BAHC Corrective Action & Policy Notice

1. Employee and notice information

Employee name *

Employee email address *

Date issued *

Form completed by *

Employee notified by *

Notification method *

Select an option

Incident date *

Job or client reference

Follow-up review date

2. Company policy violated

Select one primary policy *

Select an option

Quality
Maintain a scorecard of at least 95%, complete 30 consecutive days without a valid quality complaint, and consistently complete all required cleaning tasks.

Attendance/Tardiness
Demonstrate reliable attendance for the next 60 days by arriving on time, reporting for scheduled shifts, and following absence-notification requirements.

GPS/Timekeeping
Maintain 100% GPS and timekeeping compliance for 30 days by enabling location tracking and clocking in/out at assigned job locations.

Early Completion
For 30 days, notify the office before leaving more than 10 minutes early, use QA cards, inspect the home, correct misses, and wait for authorization.

Damage
Complete 60 consecutive days without another preventable damage incident and follow property/equipment handling procedures.

Communication/Phone
For 30 days, follow office communication requirements, check/respond to messages, and limit personal phone use while working.

WOW/Participation
Complete assigned training by the deadline and demonstrate WOW standards through cleaning quality, QA results, and professional service for 30 days.

Work procedures
Follow all required procedures consistently for 30 days without another related violation.

Conduct
Demonstrate respectful, professional, cooperative conduct for 30 days without another related incident.

Serious misconduct
This incident has been referred for immediate HR investigation and employment-status review.

Specific way the policy was violated *

Additional Policies Affected

Quality

Attendance/Tardiness

GPS/Timekeeping

Early Completion

Damage

Communication/Phone

WOW/Training

Work procedures

Conduct

Serious misconduct

Current Count

Select an option

Date of scheduled shift

Date notice was provided

Attendance classification

Select an option

Total short-notice callouts in rolling 6 months

Does this absence count toward corrective action?

Select an option

Related consecutive dates

3. Company core values negatively affected

Core Values Negatively Affected *

WOW - Deliver WOW Service

Integrity - Demonstrating honesty and truthfulness.

Respect - Treat coworkers and clients with appreciation, kindness, and politeness; keep personal opinions private; do not gossip; respect policies, people, company assets, and ourselves.

Accountability - Take responsibility for tasks, required duties, and being present for scheduled shifts to support company goals.

Option Professionalism - Follow company standards for appearance, attitude, behavior, and performance with coworkers and clients.

Reliability - Be punctual, dependable, and committed to the team, clients, and company

4. Evidence

Evidence Reviewed *

Client Statement

Photos/Video

GPS/time Record

QA/Scorecard

MaidCentral Job Record

Employee Statement

Witness Statement

Other Evidence

Upload Supporting Proof

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )Upload screenshots, photos, or supporting proof when applicable

Corrective-Action Level *

Required Corrective Actions

Use QA cards at every home

Complete self-QA at every home

Enable GPS at every clock-in/out

Complete Company WOW Program

Complete refresher training

Pass onsite QA inspection(s)

Reach scorecard of at least 95%

Complete 30 days without a valid complaint

Jobs reduced until requirements are met

Completion deadline

Person responsible for follow-up

Additional expectations, if applicable

5. Employee response

Employee’s explanation or response

Response status *

Employee agrees with the factual summary

Employee declined to respond

Employee disagrees and provided a response