In the realm of workplace safety and compliance, the Safety Warning Notice form plays a crucial role in maintaining a secure environment and fostering a culture of accountability among employees. This document, typically issued by a supervisor or a department head, formally documents instances where an employee has been observed engaging in behavior that contravenes established safety policies. Originating from safety protocols detailed in the Injury & Illness Prevention Program specific to Warner Bros. Studio Facilities, the form requires detailed information such as the employee's name, position, and a thorough description of the unsafe act, alongside the date it was observed. Additionally, it outlines the correct procedure that should have been followed, underscoring the educational purpose behind the notice. A crucial aspect of this process includes the supervisor's confirmation of the notice through their signature, title, and the date, which underscores the formal recognition of the event and the steps needed for correction. The document not only serves to inform the employee of their infraction but also clearly states that the notice will be filed within their record, implying that repeated violations can escalate to more severe disciplinary measures, including the possibility of discharge. In closing, the form provides space for the employee’s acknowledgment, without necessarily requiring agreement, via their signature and date, ensuring that the employee has been made aware of the safety concern and the expectations moving forward. This mechanism for feedback and correction is vital for enforcing safety standards and protecting the well-being of all employees within a workplace.
| Question | Answer |
|---|---|
| Form Name | Safety Warning Notice Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 11 |
| Avg. time to fill out | 2 min 27 sec |
| Other names | form safety warning template, safety warning forms, safety warning form, safety warning notice get |
SAFETY WARNING NOTICE
Department: ___________________________ Date: _____________________
Employee Name: _________________________________________
Position/Title: __________________________________________
Description of Unsafe Act:
You were observed engaging in the following activity that violates safety policy contained in the
Injury & Illness Prevention Program for Warner Bros. Studio Facilities:
Date Observed: ______________________
Description of Correct Procedure:
In the future, please adhere to the correct procedure, which is describes as follows:
Supervisor’s Signature: __________________________________
Title: ____________________________________
Date: ______________________
The purpose of this notice is to call the above deficiency to your attention, and give you an opportunity to correct it. A copy of this notice will be kept on file. Any further safety violation or any other misconduct will subject you to further disciplinary action, up to and including discharge.
Without agreeing with the above, I hereby certify that I have received a copy of this notice.
Employee’s Signature: _________________________________________
Date: _____________________________
(Form 12) Safety Warning Notice