Policy Infraction Report Form

Home & Away Restaurant — Confidential HR Document

Employee Details

Employee Name

Department

Date of Incident

Time of Incident

Location / Branch

Reporting Officer Name

Signature (Type Full Name)

Type of Infraction

Tick all that apply

1. Theft 2. Smuggling 3. Sleeping on Duty 4. Harassment 5. Loitering 6. Out of Premises Without Approval 7. Under the Influence (Drug, Alcohol, Weed, etc.) 8. Rudeness to Customer 9. Assault 10. Unauthorized Consumption of Produce

11. Others (Specify):

Summary of Incident

Explain what happened

Evidence / Supporting Images

Upload photos or screenshots related to the incident (optional). Max 5 images, 10MB each.

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Click to browse or drag & drop images here

JPG, PNG, WEBP, GIF — up to 5 files, 10MB each

Uploading images…

I, _______________ of the _______________ (Department), hereby attest that the information provided above is true, complete, and accurate to the best of my knowledge. I understand that providing false information may lead to even further disciplinary action against me in line with Home & Away Policy ~~and the Constitution of the Federal Republic of Nigeria.~~

Date

Submitting report…