Information
-
Job No.
-
Audit Title
-
Client / Site / Project Name
-
Conducted on
-
Prepared by
-
Location
-
Project Supervision:
Field Discipline Report
-
Is this a JMCC Employee?
-
Employee Name:
-
Date of behavior issue or policy violation
-
Violation Description:
-
Summary:
-
Level Of Discipline
- Verbal Warning
- Written Warning
- Second Written Warning
- Suspension
- Immediate Termination
- Safety Violation Immediate Termination
-
Does employee accept disciplinary action?
-
Employee has been made to understand that any failure to immediately correct behavior and or policy violation will result in possible immediate termination.
-
Employee Signature
-
Foreman or Superintendent Signature:
-
SSHO (Site Safety & Health Officer) Signature
-
Report Sent To Jerry Flemming Risk Management and copy Natalie Pedraza HR Department.
Sub-Contractor Field Discipline Report
-
Is this a Sub-Contractor Employee?
-
Sub-Contractor Name:
-
Employee Name:
-
Date & Time of Violation
-
Violation Description:
-
Summary:
-
Level of Discipline
- Verbal Warning
- Written Warning
- Second Written Warning
- Suspension
- Immediate Termination
- Safety Violation Immediate Termination
-
Does employee accept disciplinary action?
-
Employee has been made to understand that any failure to immediately correct behavior and or policy violation will result in possible immediate termination.
-
Employee Signature:
-
Foreman or Superintendent Signature:
-
SSHO (Site Safety & Health Officer) Signature:
-
Report Sent To Jerry Flemming Risk Management and copy Natalie Pedraza HR Department.