Cleaning Services Employee Disciplinary Action Form

As part of our commitment to maintaining a safe and professional work environment at [Your Company Name], we take the conduct and behavior of our employees very seriously. It is important for all team members to adhere to company policies and standards at all times to ensure the well-being of both our employees and our clients.

Employee Information

Name:
Position:
Department:
Date of Incident:

Description of Incident

Describe the incident that led to the disciplinary action, including relevant details such as time, location, and any witnesses present.

Violation(s) of Company Policy

List the specific company policies violated by the employee during the incident.

Previous Warnings/Incidents

Note any previous warnings or incidents involving the employee, if applicable.

Actions Taken

Verbal Warning Written Warning Suspension Termination Other (Specify):

Details of Action Taken

Provide details of the disciplinary action taken, including any relevant dates and the duration of suspension if applicable.

Employee Response

Allow the employee to provide their response to the incident and the disciplinary action taken.

Supervisor/Manager Signature:

Employee Signature:

Date:                               

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