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S.A. Comunale Co., Inc. Safety Disciplinary Action
S.A. Comunale Co., Inc. Safety Disciplinary Action
Hannah Henry

S.A. Comunale Co., Inc. Safety Disciplinary Action

Safety Violation

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Free S.A. Comunale Co., Inc. Safety Disciplinary Action Checklist

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Information

  • Employee Name

  • Branch

  • Job Site

  • Location

  • Conducted on

  • Prepared by

  • Foreman

  • Project Manager

Violation Information

  • Type of Violation: For each violation, check the box. An explanation is required in the comment section of the checked violation.

  • Not wearing proper PPE/Proper Work Clothing

  • Comments

  • Not reporting occupation injury via WorkCare

  • Comments

  • Horse Play

  • Comments

  • Disabling or unhooking safety devices

  • Comments

  • Improper Housekeeping

  • Comments

  • Working under the influence

  • Comments

  • Driving Violation

  • Comments

  • Ladder Violation

  • Comments

  • Fall Protection or Fall Exposure Violation

  • Comments

  • Other

  • Comments

Discipline Information

  • Discipline Information

  • Recommended Discipline

  • Previous Discipline Issued? (If yes, explain type of violation and date it occurred.)

  • Next Steps

Acknowledgements

  • Employee Acknowledgement - (Please note: employees who refuse to sign this document still remain subject to the disciplinary action to be enforced, i.e. suspension/termination

  • Add signature

  • Select date

  • Management Acknowledgement

  • Add signature

  • Select date

S.A. Comunale Co., Inc. Safety Disciplinary Action
Hannah Henry

S.A. Comunale Co., Inc. Safety Disciplinary Action

Safety Violation

Use this Template
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.

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