SUPERVISOR FORM - DISCIPLINARY FORM Sweetwater Pools

Employee Name*

Department/Position

Employee Email Address*

Enter Email Confirm Email

Supervisor Name*

Date of Incident

Time of Incident

:

Type of Action

Written warning
Verbal warning

Type of Incident/Improper Behavior

Safety
Conduct
Driving
Tardy/No Show
Duties
Uniform
Insubordination
Other

Statement of the problem:

Has the employee received prior warnings on this subject?

Yes
No

Was the employee's activity in violation of Company policy?

Yes
No

If yes, describe how:

Corrective Action to be Taken:

Suspension

from

to

Monentary/Fine

$ Amount

Termination

Effective

Transfer

New pool

Other

Describe the corrective action to be taken by the Company and/or employee:

Consequences of failure to improve or correct behavior:

If my performance fails to meet Sweetwater Pools standards it may result in loss of hours, loss of current or future bonus, or termination. Sweetwater reserves the right to withhold my quarterly, end of season or any other type of bonus at its discretion based on my performance or lack of and disciplinary write ups throughout the season.

Employee Statement:

Which office would you like to submit this form to?*

Employee Signature*

Supervisor Signature*

Witness Signature

DISCIPLINARY FORM

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