THE NATIONAL HUMAN RESOURCES DIRECTORY

HRworks Conference Cape Town 2026

15th HR Conference South Africa

Policies

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DISCIPLINARY REPORT / WARNING FORM

NAME OF EMPLOYEE: _____________________________

POSITION/JOB TITLE: _____________________________

IMMEDIATE SUPERVISOR: _____________________________

ACTION TAKEN:

____ FIRST WRITTEN WARNING

____ SECOND WRITTEN WARNING

EFFECTIVE PERIOD: _________ (MONTHS)

REASONS FOR WARNING / BRIEF ACCOUNT OF INCIDENT

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EXPLANATION OF THE EMPLOYEE

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RECOMMENDED FUTURE CONDUCT AND / OR CORRECTIVE ACTION

REQUIRED OF EMPLOYEE/SUPERVISOR

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It is noted that further misconduct may result in more serious disciplinary action.

Above action was taken by: ________________________________________

Employee represented by: __________________________________________

SIGNATURE: ______________________________

DATE: ____________________________________

I HEREBY ACKNOWLEDGE RECEIPT OF THE WARNING AND UNDERSTAND THE CONTENTS THEREOF.

SIGNATURE: ______________________________

DATE: ____________________________________

Copy: Employee, Personnel File

Located in: All Policies