children's Hospital (15031)
  • OU PAC Stage 2 Reno - TCH (15052)
  • Gulfport Energy Headquarters Building (15054)
  • State Capitol Building Improvements (15059)
  • OSU Spears School of Business (16004)
  • St Francis Xavier Catholic Church (16006)
  • OSU Central Plant (16013)
  • OUMC Presbyterian Tower (16031)
  • OSU Engineering North 5th Floor (16041)
  • OSU Multi-Species Facility (16053)

• Prepared By

  John Stephens (Green Country Interiors)

• Employee Name

• Supervisor's Name

• Witness Name

Warning Details

• Reason For Warning

  Select Safety Violation or Unsafe Work Habits Not Willing To Follow Supervisors Direction Causing Dissention Among Workers Poor Attitude or Initiative / Unwilling or Unable To Work With Others Other: Specify Reason Below Theft of Company or Other Employee Property Possession of Explosives or Firearms Possession of / Under The Influence of Drugs or Alcoholic Any Fighting on Company Property (Physical Contact)

  • Safety Violation or Unsafe Work Habits
  • Not Willing To Follow Supervisors Direction
  • Causing Dissention Among Workers
  • Poor Attitude or Initiative / Unwilling or Unable To Work With Others
  • Other: Specify Reason Below
  • Theft of Company or Other Employee Property
  • Possession of Explosives or Firearms
  • Possession of / Under The Influence of Drugs or Alcoholic
  • Any Fighting on Company Property (Physical Contact)

• Details of Incident/Violation

• Warning Type

  1st (Improvement Mandatory)

  2nd (Removed 1 Day)

  3rd (Removed 3 Days)

  4th (Meeting With Management)

• Has the conduct of the employee's actions been explained to the employee?

  Yes

  No

  N/A

• Additional comments from employee:

• Additional comments from supervisor:

Signatures

• Employee signature

  Sign

• Supervisor signature

  Sign

• Inspector signature

  Sign