DATE : SHIFT DATE : SHIFT

DEPT. : DEPT. :

NAME : NAME :

DUTY HRS. - FROM : DUTY HRS. - FROM :

TO (EXPECTED) : TO (EXPECTED) :

TOTAL WORKING HRS. : TOTAL WORKING HRS. :

REASON FOR OT : REASON FOR OT :

SIGNATURE OF SUPERVISOR SIGNATURE OF SUPERVISOR

NAME OF SUPERVISOR : NAME OF SUPERVISOR :

DATE : SHIFT DATE : SHIFT

DEPT. : DEPT. :

NAME : NAME :

DUTY HRS. - FROM : DUTY HRS. - FROM :

TO (EXPECTED) : TO (EXPECTED) :

TOTAL WORKING HRS. : TOTAL WORKING HRS. :

REASON FOR OT : REASON FOR OT :

SIGNATURE OF SUPERVISOR SIGNATURE OF SUPERVISOR

NAME OF SUPERVISOR : NAME OF SUPERVISOR :