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Employee Incident and Dicipline Documentation Form

This document is an employee incident and discipline form that contains sections for employee information, incident details, witness information, and action taken. It is used to document incidents involving employees such as absenteeism, tardiness, or other issues and the disciplinary actions taken as a result such as being spoken to, terminated, or other actions. The form requires information such as the employee's name and job title, dates and description of the incident, any witnesses, explanations given by the employee, the action taken by management, and signatures.

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Jobelle Cariño Resuello
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297 views2 pages

Employee Incident and Dicipline Documentation Form

This document is an employee incident and discipline form that contains sections for employee information, incident details, witness information, and action taken. It is used to document incidents involving employees such as absenteeism, tardiness, or other issues and the disciplinary actions taken as a result such as being spoken to, terminated, or other actions. The form requires information such as the employee's name and job title, dates and description of the incident, any witnesses, explanations given by the employee, the action taken by management, and signatures.

Uploaded by

Jobelle Cariño Resuello
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EMPLOYEE INCIDENT AND DISCIPLINE DOCUMENTATION FORM

Employee Information

Employee Name Employee Job Title

Incident Information

Absent from work Late to work Other

If absent/late to work, list date(s): t


From o

Received Doctor’s note:Yes No

Other incident:
Date of
Incident

Description of Incident:

Witness(es) to incident ________________________________________________________

Action Taken

What action was taken against the employee?

Spoke to employee Terminated employee Other

Did the employee offer any explanation for the conduct? If so, what was it?
Manager’s/Head’s Signature Date

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