SABRE Southbridge - SAFETY DISCIPLINARY WARNING

• Document No.

Disciplinary Action

• Southbridge Location

• Conducted on

  Date

• Prepared by

• Personnel

SAFETY DISCIPLINARY WARNING NOTICE

• Employee's Name:

• Select date

  Date

• Department:

• Job Classification

  Select Welder I Welder I I Fitter I Fitter I I Welder/Fitter Inventory Machine Operator Maintenance Other

  • Welder I
  • Welder I I
  • Fitter I
  • Fitter I I
  • Welder/Fitter
  • Inventory
  • Machine Operator
  • Maintenance
  • Other

• Enter Comments, if any

• Employer

  Select Sabre Jag Other

  • Sabre
  • Jag
  • Other

• REASON FOR DISCIPLINARY NOTICE:

  Select Safety Eyewear Boots Crane Operation Ear Protection Hand Protection Unsafe Actions Other

  • Safety Eyewear
  • Boots
  • Crane Operation
  • Ear Protection
  • Hand Protection
  • Unsafe Actions
  • Other

• Detailed Comments of Infraction:

• Add media

  Media

• Add media

  Media

• ACTION TAKEN

• Verbal Warning

• Step 1, Written Warning

• Step II, Final Written Warning

• Step III, Termination

• Suspension

• # of Days

• Decision:

• 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.