Template

Employee Disciplinary Action Form Template

by DC Hialeah, from the Community

20+

This employee disciplinary action form helps restaurant managers document incidents, outline reasons for warnings, capture employee statements, and set clear expectations for behavior change. Sections include incident date, type of warning, previous warnings, expected corrective actions, consequences if not corrected, and acknowledgement with employee, manager, and witness signatures. Tailored for food service roles such as servers, bartenders, line cooks, and hosts, it can be adapted across hospitality operations.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Employee Disciplinary Action Form
This employee disciplinary action form helps restaurants record incidents, specify policy or procedure violations, capture employee statements, and outline corrective actions such as suspension or retraining. It includes fields for previous warnings, incident details, and signatures for employee, manager, and witness acknowledgments. Adapt the template to your restaurant roles and escalation levels to support fair, consistent HR practices.
by Joyce Turchetti, from the Community
Downloads: 10+
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Template
Employee Disciplinary
Corrective Action
by Bryan Durden, from the Community
Downloads: 60+
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Template
Employee Disciplinary Warning Form
This Employee Disciplinary Warning form helps managers document incidents and performance issues consistently. Capture employee and incident details, note policy, safety, or attendance violations, specify the type of warning, outline corrective steps to avoid further action, and record supervisor and employee comments. The form includes acknowledgment and signature fields for employees, managers, and HR to support fair, compliant disciplinary processes.
by Laura Moran, from the Community
Downloads: 0
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Template
Employee Reprimand Form
This Employee Reprimand Form helps HR and managers document policy violations and set corrective actions. The template includes fields for employee details, date, type of action, reasons for notice, incident description, witness notes, and acknowledgement. It also captures employee and supervisor notes plus signatures, supporting fair, consistent, and compliant disciplinary processes across industries.
by Jake Deitrich, from the Community
Downloads: 10+
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Employee Disciplinary Action Form Template

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