Title Page
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Document No.
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Date
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Employee name
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Prepared by
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Employee Written Warning Letter / Notice of Probation
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Employee name
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Employee Title
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Date of incident
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Describe the incident/Infraction .
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The above referenced incident is being documented and acknowledged as a failure by the employee named above, either to adhere to Company policy, follow instructions, or exercise appropriate care and caution of equipment owned by Lindamood Demolition and operated by the named employee. The number of incidents due to this employees actions is listed above, and the proportional disciplinary action/s are documented immediately below. Should another incident occur this employee may be subject to being placed on probation, given days away from work without pay, termination, or other disciplinary action as determined appropriate by Company management.
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List any previous verbal warnings, written warnings and probationary actions involving this employee. Please include dates and a short description for each.
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Detail the disciplinary action being taken, if the employee is being put on probation note how long they will be on probation and the consequences of breaking probation.
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If the employee has any comments about this disciplinary action allow them to write down their comments and take a clear picture of the written document.
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Company representative conducting this write-up
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By signing this form I am not making any admission of wrongdoing nor am I necessarily agreeing with the content of this document. My signature only acknowledges that I have reviewed this document and that I have discussed it's content, including the consequences of future incidents/infractions with my supervisor.
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Employee signature
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Company representatives signature
