Employee Warning Notice

Employee Warning Notice

Employee Name_______________________________________________	Date of Warning________/_______/_______/_________

Type of Violation
Attendance_____	Failure to Follow Instructions_____	Violation of Safety Rules________
Rudeness to Customers_____	Willful Damage to Equipment_____	Working on Personal Matters____
Unsatisfactory Work Quality_____	Violation of Company Policies_____	Other_________________________

Previous Warning	Date	By Whom
1st Warning	_______________	__________________________
2nd Warning	_____________	__________________________
3rd Warning	_____________	__________________________

Employer Statement

Date of Incident ____/____/____ Time ___:___ am / pm

______________________________________________

Employee Statement

I Agree with employer's statement

I Disagree with employer's discription of violations

The Reasons are: _________________________________________________

_________________________________________________

Employee Signature________________Date___/___/___

Consequence should incident occur again: ________________________________________________________________________

________________________________________________________________________________________________________________________

I have read this Employee Warning Notice and understand it.

Signature of Employee __________________________________ Date__________/__________/__________

Signature of Supervisor _________________________________ Date __________/__________/__________