Employee Corrective Action Documentation
Employee Name
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee Email
*
example@example.com
Pod Placement
*
Regional Director
*
Neill
Nichelle
Rose
Patrick
Zach
Joe
Lizzie
Kelly/Fjola
Beau
Tripp
Kat
Mark
Eric
Rob
Jason
John
Matt
Jeff F
Jeff N
Steve
Mike
Will
Michael G
Charlie B
Trevor
Felicia
INFRACTION TYPE
*
Attendance Violation
Safety Violation
Policy/Procedure Violation
Failure to comply with Labor Regulations
Insubordination
Other
Attendance Violation Type:
*
Please Select
No call, No show (9)
Call out - less than 48 hrs notice (4)
Call out - greater than 48 hrs notice (2)
Late - 5 minutes or more (1)
9 or more demerits results in termination
DOCUMENTATION LEVEL
*
Verbal Warning
Written Warning
Final Written Warning
Suspension/Termination
INFRACTION DETAILS
*
FUTURE EXPECTATIONS
*
EMPLOYEE COMMENTS/STATEMENT
Employee Signature
*
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Name
*
First Name
Last Name
Supervisor Signature
*
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Attendance Demerits
Submit
Should be Empty: