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 Warning Final Warning Discharge

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.