Disciplinary Occurrence & Action

*** Please Print Legibly***

INFORMATION ABOUT THE EMPLOYEE BEING DISCIPLINED:

FULL NAME: LOREN ADAMS JOB TITLE: OWNER OPERATOR

INFORMATION ABOUT THE INCIDENT:

INCIDENT DATE: 02/03/2024 TIME:

LOCATION OF INCIDENT:

INDICATE BELOW THE PROBLEM THAT OCCURRED AND ACTIONS TAKEN TO INFORM THE EMPLOYEE AND
IF ANY DISCIPLINE ACTIONS WERE REQUIRED:

We have observed a rolling stop incident recorded in the Electronic Logging Device (ELD) during your recent trip.
Rolling stops jeopardize safety and violate traffic regulations. Please ensure strict adherence to stop signs and traffic
laws to prevent further incidents. Please sign this letter to acknowledge that you understood by Feb 16, 2024.

The Company reserves the right to impose a more severe form of discipline, up to and including suspension and discharge for more
serious forms of employee Behavioral infractions.
Supervisors are to report such incidents to their manager for final disposition.
PLEASE CHECK IF APPLICABLE WHICH DISCIPLINARY STEP WAS TAKEN:

xx Minor offense
Medium offense
Suspension
Termination
Anita Nesairudayam 02/10/2024 .
Supervisor Signature & Date
EMPLOYEE
I, LOREN ADAMS ,by signing below, indicate that I fully understand the problem that occurred and what
measures my immediate supervisor has taken to correct or discipline myself in this matter;

Employee Signature: Date: