Corrective Action Corrective Action Employee's Name * Employee's Name First Name First Name Last Name Last Name Employee's Position * Employee's Department * Manager's Name * Manager's Name First Name First Name Last Name Last Name Manager's Email * Manager's Phone * Date of meeting with the employee * Select the reason(s) for corrective action * Failure to report for work Poor work performance Violation of company policy Insubordination Excessive tardiness OtherOther Describe the reason for corrective action * Please provide as much detail, including dates, locations, previous warnings, etc. What type of action will be taken? * Verbal Warning Counselling with HR Written Warning Final Warning Termination Other What type of action will be taken? List specific corrective action plan details * Please include timeframes, dates, and all other relevant information What is the next step if the action plan is not met? * Written Warning Final Warning Termination Summarize the employee's comments regarding the incident and corrective action plan * Name of Person Filing Report * Name of Person Filing Report First Name First Name Last Name Last Name Email of Person Filing Report * Signature of Person Filing the Report * signature keyboard Clear Date of Filing * Filer's Title * Filer's Department * Terms and Agreement * I understand and agree In submitting this form, I attest that all information is true and correct to the best of my knowledge. I understand that falsifying records is grounds for corrective action or termination. Submit Save Draft If you are human, leave this field blank.
