Personnel Action Form: More Than 30 Days Requires SVP Approval
Personnel Action Form: More Than 30 Days Requires SVP Approval
Personnel Action Form: More Than 30 Days Requires SVP Approval
Rig/Dept./Location:
Address Change
Position:
1st 5 #S of SSN
Date:
New Address:
City:
Promotion/Demotion
State:
Date:
Zip:
From (Position):
To (Position):
Date:
From Rig/Location:
To Rig/Location:
From (Position):
To (Position):
Date:
Type of Warning:
Verbal
Written
Reason:
Suspension
From Date:
To Date:
Reason:
Return Date:
Position:
Term Date:
Rig/Dept.:
Method (verbal,phone,etc):
Title:
NO
Date:
Discharged. Specify Reason & Detail Required (refer to back for guidance):
Date of Occurrence:
Estimated Absence:
Start Date:
Military Leave
Personal Leave
Return Date:
Rig/Dept.: __________
Title:
Supervisor/Manager Signature:
Date:
Date:
Office Signature:
Date:
1/17/2014
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).
VOLUNTARY QUIT
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
k)
l)