Information
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Customer:
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Client / Site / Project Name:
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Conducted on:
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Prepared by:
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Location:
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Project Foreman:
Field Discipline Report
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Is this a Platform Contracting Employee?
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Employee Name:
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Date of Behavior Issue or Policy Violation:
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Violation Description:
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Violation Photo:
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Summary:
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Level Of Discipline
- Verbal Warning
- First Written Warning
- Second Written Warning
- Suspension
- Intervention Scheduled
- Immediate Termination
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Will employee require training / re-training?<br>
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Complete training / re-training by:
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Does the employee understand this disciplinary action?
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Disclaimer: Under the discretion of the Superintendent, Safety Director, and/or Company Management; anyone who violates Company policy, code of conduct, or performs an unsafe act; may be subject to immediate termination of employment.
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Employee Signature:
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Foreman or Superintendent Signature:
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Report Sent to the Safety Director?
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Safety Director:
Sub-Contractor Field Discipline Report
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Is this a Sub-Contractor Employee?
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Sub-Contractor Name:
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Employee Name:
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Date & Time of Violation
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Violation Description:
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Violation Photo
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Summary:
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Level of Discipline
- Verbal Warning
- First Written Warning
- Second Written Warning
- Suspension
- Intervention Scheduled
- Immediate Termination
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Does the employee understand this disciplinary action?
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Disclaimer: Under the discretion of the Superintendent, Safety Director, and/or Company Management; anyone who violates Company policy, code of conduct, or performs an unsafe act; may be subject to immediate termination of employment.
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Employee Signature:
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Foreman or Superintendent Signature:
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Report sent to the Safety Director?
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Safety Director:
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Report forwarded to Sub-contractors home office?
