Cleaning Services Disciplinary Form

This form is designed to document disciplinary actions within our cleaning services company. It ensures transparency, fairness, and adherence to company policies and standards of conduct.

I. Employee Information

This section requires the complete details of the employee involved in the incident. Ensure accuracy and completeness when filling out this section. Include the employee's name, date, position, department, and supervisor's name.

Employee Name:
Employee ID:
Position:
Date:
Department/Team:
Supervisor:

II. Incident Details

Record the specifics of the incident, including date, time, location, and a detailed description. If there were witnesses present, note their names. Provide factual information without speculation or assumptions.

Date of Incident:
Time of Incident:
Location of Incident:
Witnesses (if any):

Description of Incident:

III. Violation(s) Details

Identify the specific company policy violated and describe the nature of the violation in detail. Mention any previous warnings issued, if applicable. Provide any supporting evidence, such as documentation or witness statements.

Specific Policy Violated:
Description of Violation:
Previous Warnings (if applicable):
Supporting Evidence (if any):

IV. Consequences/Action Taken

Document the disciplinary action(s) taken in response to the violation. Specify the date of the action and provide details of what measures were implemented. Clearly state the responsible authority for the action and, if applicable, any probationary period.

Date of Action:
Disciplinary Action:
Responsible Authority:
Details of Action Taken:
Duration/Probation Period (if applicable):

V. Employee Response/Comments

If the employee provides a response or comments regarding the incident, record them in this section. Encourage professionalism and respect in responses. Ensure that the employee's viewpoint is accurately captured.

VI. Acknowledgement

I, [Employee Name], acknowledge that I have received a copy of this disciplinary form and understand the consequences of the violations outlined above.

[Date]

VII. Witness

If there was a witness to the incident, please ensure they sign and date the form to verify the accuracy of the information provided.

[Name]

[Date]

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