Safety Forms
Employee Warning Report
An Employee Warning Report that captures the violation type, the warning severity, the supervisor's account of what happened, and a space for the employee to agree or formally disagree in their own words - delivered as a real fillable PDF, not a Word document you have to reformat.
- Fillable PDF — type into it on any device, or print it blank
- Single page, 8.5" x 11" (Letter)
- Add your company logo at checkout — no extra charge
- Written by Canadian safety professionals to provincial OHS standards
- Instant download after purchase
Written by certified COR auditors · Trusted by Canadian contractors for 17+ years · Secure Stripe checkout · Instant delivery + re-download any time from your purchases page
Pairs with online training
Certificates issue instantly through our online training portal.
THE VIOLATION, THE WARNING TYPE, AND THE EMPLOYEE'S OWN RESPONSE, ALL ON ONE SIGNED PAGE
What you get
- A fillable PDF - check boxes and type directly into every field
- Type of Violation (Safety / Other) and Type of Warning (Verbal / Written / Suspension / Dismissal) checkboxes
- A 6-line Company Statement (Supervisors Report) section
- An Employee statement section with Agree / Disagree checkboxes and a 7-line space for the employee's own reasons
- Supervisor and Employee signature lines with a date field
- Your company logo added to the form, at no extra charge
How to fill it out and keep it. Open it in Adobe Acrobat Reader (free) or a desktop browser like Chrome or Edge, then use that program's own Save or Download button, not just closing the tab, so your entries are kept in the saved copy. On a phone, most PDF apps will let you view the form but not type into it - fill it out on a computer, or print it and use a pen.
Specifications
- Size
- 8.5" x 11" (Letter)
- Format
- Fillable PDF - type into it on any device, or print it blank
- Company logo
- Included - upload at checkout, or we print your company name instead
- Delivery
- Instant download after purchase
Why crews use it
- Type of Violation and Type of Warning are captured as distinct checkboxes, not buried in a paragraph, so the record's severity is clear at a glance months later
- A dedicated Employee statement section - agree or disagree, with room to state why - means the employee's side is on the same page as the warning, not a separate email that gets lost
- Supervisor and employee signatures on one document create a single piece of evidence for a progressive-discipline file, not scattered notes
- A written record at the Verbal warning stage still gets documented, so a pattern of repeated verbal warnings is provable later if discipline needs to escalate
Built for
- Supervisors and managers issuing a first formal record of a safety or conduct violation
- HR teams building a progressive-discipline file that needs to show warnings were documented and communicated
- Companies wanting the employee's own response on record, not just the company's side of an incident
Why it matters
An undocumented verbal warning is functionally invisible if the same behaviour happens again three months later - there is no record it was ever raised. Capturing the violation, the warning type, and the employee's own statement on one signed page is what makes a warning defensible later, whether that's in a termination decision or a wrongful-dismissal claim.
Try it right here
Click a box. Type a line. See how it feels before you buy.
This is the real form layout - what you type here isn't saved or sent anywhere, it's just so you can see the fields work before you pay.
Common questions
Before you buy
What people ask us about the Employee Warning Report.
What is the Employee Warning Report used for?
An Employee Warning Report that captures the violation type, the warning severity, the supervisor's account of what happened, and a space for the employee to agree or formally disagree in their own words - delivered as a real fillable PDF, not a Word document you have to reformat. Who uses it: Supervisors and managers issuing a first formal record of a safety or conduct violation; HR teams building a progressive-discipline file that needs to show warnings were documented and communicated; Companies wanting the employee's own response on record, not just the company's side of an incident.
Can we fill it in on a computer, or is it print-only?
Both. It is a fillable PDF, so every field can be typed into on a laptop or tablet and saved, or you can print it blank and fill it in by hand. Your company logo is added at no extra charge.
Does using this form make us compliant?
No single form makes a company compliant. A form is the evidence half of a safety program - it records that something was checked and by whom. It carries weight at audit time when the written program behind it says the check is required and how often. If that program does not exist yet, that is the part we write.
When do I get it?
Immediately after checkout as a download, and you can re-download it any time from your purchases page. Print or fill in as many copies as your own crews need.
From the team that wrote it
These forms come from a bigger program.
Inspection and competency forms are the evidence half of a safety program. If the program they belong to does not exist yet, or has not been updated in a few years, that is the part we write.