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Corrective Action Forms






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Corrective Action Template

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Corrective Action Form

Employee Name: ______________________________ Date: ____/____/______

Job Title: __________________ Supervisor: ____________________

Level of Corrective Action Required:

[__] Verbal Warning [__] Written Warning [__] Suspension [__] Termination

Facts Regarding the Incident:



Objective of Corrective Action:



Proposed Solution(s):



Action Taken:



Comments:



________________________________ Date____________
Signature of Employee


________________________________ Date____________
Signature of Supervisor


________________________________ Date____________
Signature of HR Director








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