CMTD Employee Write-Up

Employee Write-Up
Employee Name:*

First NameLast Name
Job Title:*
Date of submission:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Supervisor Submitting Write-Up:*

First NameLast Name
Reason for Write-Up:*

Failure to use softwareTardiness / Leaving work earlySubstandard quality of workAbsenteeismViolation of safety rulesViolation of company policiesFailure to follow proceduresRude behavior directed at customers or co-workersDamage, misuse, or poor treatment of equipmentOut of uniform / PPEOther
Description of Incident:*
Cost of damage / incident:
Consequence of incident:*

Verbal warningFurther unpaid training1st write-up2nd write-upUnpaid day offRemainder of the week suspended without pay1 week suspension without pay2 week suspension without payTermination
Plan for improvement:
Consequence of further incidents*

Further unpaid training1st write-up2nd write-upUnpaid day offRemainder of the week suspended without pay1 week suspension without pay2 week suspension without payTermination
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