Fillable Printable Employee Corrective Action
Fillable Printable Employee Corrective Action
Employee Corrective Action
EMPLOYEE CORRECTIVE ACTION
Employee Name:
Social Security #:
Position:
Manager:
TYPE OF ACTION:
Verbal Counseling
Suspension
Written Warning
Final Warning
Discharge
CHECK THE FOLLOWING REASON(S) AND THEN COMPLETE A & B:
Unsatisfactory Performance
Failure to Report to Work
Tardiness/Absence
Insubordination
Violation of Company Policy
(Specify Violation under Reason of Action)
Other
Explain:
A: REASON FOR ACTION: Describe the specific performance problem or the incident; include dates where applicable. Use additional
paper if needed.
B: CORRECTIVE ACTION REQUIRED: Describe corrective action the employee must take to correct the problem; include time frame for
improvement, if appropriate.
IF PERFORMANCE DOES NOT IMPROVE, THE NEXT STEP WILL BE:
Written WarningFinal WarningDischarge
Date Discussed with Employee:
Employee
Comments:
I have read and understand this corrective action. I understand that if my performance does not improve, I may receive further correction
action, including discharge.
If you are submitting this form via email, be sure to print the PDF before submitting or save the PDF to your files. You may be
asked to provide this completed document in print form by Burdg-Dunham at a later date.
Employee's Signature
Date
Superintendent's Signature
Date
Project Manager's Signature
Date
Burdg-Dunham does accept digital signatures. By typing in your name in the Signature
field of this form and submitting via email, your signature provided in the data submitted
will be considered legally binding.
Burdg-Dunham does accept digital signatures. By typing in your name in the Signature field of this form and
submitting via email, your signature provided in the data submitted will be considered legally binding.
