Employee Warning Report

A Division of THC Enterprises, Inc.

Fields marked * are required. The employee statement and acknowledgment must be completed before the report routes to HR.

Employee Information

Last Name *

First Name *

M.I.

Role *

Payroll # *

Department *

Shift *

Date of Warning *

Nature of Violation

Select all that apply. At least one must be selected.

AbsenteeismTardinessSafetyFailure to Follow InstructionsWork QualityConductCarelessnessCell Phone / Safety PolicyOther

Date(s) of Violation *

Time of Violation

Warning Level * (select one)

Verbal Warning1st Written Warning2nd Written WarningFinal Written Warning

Warning delivered by *

Title *

Company Statement of Violation

Each field below is required.

What specifically occurred? *

What dates and/or times did this occur? *

What was the impact on operations, the team, or the customer? *

Were any prior conversations or informal corrections given before this warning? *

yesno

Prior Warning Tracker

Previous Warning(s)

NoneVerbalWrittenFinal

Corrective Action

Required improvement *

Action(s) being taken * (select all that apply)

Verbal WarningWritten WarningPerformance Enhancement Plan (attach completed PEP form)Probationary PeriodSuspensionTermination

Supporting Documentation

Upload files

Accepts PDF, JPG, PNG, and DOCX.

Employee Statement

To be completed by the employee before routing to HR.

I agree with the Company StatementI disagree with the Company Statement for the reasons stated below

Witness present? *

yesno

Employee Signature *

Date and time are stamped automatically on submission.

Employee Acknowledgment

I have read and understand this warning decision and the action to be taken. My signature does not indicate agreement, only that I have received and reviewed this document.

Employee Signature *

Date and time are stamped automatically on submission.

Submitting as Demo User (demo.user@example.com)

Questions about a request? Contact your department administrator.