Worcester Warriors forward Richard De Carpentier will appear at an RFU disciplinary hearing, charged with making contact with the eyes/eye area of an opponent.
De Carpentier, making only his second Premiership start of the season, was cited following his side's defeat at home by Northampton on Saturday.
He clashed with Saints flanker Calum Clark during the Premiership fixture.
The hearing will take place in Coventry on Wednesday, 4 December.
Mike Hamlin, Austin Newman and Adrienne Lucking will make up the panel.