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Lehigh Acres, FL, 33936
USA

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Welcome to Walker Grocery Group's Web Based Reporting Guide

The forms below are 100% secure and confidential.

INCIDENT REPORT FORM

Employee Incident Report Form

EMPLOYEE INCIDENT REPORT FORM

LEHIGH ACRES SAVE-A-LOT #24789

Employee Name

First Name

Last Name

Today's Date

YYYY

Manager Completing this Incident Report

Incident Report

Incident Date

YYYY

Incident Type

Company Statement

Describe the specific incident and/or behavioral problem(s); include the dates of any previous and/or undocumented discussions relating to the incident

Violation Recomendation

The violation recommendation type is suggested by the Incident Report Filing Manager and will be made final once all previous incident(s) and/or behavioral problems are reviewed by Walker Grocery Group. The employee may require further disciplinary action up to termination based on this or previous incidents. The employee will be notified within 7 days if any difference in warning type is required.

Verbal

Written

Final

Suspension - 1 Week

Termination

Corrective Action

Describe the corrective action the employee must take in order to improve performance and/or correct behavior problems. What will occur if the employee does not improve performance and/or correct the identified behavior problem(s)?

Employee statement

Employee's Statement

Employee is required to select whether or not they agree with the Company Statement

I AGREE with the Company Statement

I DISAGREE with the Company Statement

Employee Comments

Provide any and all specific details relating the the incident in your own words and provide all necessary dates and prior incidents and/or relating to the incident

Signature

I have read and acknowledged that the above information has been reviewed. I understand any future violations of company policy may result in further disciplinary action, up to and including termination. I UNDERSTAND THAT IF I DISAGREE WITH ANY INFORMATION CONTAINED IN THIS DOCUMENT, I MAY SUBMIT A WRITTEN STATEMENT TO THE COMPANY EXPLAINING MY POSITION.

Employee Signature

Employee is required to sign the Incident Report Form to acknowledge it was presented, reviewed, and discussed. The employee must sign below, EVEN IF THE EMPLOYEE DISAGREES with the Company Statement. FAILURE TO SIGN THIS FORM CAN RESULT IN TERMINATION.

Manager's Signature who filled out the report

General Store Manager's Signature

EMPLOYEE UNIFORM ORDER FORM

Employee Uniform Request Form

Store Name and Number

All employees are provided their first uniform for free. Every additional uniform piece provided is charged to the employee. Follow the payment rules in the Manager's Handbook. Every employee is to be given a new shirt at the time of their annual review, which the company will pay for. General Order and Shipping takes 10-14 days.

Safety Box Cutter

Safety Box Cutter Blades

Come in packs of 250 blades Cost: roughly $30.00 ea

Name Tags

Come in packs of 6. Cost $7.00 per pack

Aprons

Cost" $5.00 ea

Black Cap

Cost $3.00 ea

Freezer Gloves

Packs of 6 pairs. Cost $35.00 per pack

Employee Shirts (TAN)

COST 10.00 ea. Provide number of XS, S, M, L, XL, XXL, and XXL required. Use the following format: Tan - Small - 3

Manager Shirts (Red)

COST 10.00 ea. Provide number of XS, S, M, L, XL, XXL, and XXL required. Use the following format: Red - Small - 3

Manager Shirts (Blue)

COST 10.00 ea. Provide number of XS, S, M, L, XL, XXL, and XXL required. Use the following format: Blue - Small - 3

Store Managers Name

By placing your name here you are validating the order. Your store is responsible for the cost of the uniforms, the shipping, and tracking each employee's payment.

First Name

Last Name

INJURY REPORT FORM

SERVICE REQUEST / NOTE

Employment Form - W2

W2 Form