No:

Shift:

Date of warning:

Time: ________ Am/Pm of violation.

Warning:

Violation

[ ] Intoxication or drugs

[ ] Disobedient

[ ] Clocking out ahead of time

[ ] Clocking out wrong time card

[ ] Substandard Work

[ ] Wrongful Conduct

[ ] Tardiness

[ ] Carelessness

[ ] Absenteeism

[ ] Other:

Action Taken:

Additional Remarks:

Employee Comments:

This is your first warning of a company rules violation or unsatisfactory periormance. Future violations may lead to immediate dismissal without further notice.

Signatures:

___________________ ___________________ __________________

Employee Supervisor Personnel