Written Warning Form

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WRITTEN WARNING FORM
REMINDER: EXPLAIN TO EMPLOYEE THAT THIS IS NOT A DISCIPLINARY HEARING, BUT HE
/SHE STILL HAS THE RIGHT OF REPRESENTATION; INTERPRETATION; TO QUESTION
EVIDENCE; TO STATE THEIR CASE AND TO APPEAL AGAINST THIS WARNING.
DATE
:
NAME AND SURNAME:
CO. NO.:
POSITION:
PREMISES:
DATE OF THE OFFENCE/S:
REASONS (OFFENCES):
TYPE OF WARNING: 1) VERBAL 2) FIRST 3) SECOND 4) SERIOUS
WARNING GIVEN:
PERIOD ON FILE (VALIDITY):______________
REMINDER: EXPLAIN TO THE EMPLOYEE THE REASONS FOR THE TYPE OF WARNING THAT
IS GIVEN TO THE SPECIFIC OFFENCE.
CONSEQUENCES IF THE EMPLOYEE DOES NOT CHANGE BEHAVIOUR:
Any further transgressions related or unrelated to the offences shall result in further
disciplinary action which can lead to a disciplinary hearing and it can result in your
dismissal. Refer to counselling dated: _______________
COMMENTS BY EMPLOYEE:
PREVIOUS DISCIPLINARY ACTION (still valid on file) DATE AND OFFENCE:
1)
2)
3)
EMPLOYEE: _________________CO. NO.
______________
______________________
______________________
EMPLOYEE SIGNATURE
DATE
_______________________
_______________________
MANAGER SIGNATURE
WITNESS SIGNATURE

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