Example For Employee Write Up Form

Monday, June 12th 2017. | Sample Forms
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Example For Employee Write Up Form

Employee Name: [Employee’s Full Name]
Employee ID: [Employee Identification Number]
Department: [Employee’s Department]
Job Title: [Employee’s Job Title]
Date of Write-Up: [Date the Form is Being Filled Out]

Reason for Write-Up:
[Clearly and specifically state the reason for the write-up. Include relevant details such as dates, times, specific policy violations, or performance issues. Be objective and avoid personal opinions or subjective language.]

Examples of Reasons:
Attendance: Unexplained absence, excessive tardiness, frequent early departures.
Performance: Failure to meet deadlines, poor quality of work, low productivity.
Conduct: Violation of company policies (e.g., dress code, safety regulations, harassment), unprofessional behavior, inappropriate language.

Description of Incident:
[Provide a detailed description of the incident that led to the write-up. Include specific examples of the employee’s actions or behavior. Be objective and focus on observable facts.]

Previous Warnings/Discussions:
[Document any previous verbal or written warnings given to the employee regarding the same or similar issues. Include dates and specific content of previous discussions.]

Employee’s Explanation:
[Provide space for the employee to explain their side of the story. Allow the employee to provide context or clarifying information.]

Corrective Action Plan:
[Outline the specific steps the employee needs to take to correct the issue. Set clear expectations for improvement and establish timelines.]

Examples of Corrective Actions:
Performance Improvement Plan: Develop a detailed plan with specific goals, timelines, and support mechanisms to improve performance.
Training: Require the employee to attend training sessions on relevant topics (e.g., time management, communication, company policies).
Formal Warning: Issue a written warning stating the consequences of continued violations.

Consequences of Future Occurrences:
[Clearly state the potential consequences of repeated violations or failure to improve. These consequences could include further disciplinary action, suspension, or termination.]

Employee Acknowledgement:
[Include a section for the employee to sign and acknowledge receipt of the write-up form. The employee’s signature does not necessarily indicate agreement with the write-up but confirms that they have received and reviewed it.]

Employee Signature: _________________________ Date: ___________
Supervisor Signature: _________________________ Date: ___________

Important Notes:

  • Consult HR: Always consult with your Human Resources department before issuing a formal write-up to ensure compliance with company policies and legal requirements.
  • Documentation: Maintain accurate and detailed documentation of all employee write-ups, warnings, and disciplinary actions.
  • Consistency: Apply disciplinary actions consistently and fairly across all employees.
  • Legal Considerations: Be aware of potential legal ramifications, such as wrongful termination claims.
  • Focus on Improvement: The primary goal of a write-up should be to improve employee behavior and performance.

Example For Employee Write Up Form :

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