Disciplinary Action Process Checklist (HR)

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This Template was installed 2 times.

Initial Observation & Documentation

1 of 10

Record the initial concerning behavior or performance issue, including dates, times, specific examples, and any witnesses.

Date of Initial Observation

Time of Initial Observation

Detailed Description of Observed Behavior/Performance Issue

Location of Observation

Relevant Company Policies Violated (Select All That Apply)

Number of Witnesses Present

Supporting Documentation (Optional)

Fact-Finding & Investigation

2 of 10

Gather information from relevant sources, interview employees, and review documentation to understand the situation fully. Maintain objectivity.

Describe the initial report or complaint.

Who was interviewed as part of the investigation?

Summarize the interview with the employee involved.

Summarize the interview with the supervisor.

Upload any supporting documentation (e.g., emails, photos).

Date of Investigation Interview (Specify for each interviewee)

Time of Investigation Interview (Specify for each interviewee)

Policy Review & Legal Consultation

3 of 10

Confirm the issue violates established company policies and applicable laws. Consult with legal counsel if necessary.

Applicable Company Policy(ies)

Summary of Legal Considerations

Date of Legal Consultation

Legal Counsel Involved?

Supporting Documentation (e.g., Legal Memo)

Verbal Warning (First Offense)

4 of 10

Deliver a verbal warning, clearly outlining the issue, expected improvements, and potential consequences of further violations. Document the warning.

Date of Verbal Warning

Time of Verbal Warning

Detailed Description of Issue

Explanation of Expected Behavior/Performance

Consequences of Future Violations

Employee Acknowledgment

Employee Name (Printed)

Written Warning (Second Offense or Severity)

5 of 10

Issue a formal written warning, reiterating the issue, expected improvements, timeline for improvement, and consequences. Employee acknowledges receipt.

Detailed Description of Violation(s)

Policy Violated (Select all that apply)

Expected Corrective Actions & Performance Standards

Deadline for Improvement

Consequences of Continued Violation

Employee Acknowledgment

Employee Understanding (Select One)

Performance Improvement Plan (PIP)

6 of 10

If performance-related, create and implement a PIP outlining specific goals, support, and deadlines. Monitor progress and provide feedback.

Summary of Performance Deficiencies

Specific Goals for Improvement

Quantifiable Metric for Goal 1

Target Date for Goal 1 Achievement

Review Date (Mid-PIP Review)

Level of Support Provided

Employee Comments/Response to PIP

Employee Signature

Suspension (Optional)

7 of 10

Consider suspension, if warranted by the severity of the infraction. Follow established procedures and ensure due process.

Suspension Duration (Days)

Effective Date of Suspension

Time of Suspension Commencement

Reason for Suspension - Detailed Explanation

Suspension Type

Employee Acknowledgment of Suspension (Optional)

Termination (Final Action)

8 of 10

If issues persist despite corrective action, proceed with termination, ensuring compliance with all legal requirements and company policies.

Termination Date

Termination Time

Reason for Termination (Detailed Explanation)

Termination Type (e.g., Performance, Conduct, Restructuring)

HR Representative Signature

Manager Signature

Termination Letter (Uploaded)

Exit Interview Summary (if applicable)

Documentation & Record Keeping

9 of 10

Maintain thorough and accurate records of all actions taken, including warnings, PIPs, performance reviews, and termination paperwork. Securely store all documentation.

Date of Initial Documentation

Detailed Description of Incident/Issue

Supporting Evidence (Emails, Photos, Videos)

Number of Verbal Warnings Given

Warning Type (Verbal/Written/PIP)

Summary of Investigation Findings

HR Representative Signature

Date of Documentation Review

Exit Interview & Final Paperwork

10 of 10

Conduct an exit interview (if applicable) and ensure all final paperwork is completed and returned by the employee, including benefits information.

Reason for Leaving (Open-ended)

What were your primary reasons for leaving? (Select all that apply)

Overall Satisfaction (1-10, 1 being least satisfied, 10 being most)

Would you recommend our company to a friend?

Last Day of Employment

Employee Signature

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