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Disciplinary Investigation Form

A disciplinary investigation form is used by HR or an investigating officer to conduct and record a preliminary, fact-finding inquiry into a complaint or incident. It logs the evidence collected, witness interviews and the accused employee's account, and ends with findings and a recommendation on whether formal proceedings are warranted.

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[Company Logo][Company Name]

DISCIPLINARY INVESTIGATION REPORT

Case No.:
[Reference Number]
Date opened:
[DD/MM/YYYY]
Classification:
Strictly Confidential

1. Case Details

Employee concerned (Name, ID, Designation, Department)
Complainant / source of information
Date of complaint
Nature of allegation
Investigating officer (Name, Designation)
Terms of reference given by
Target date for report

2. Evidence Collected

Exhibit No.DescriptionSourceDate CollectedHeld by
E-1[CCTV clip / document / log][Source][DD/MM/YYYY][Name]
E-2[Description][Source][DD/MM/YYYY][Name]
E-3[Description][Source][DD/MM/YYYY][Name]

3. Witness Interviews

WitnessDesignationDate of InterviewSummary of StatementSigned (Y/N)
[Witness Name][Designation][DD/MM/YYYY][Summary][Y/N]
[Witness Name][Designation][DD/MM/YYYY][Summary][Y/N]
[Witness Name][Designation][DD/MM/YYYY][Summary][Y/N]

4. Account of the Employee Concerned

Date the employee was heard
Summary of the employee's account
Documents or witnesses named by the employee
Whether those were checked (Yes / No, details)

5. Findings of Fact

[State each finding as a fact supported by exhibit or witness numbers, e.g. 'On DD/MM/YYYY at 14:10 the employee left the store room unlocked (E-1, W-2).' Note any points that could not be established.]

6. Recommendation

  • No case to answer – close the matter
  • Counselling or training
  • Warning letter
  • Show cause notice
  • Charge sheet and domestic enquiry
  • Refer to Internal Committee under the POSH Act 2013

I confirm that this investigation was carried out impartially, that the employee concerned was given an opportunity to give an account, and that the findings above are based on the evidence recorded.

Investigating Officer
[Name]
[Designation]
Date: [Date]
Reviewed by
[HR Name]
Date: [Date]

What this template includes

  • Case details and terms of reference for the investigator
  • Evidence log with source, date collected and custody
  • Witness interview summaries, signed by witnesses
  • Account of the employee concerned
  • Findings of fact, separated from opinion
  • Recommendation: close, counsel, warn or initiate proceedings

When to use it

  • A complaint has been received and facts must be gathered before any notice
  • CCTV, system logs or documents need to be secured and logged
  • Several witnesses must be interviewed in a structured way
  • Management needs a written basis for deciding on a show cause notice or charge sheet

How to customise this template

  1. 1Appoint an investigator who is independent of the incident
  2. 2Add rows to the evidence and witness tables as needed
  3. 3Attach signed witness statements as annexures
  4. 4Use a separate POSH inquiry format for sexual harassment complaints

HR tips

  • Secure CCTV and logs immediately; many systems overwrite within days
  • Interview witnesses separately and record what they saw, not what they heard from others
  • Always record the employee's account before forming findings
  • Keep the report confidential and limit circulation

A preliminary investigation is not a domestic enquiry and cannot alone justify a major penalty. Use it as a starting format, follow your standing orders, and route POSH complaints to the Internal Committee.

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Frequently asked questions

What is a preliminary inquiry in HR?+

It is an informal fact-finding exercise to see whether there is a case to answer, before deciding whether to issue a show cause notice or charge sheet.

Who should conduct a workplace investigation?+

A trained HR person or manager who is independent of the incident and the people involved. Complex cases may use an external investigator.

Is the employee entitled to see the investigation report?+

In formal enquiries the employee should be given the documents relied upon. The preliminary report itself is usually internal, but evidence used against the employee should be disclosed later.