SABRE SAFETY DISCIPLINARY WARNING NOTICE - Local

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SAFETY DISCIPLINARY WARNING NOTICE

• Employee's Name:

• Select date

  Date

• Department:

• Job Classification:

• Contract Labor Name: (Jag, Smith, Regal etc.)

• REASON FOR NOTICE:

• Add media

  Media

• PPE

• Welding

• LOTO

• Forklift

• Crane

• Proper use of Tools

• Failure to report Accident/ Incident.

• ACTION TAKEN ON THIS NOTICE:

• Step 1, Written Warning

• Step II, Final Written Warning

• Step III, Termination

• Decision:

• ISSUE:

• SUPERVISOR'S COMMENTS:

• EMPLOYEE'S COMMENTS:

• EMPLOYEE'S SIGNATURE

  Sign

• Select date

  Date

• SUPERVISOR'S SIGNATURE

  Sign

• Select date

  Date

NOTE: If, in the opinion of the Company, an infraction is serious enough, any and all steps may be bypassed and discharge may occur at any time. A copy of this notice will be offered to the employee and a copy placed in the employee's personnel file.