SUPERVISOR'S DISCIPLINARY CHECKLIST

SUPERVISOR'S DISCIPLINARY CHECKLIST
Prepared by Kollman & Saucier, P.A.

Before imposing discipline, each supervisor must complete this checklist in full.

Employee's Name

________________________________________

Supervisor's Name

________________________________________

1. Identify the rule or policy violated.

____________________________________________________

2. Was the offense major __________ or minor __________?

3. If a minor offense, complete the following:

Has progressive discipline been followed?

Yes __________ No __________

Date of last violation ___________________________

Dates of prior violations:

_________________________

4. Was the employee aware of the rule, either through a posting, employee handbook, or similar communication?

____________________________________________________

5. How long has the individual been employed? _________________

If the employee is a long-term employee, is the proposed discipline too harsh? ________________________

6. Has the rule been similarly applied to other employees? ______

If not, why was the exception granted?

____________________________________________________

If not, what is the basis for imposing discipline under these circumstances?

____________________________________________________

7. Has the employee in question complained of allegedly illegal activities by the company, filed charges against the employer, engaged in union activities, or engaged in other protected activities?

____________________________________________________

8. List all witnesses, if any, to the rule violation.

____________________________

9. Have statements been obtained from the witnesses, or have all witnesses been interviewed?

____________________________________________________

10. Set forth in detail the conduct upon which discipline is based.

____________________________________________________

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SUPERVISOR'S DISCIPLINARY CHECKLIST Prepared by Kollman & Saucier, P.A.

SUPERVISOR'S DISCIPLINARY CHECKLIST
Prepared by Kollman & Saucier, P.A.