Staff Corrective Action Form

Please read before completing this form

This form creates an official staff corrective action document. It should not be used for internal notes or informal documentation.
Staff corrective action may only be issued with the express approval of a Program Director or Program Manager, unless you are a Program Director or Program Manager yourself.
Submitting this form begins a formal internal process. The completed document will be shared with the staff member and the office, and will become part of the staff member’s employment record.
Please write clearly, professionally, and objectively.

Please review all entries carefully before submitting.

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Staff Corrective Action Form

Employee Full Name*

Director / Manager Name*

Brand*

Program / Vessel*

Location of Incident*

Date of Incident*

Conduct / Performance Concern Type*

Other Concern Description*

Warning Type/Stage*

Factual Description of Conduct / Performance Concern*

Briefly describe what occurred using factual, objective language only. This paragraph will be displayed in the corrective action document.

Please provide details of the previous warning(s).

Please list the date(s) and a brief summary of any prior verbal coaching or warning(s). This information must be consistent with any Incident report created. Use the "+" button to add rows as needed.

Previous Coaching / Warning Information*

Approx. Date

Brief Description

Required Improvements / Corrective Actions*

State the specific improvements or corrective actions the employee is required to make moving forward. You may enter up to 5.

Supervisor / Management Support*

Describe up to 3 specific ways management or supervisory staff will support the employee in meeting these expectations.

Staff Corrective Action - Written Warning

Employee Name: {employee_name:2}
Supervisor / Manager Name: {manager_name:3}
Program / Work Area: {program_work_area:5} - {incident_location:7}

This letter serves as formal documentation of a conduct or performance concern that has been discussed with you in your role with ActionQuest. ActionQuest expects all staff to contribute to a safe, professional, respectful, and well-managed environment. The conduct or performance described below did not meet those expectations.

The concern documented here relates to the following category: {concern_type:54:value}{other_concern_description:32}

On or about {incident_date:6}, the following concern was observed and discussed with you:

{concern_details:11}

This written warning is being issued following prior verbal coaching and/or warning(s) related to this conduct or performance concern.

{previous_warning_information:16}

Due to the seriousness of this matter, this concern is being documented in writing immediately rather than beginning with verbal coaching or warning.

In order to meet expectations moving forward, the following improvement(s) and corrective action(s) are required immediately:

{required_improvements:19}

GXG management is committed to supporting you in meeting these expectations. The support and guidance being provided includes:

{supervisor_management_support:20}

This letter serves as a formal written warning regarding this conduct or performance concern. Immediate and sustained improvement is expected. Any continuation of this conduct, or failure to meet the expectations outlined above, may result in further corrective action, up to and including termination of employment.

By signing below, you acknowledge that this document has been reviewed with you, that you understand the expectations described above, and that you have had the opportunity to ask questions or provide comments. Your signature confirms receipt and review of this letter and does not necessarily indicate agreement with every detail.

Employee Acknowledgment

Employee Acknowledgment*

I have reviewed this document with a manager or director and understand the expectations and corrective actions described above.

Employee Signature*

Date*

Employee Email Address

For copy of the corrective letter

Manager / Director Acknowledgment and Signature

Manager / Director Signature*

Date*

Manager / Director Email Address

For copy of the corrective letter

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Prior Warning Text for PDF

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No Prior Warning Text for PDF