Free Workplace Safety Violation Notice

Employee Information

Employee Name:

[Employee Name]

Job Title:

[Employee Job Title]

Department:

[Employee Department]

Supervisor Name:

[Supervisor Name]

Violation Details

Date of Violation:

[Date of Violation]

Location of Violation:

[Warehouse Section A]

Description of Violation:

Failure to wear mandatory personal protective equipment (PPE) during operational hours, violates the company's PPE policy.

Previous Warnings (if applicable)

First Warning:

A verbal warning was issued on [Previous Warning Date] for a similar violation.

Second Warning:

Written warning issued on [Previous Warning Date].

Consequences of the Violation

As per the company's safety policy, this third violation results in a two-day suspension without pay.

Corrective Action Required

Action:

Attend a mandatory safety training session.

Deadline for Completion:

[Deadline Date]

Acknowledgment of Notice

I acknowledge receipt and understanding of this notice and the necessity to adhere to company safety policies.

Employee Signature: [Employee Signature]

Date: [Month Day, Year]

Supervisor and Safety Officer Section

Supervisor’s Comments:

Emphasis on the importance of following safety protocols consistently.

Safety Officer's Comments:

Recommendation for periodic safety audits in the department.

Signatures and Dates:

Supervisor: [Supervisor Signature], [Date]

Safety Officer: [Safety Officer Signature], [Date]

Additional Documentation

Attached: Photographs of the violation, copy of the safety policy.

Follow-up and Review

Scheduled Review Date:

[Scheduled Review Date]

Instructions for Non-compliance:

Further non-compliance may result in additional disciplinary actions up to termination.