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Employee Write Up Sheet
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Who is making this report?
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Employee's Direct Supervisor or Manager.
A Manager or Supervisor of RSI
Report Prepared By
First
Last
Reporter’s Email
Employee
*
Employee Email
*
This will send the completed form to the employee for review.
Date
*
Date
Time
Employee's Manager or Supervisor Name
*
First
Last
Manager or Supervisor Email
*
Write Up Type
*
Warning
Write Up
Violation
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Employee failure to fulfill work obligations
Frequently late
Missed work without notice
Breach of health and safety policy
Breach of drug and alcohol policy
Theft
Employee misconduct
Other
Add Additional Violation?
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Yes
No
Additional Violation
*
Employee failure to fulfill work obligations
Frequently late
Missed work without notice
Breach of health and safety policy
Breach of drug and alcohol policy
Theft
Employee misconduct
Other
Other Explanation
Violation details
*
Action taken
[Repercussions as outlined by company policy] [Relevant dates]
Prior warnings:
[Warning number, date and action taken]
Submit
