Appendix B — Employee Warning Notice
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 warnings | Oral | Written | Date | By 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.