{{company_name}}
{{company_address}}
Phone: {{company_phone}}
Email: {{company_email}}
Website: {{company_website}}
CHECKLIST: PROGRESSIVE DISCIPLINE DOCUMENTATION
**Employee Name:** {{employee_name}}
**Employee ID:** {{employee_id}}
**Job Title:** {{job_title}}
**Department:** {{department}}
**Manager/Supervisor:** {{manager_name}}
**Date of Incident/Observation:** {{date_of_incident}}
**Date of Documentation:** {{date_of_documentation}}
STAGE 1: INFORMAL COUNSELLING
**Date of Counselling:** {{date_counselling}}
**Nature of Issue:** Describe the specific performance or conduct issue. (e.g., {{nature_of_issue_informal}})
**Discussion Points:** Summarize the conversation, including expectations clarified and resources offered. (e.g., {{discussion_points_informal}})
**Agreed Actions/Improvements:** What specific steps will the employee take? (e.g., {{agreed_actions_informal}})
**Manager Signature:** _________________________ **Date:** _______________
**Employee Acknowledgment (Optional):** _________________________ **Date:** _______________
STAGE 2: VERBAL WARNING (FORMAL)
**Date of Verbal Warning:** {{date_verbal_warning}}
**Prior Informal Action:** Reference any previous counselling (date and issue). (e.g., {{prior_informal_action}})
**Specific Violation/Deficiency:** Clearly state the policy violation or performance deficiency. (e.g., {{specific_violation_verbal}})
**Impact on Business/Team:** Explain the consequences of the issue. (e.g., {{impact_verbal}})
**Expected Improvement/Corrective Actions:** What must change and by when? (e.g., {{expected_improvement_verbal}})
**Consequence of No Improvement:** State that further disciplinary action may follow. (e.g., {{consequence_verbal}})
**Manager Signature:** _________________________ **Date:** _______________
**Employee Signature (Acknowledging Receipt):** _________________________ **Date:** _______________
STAGE 3: WRITTEN WARNING
**Date of Written Warning:** {{date_written_warning}}
**Reference to Previous Warnings:** Dates and details of prior informal counselling and verbal warnings. (e.g., {{reference_to_previous_warnings}})
**Detailed Description of Incident/Issue:** Provide specific dates, times, and actions. (e.g., {{detailed_description_written}})
**Relevant Company Policy/Procedure Violated:** Cite the specific policy. (e.g., {{policy_violated}})
**Expected Corrective Actions:** Specific, measurable, achievable, relevant, time-bound (SMART) goals. (e.g., {{expected_corrective_actions_written}})
**Timeline for Improvement:** {{timeline_for_improvement}}
**Support/Training Offered:** Detail any support provided. (e.g., {{support_offered_written}})
**Consequences of Failure to Improve:** Clearly state potential next steps (e.g., final written warning, suspension, termination). (e.g., {{consequences_written}})
**Employee Rights:** Notification of right to respond/appeal. (e.g., {{employee_rights_written}})
**Manager Signature:** _________________________ **Date:** _______________
**Employee Signature (Acknowledging Receipt and Understanding):** _________________________ **Date:** _______________
STAGE 4: FINAL WRITTEN WARNING / SUSPENSION
**Date of Action:** {{date_final_action}}
**Type of Action:** (e.g., Final Written Warning / Suspension Without Pay for {{number_of_days}} days)
**Reference to All Previous Warnings:** (e.g., {{reference_all_previous_warnings}})
**Detailed Account of Latest Incident/Issue:** (e.g., {{latest_incident_final}})
**Reasons for Escalation:** Explanation of why previous warnings were insufficient. (e.g., {{reasons_for_escalation}})
**Final Expected Corrective Actions/Conditions for Continued Employment:** (e.g., {{final_expected_actions}})
**Review Period:** {{review_period_final}}
**Consequence of Failure to Meet Conditions:** Explicit statement of potential termination of employment. (e.g., {{consequence_final}})
**Employee Rights:** Notification of right to respond/appeal, representation at hearings. (e.g., {{employee_rights_final}})
**Manager Signature:** _________________________ **Date:** _______________
**Employee Signature (Acknowledging Receipt and Understanding):** _________________________ **Date:** _______________
DOCUMENTATION CHECKLIST FOR EACH STAGE
**Prior to Meeting:**
- Review employee's personnel file, job description, and relevant policies. ☐
- Gather all factual evidence (e.g., witness statements, policy documents, performance reports). ☐
- Prepare points for discussion and desired outcomes. ☐
- Arrange for an impartial witness to be present (if appropriate/required). ☐
**During Meeting:**
- State the purpose of the meeting clearly. ☐
- Present facts objectively; avoid emotional language. ☐
- Allow employee to present their side/explanation. ☐
- Discuss impact of behaviour/performance. ☐
- Clearly state expectations for improvement and timeframe. ☐
- Explain consequences of failure to improve. ☐
- Offer support or training. ☐
- Confirm understanding from the employee. ☐
**After Meeting:**
- Document the meeting comprehensively and accurately. ☐
- Ensure all necessary signatures are obtained. ☐
- Place original documentation in employee's confidential file. ☐
- Follow up as agreed in the documented action plan. ☐
REVIEW AND FOLLOW-UP
**Next Review Date:** {{next_review_date}}
**Outcome of Review:** (e.g., Improvement noted, further action required, resolved)
**Action Taken Post-Review:** (e.g., {{action_post_review}})
**Manager Signature:** _________________________ **Date:** _______________
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