Information

  • Conducted on

  • Prepared by

  • Personnel

Employee Information

  • Employee Name

  • Must put Name

Type of Warning

  • Type of Warning

  • You do not have to enter Plan for Improvement

Type of Offense

  • Type of Offense

  • Enter Other Reason

Details

  • Description of Infraction

  • Plan for Improvement

  • Consequences of Further Infractions

Acknowledgement of Receipt of Warning

  • Employee Signature

  • Witness Signature (if employee understands warning but refuses to sign)

  • Manager Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.