Employee Name:
Employee ID:
Job Title:
Department:
Date of Hire:
Supervisor's Name:
Date of Action:
Select the category of the issue:
Performance
Conduct/Behavior
Policy Violation
Attendance
Safety
Other:
Describe the specific issue(s) in detail:
Include specific dates, times, and locations of incidents:
List any relevant company policies or procedures that were violated:
Date(s) of previous verbal or written warnings, if any:
Date | Notes | ||
|---|---|---|---|
1 | |||
2 |
Summary of previous discussions and expectations set:
Were previous expectations met?
Yes
No
N/A
Step 1: Immediate Action Required
What specific improvements are needed?
What is the expected timeline for improvement?
Step 2: Training & Support
What training or resources will be provided to the employee to help them succeed?
Who will provide this support?
Step 3: Follow-Up & Monitoring
How will progress be monitored?
What is the date of the next follow-up meeting?
Clearly state the consequences if the required improvements are not made within the specified timeframe.
Further disciplinary action, up to and including termination of employment.
A different consequence
Employee Signature:
My signature acknowledges that I have read and understand the information in this Corrective Action Record. It does not necessarily indicate agreement.
Form Template Insights
Please remove this form template insights section before publishing.
This Corrective Action Record Form is a comprehensive tool for managing employee performance and conduct issues. Here are some detailed insights into its structure and purpose:
This form is designed to serve as a formal, documented record of a corrective action. It moves a discussion from a casual conversation to a structured process. It's not just a record of a problem; it's also a record of the solution. This form is a critical component of a progressive discipline policy, providing a clear audit trail that is essential for legal and HR purposes.
This Corrective Action Record Form, when used correctly, is more than just a piece of paper; it's a structured communication tool that promotes fairness, consistency, and a clear path toward resolution for both the employee and the company.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation before publishing.
All the questions on this Corrective Action Record Form are designed to be mandatory to ensure a comprehensive and legally defensible record. However, if we were to identify the most critical, "must-answer" questions, they would be: