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  • Personnel Action Form: More Than 30 Days Requires SVP Approval

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    Legend Anbu
    191 views2 pages
    This personnel action form documents an employee transfer. It provides the employee's name, personnel number, current and new positions, locations, and pay rates. The form records that on a specified date, the employee was transferred from one rig/location to another, moving from one position to another. Supervisor and employee signatures are required to authorize and acknowledge the transfer.

    Original Description:

    PAP FORAM

    Original Title

    Personnel Action Form

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    This personnel action form documents an employee transfer. It provides the employee's name, personnel number, current and new positions, locations, and pay rates. The form records that on a specified date, the employee was transferred from one rig/location to another, moving from one position to another. Supervisor and employee signatures are required to authorize and acknowledge the transfer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    191 views2 pages

    Personnel Action Form: More Than 30 Days Requires SVP Approval

    Uploaded by

    Legend Anbu
    This personnel action form documents an employee transfer. It provides the employee's name, personnel number, current and new positions, locations, and pay rates. The form records that on a specified date, the employee was transferred from one rig/location to another, moving from one position to another. Supervisor and employee signatures are required to authorize and acknowledge the transfer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    Personnel Action Form

    Print Employee Name:

    Personnel Number (P#):

    Rig/Dept./Location:
    Address Change

    Position:

    1st 5 #S of SSN

    Date:

    New Phone No.

    New Address:
    City:
    Promotion/Demotion

    State:
    Date:

    Zip:

    From (Position):

    To (Position):

    New Pay Rate (if applicable):


    Transfer Information

    Date:

    From Rig/Location:

    To Rig/Location:

    From (Position):

    To (Position):

    New Pay Rate (if applicable):


    Disciplinary Action

    Date:

    Type of Warning:

    Verbal

    Written

    Reason:

    Suspension

    From Date:

    To Date:

    More than 30 days requires SVP Approval _______

    Reason:

    Authorization to Return from Suspension


    Termination

    Return Date:

    Position:

    Term Date:

    Rig/Dept.:

    Method (verbal,phone,etc):

    Termed By (Print Name):

    Eligible for Rehire? YES

    Title:

    NO

    Date:

    Lay-off. Reason for Layoff:


    Voluntary quit. Date of Notice:

    Reason (refer to back for guidance):

    Discharged. Specify Reason & Detail Required (refer to back for guidance):

    Workers' Comp. Injury

    Date of Occurrence:

    Estimated Absence:

    Less than 1 week

    First Full Day Away from Work:

    Less than 1 month

    First Full Day Returning to Work:

    More than 1 month

    (Submit all required paperwork to WC)


    Leave of Absence

    Start Date:

    Anticipated Length of Leave (# of Days):

    Medical Leave (Non-work related - personal or family):

    Military Leave
    Personal Leave

    (Type of Military Leave)


    Reason:

    Requests for 30 days or more of PERSONAL LEAVE requires SVP Approval

    Authorization to Return from Leave

    Return Date:

    Rig/Dept.: __________

    Verified employee has completed Fit for Duty

    (Submit all required paperwork to Benefits)


    Print Supervisor/Manager Name:

    Title:

    Supervisor/Manager Signature:

    Date:

    Print Employee Name:


    Employee Signature:

    Date:

    Office Signature:

    Date:

    Email completed forms to [email protected]

    1/17/2014

    REASONS FOR SUSPENSION/TERMINATION


    THIS LIST DOES NOT INCLUDE ALL MISCONDUCT THAT COULD RESULT IN
    SUSPENSION OR TERMINATION.
    BE SPECIFIC ON THE FRONT OF THIS FORM

    Violation of DO NOT LIST


    First offense: Suspension or termination depending on circumstances
    Second Offense: Termination no rehire

    Consequences apply to:

    Anyone who breaks any of the rules or anyone who approves anyone breaking the
    rules, or Supervisor who witnesses a rule being broken and does not take action.

    1. Operation Safety:
    a) Refer to the Do Not List for specific violation and specify on front of this form under
    Suspension or Termination section, as applicable.
    2. Falsifying Records
    a) Show people on payroll sheet who were not working or let anyone sign-off for another person.
    b) Enter any false information on drilling report books such as surveys, BOP pressure tests, Social Security
    numbers, payroll time, etc.
    3. Workers Compensation
    a) Fail to report and record all injuries immediately or upon first learning of the injury (or potential for an injury
    being Workers Comp. related).

    Violation of other Company Policies


    First Offense: Termination
    Second Offense: Termination No Rehire
    4. Contraband
    a) Allow or be in possession of intoxicating beverages, illegal drugs, or firearms at any rig location, yard or shop,
    or in any camp.
    b) Work under the influence of intoxicating beverages or illegal drugs, or work under prescription medication that
    could impair the ability to perform work safely.
    st
    c) Failure to pass a Drug Test (1 failure can reapply after 365 days).

    Supervisor Discretion: Suspension or Termination


    5. Other reasons be specific on the Personnel Action Form
    a) Other violations of Company directives, policies, or procedures of a seriousness that warrants suspension or
    termination. (EXPLAIN ON FRONT)
    b) Performance. (EXPLAIN ON FRONT)
    c) Management decision based on circumstances. (EXPLAIN ON FRONT)
    Notes:
    Contact Benefits at [email protected] for all Leave of Absence Requests and Return
    from Leave Requests.
    Once an individual has been put on the Do Not Rehire list, the Senior Vice President, Operations must
    approve any removal from that list.
    Any deviation from the above actions requires approval of the Senior Vice President, Operations.

    VOLUNTARY QUIT
    a)
    b)
    c)
    d)
    e)
    f)
    g)
    h)
    i)
    j)
    k)
    l)

    Resigned, other position


    Resignation
    Return to School
    Quit-no notice
    No show
    Walk off
    Retired
    Military Service (This may be LOA check with benefits)
    Unsatisfactory performance (Detail must be provided)
    Deceased
    Failed drug test
    Other DETAILED EXPLINATION ON FRONT IS REQUIRED

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