Progressive Discipline Form printable pdf download

Progressive Discipline Form

PROGRESSIVE DISCIPLINE FORM

Please complete all sections.

The intent of this form is to help the employee by discussing the problem and developing an action plan to

improve performance and/or conduct. The employee is warned that if they continue to show this type of

behaviour, they will be subject to future discipline up to and including termination.

Warning Given to the Employee:

Check Below to Indicate the Level of Progressive Action:

Oral Warning (note to file) 

Written Warning 

Termination with Cause* 

Employee Name:

Date:

Restaurant #:

* For Terminations please provide a Payroll Status Form and all applicable documentation to Payroll/Human

Resources at FMI US corporate/head office.

Explanation of the Situation:

Employee Explanation:

Expectation/Action to Resolve:

Consequences:

If the issues specified above are not resolved and expectations are not met you will (check one):

____ Receive a Written Warning

____ Receive a Final Written Warning

____ Receive Suspension without pay for ______ (#) days

____ Have your employment terminated immediately with documented cause.

Prior Incidents: (please indicate all prior documented incidents)

Date

Details of Prior Incidents

Employee Comments:

__________________________________

__________________________

Employee Name and Signature

Date

__________________________________

___________________________

Manager Name and Signature

Date

__________________________________

___________________________

Witness Name and Signature (if employee refuses to sign)

Date

Progressive Discipline Form