The Krusty Krab

Employee Disciplinary Form

Employee Name
Date/Time

Reason for Disciplinary Action:

Absence or tardiness

Violation of safety policies

Inconsistent work behavior

Violation of company policies

Unsatisfactory work
performance

Negative attitude
Other

Insubordination

Disciplinary History:
Verbal warning (1)

Suspension (3)
Discharge (4)

Written warning (2)

Reason(s) for Disciplinary Action: (Be specific as possible and include names, dates, time,
and any other related documentation)

Further violation may result in:

Employees Signature:

Supervisors Signature:
Date:
Date: