12 WORKER NAME* First Last Please insert your full name abovePhone number*Email* Your Job Situation*FINISHED: WANT more workFINISHED: DONT need workASKED BACK but CANT WORKRETURNING back to sitePlease select what best describes your current job situation WORKER CONFIRMS THE FOLLOWING (select/deselect relevant points):* The Worker confirms that the details provided are true and correct, and that any reported time worked confirms any variance from advised hours if applicable. The Worker understands that submitting reportable time worked after midnight on Sunday will result in a delayed payment of at least 5 business days. The Worker understands that submitting incorrect or false details will result in reportable time being rejected. The Worker has a full understanding of the terms, policies and procedures of employment. The Worker confirms that he/she had no health and safety concerns on site. The Worker confirms that job duties did not vary from the assigned duties. The Worker confirms that he/she was not involved in, nor a witness to, any incident on site. Please explain why you are not reporting correct hours?* Please explain why you don't understand the submission deadline?* Please explain why you don't understand why this would be rejected?* Please explain why you don't understand the terms, policies and procedures of your employment?* Please provide details of the health and safety concerns:* Please explain the changes in job duties:* Please provide details of the incident:* SIGNATURE CONFIRMATION*Please sign here to provide confirmation. If you have made a mistake, click the reset signature button. Date* DD slash MM slash YYYY SITE ACTIVITYYour Position on Site*PLEASE SELECT BELOW...LABOURERTICKETED LABOURERTRADE ASSISTANTTRADESMANSUPERVISOROtherWhat was the position you were assigned on siteWhat was your role, if not above?* Project/Site* Insert the site address or project details you were assigned toCompany* Insert the name of the Builder/Contractor you were assigned toSite Code Office Use OnlyREPORTABLE TIME WORKEDDays worked* Wednesday Thursday Friday Saturday Sunday Monday Tuesday Days to report are for ONE single site only. Please select how many days you attended this site. WEDNESDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. WEDNESDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMWEDNESDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMWEDNESDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMWEDNESDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Wednesday's reportable time. THURSDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. THURSDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTHURSDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTHURSDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTHURSDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Thursday's reportable time. FRIDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. FRIDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMFRIDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMFRIDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMFRIDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Friday's reportable time. SATURDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. SATURDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSATURDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSATURDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSATURDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Saturday's reportable time. SUNDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. SUNDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSUNDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSUNDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMSUNDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Sunday's reportable time. MONDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. MONDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMMONDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMMONDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMMONDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Monday's reportable time. TUESDAY: DATE* DD slash MM slash YYYY IMPORTANT NOTE: The default work time is 7:00am to 3:30pm with a 30min break, change selections if different. TUESDAY: START TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTUESDAY: FINISH TIME*12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTUESDAY: BREAK START TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMTUESDAY: BREAK FINISH TIME*NO BREAK12:00 AM12:15 AM12:30 AM12:45 AM1:00 AM1:15 AM1:30 AM1:45 AM2:00 AM2:15 AM2:30 AM2:45 AM3:00 AM3:15 AM3:30 AM3:45 AM4:00 AM4:15 AM4:30 AM4:45 AM5:00 AM5:15 AM5:30 AM5:45 AM6:00 AM6:15 AM6:30 AM6:45 AM7:00 AM7:15 AM7:30 AM7:45 AM8:00 AM8:15 AM8:30 AM8:45 AM9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM9:45 PM10:00 PM10:15 PM10:30 PM10:45 PM11:00 PM11:15 PM11:30 PM11:45 PMThis field concludes Tuesday's reportable time. SUPERVISORSUPERVISOR*Please SelectSupervisor IS on siteSupervisor IS NOT availableSupervisor IS NOT on siteIs your supervisor present to confirm the reported time worked? Why supervisor is not on site*Please explain why your site supervisor is not present to confirm the reported time worked aboveSUPERVISOR CONFIRMATIONONLY THE BELOW SECTION TO BE COMPLETED BY SITE SUPERVISORSUPERVISOR CONFIRMS THE FOLLOWING* Supervisor confirms that he/she is an authorised representative of the Company, and authorised to confirm these hours in accordance with Amrick's terms of service. Supervisor confirms the hours reported by the Amrick Worker are true and correct. Supervisor confirms that the work completed by the Amrick Worker is satisfactory and the Amrick Worker has fulfilled the needs for the reported period. Supervisor confirms that no incidents (including but not limited to injury, damage and productivity loss) involving the Amrick worker had occurred. Please explain why you deselected the above point(s) Please explain why you deselected the above point(s) Please explain why you deselected the above point(s) Please explain why you deselected the above point(s) SITE SUPERVISOR SIGNATURE*Sign here to confirm SITE SUPERVISOR NAME* First Last Rate the worker (optional)Please select...ExcellentGoodAveragePoorWe rely on your feedback for continuous improvement of our service. If you would like to leave some feedback, please select an rating. Email (optional) Please write in your email address to get a copy of these reported hours emailed through. Notable tasks/duties performed by worker (optional)If you want to note down any particular tasks/duties that the worker performed you can specify them here. PLEASE NOTE: YOU MUST SPECIFY AN EMAIL ADDRESS ABOVE TO RECIEVE THESE NOTES.Confirmation Date DD slash MM slash YYYY