Title Page
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Employee Name
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Conducted on
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Prepared by
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Location
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Use this audit to document a verbal, written, or final warning for any employee.
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Employee Name
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Employee Job Title
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Date/Time of incident
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Type of Infraction (choose all that apply)
- Attendance/Tardiness
- Misconduct
- Performance
- Policy Violation(s)
- Safety Violation
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Discipline Action (choose 1)
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Brief Description of Event
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Standards not Achieved
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Expectations/Timeline
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Next Steps/Follow Up
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Employee Comments
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Employee Signature (signature confirms you have read and understand this document)
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Supervisor Signature
