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CAR Example1.doc
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CAR Example1.doc

  1. 15869 CORRECTIVE ACTION REPORT NAME: Jane Doe Employee ID: 004755 JOB TITLE: Cashier EMPLOYMENT DATE: November 4, 2016 STORE #: 999 DATE: June 4, 2019 PREVIOUS WARNINGS (dates and nature of offence): CAR # 15818 October 12, 2018 Verbal Warning – Late for scheduled shift CAR # 15827 December 23, 2018 Written Warning – Late for scheduled shift CAR # 15839 February 17, 2019 1-day suspension – Late for scheduled shift CURRENT INFRACTION: Late for scheduled shift – 8 to 4:30 on Sunday June 2, 2019. SUMMARY OF CIRCUMSTANCES SURROUNDING THE INFRACTION: Jane was an hour late for her scheduled shift on Sunday June 2nd. Her shift was to start at 8am and she did not arrive until 9am. When questioned, Jane stated that she slept in. ADDITIONAL COMMENTS: It is Jane’s responsibility to show up for scheduled shifts on time. Any future incidents of similar nature may result in more severe corrective action, up to and including termination. ACTION TAKEN: WARNING ________ SUSPENSION 3-days TERMINATION: _____ (check one) _______________________ _________________________ EMPLOYEE’S SIGNATURE (acknowledging receipt) MANAGER’S SIGNATURE *note – manager should sign last _______________________ _________________________ SHOP STEWARD/WITNESS(Signature) MANAGER (print name) _______________________ SHOP STEWARD/WITNESS (print name) Distribution of Copies: 1. Original - Retain at Store [personnel file] 2. Copy - Employee 3. Copy - [shop steward]
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