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Appendix B — Employee Warning Notice

Safety Manual · 2026 Edition · Rev 2.0 · Effective August 2026 · Owner DF

Employee Warning Notice

3F Construction LLC • 202 N. Justine Street, Chicago, IL 60607 • (312) 296-4855

Employee ________________________________ Department / crew __________________

Supervisor ________________________________ Date of notice __________________

Date of incident ________________________ Time ______________

Location / project _______________________________________________________

Previous warningsOralWrittenDateBy whom
1st warning
2nd warning
3rd warning

Employer statement (rule or procedure violated; corrective action required):

______________________________________________________________________________________

______________________________________________________________________________________

Employee statement: I ☐ agree ☐ disagree with the employer's statement. Reasons:

______________________________________________________________________________________

Action to be taken: ☐ Warning ☐ Probation ☐ Suspension ☐ Dismissal ☐ Other: ______________

Consequences should the conduct occur again:

______________________________________________________________________________________

I have read this warning and understand it.

Employee signature __________________________________ Date ________________

Supervisor signature __________________________________ Date ________________

Return the completed form to HR as soon as disciplinary action is taken.