RECORD OF SICK LEAVE / HOSPITALISATION / ABSENTEEISM / LATENESS FOR THE MONTH OF <MONTH>

Name of Employee SAMPLE

Designation Attachment 7.4,7.5 and 7.6
Department
Date Joined:
Sick Leave Entitlement:
Hospitalisation Days Entitlement:

Content

SICK LEAVE HOSPITALISATION TIME OFF ABSENT TARDINESS

Days in
the
month
FROM FROM FROM FROM TIME SCHEDULED ACTUAL TIME LATE BY:
TO MM/DD/YYYY NO. OF DAYS TO DD/MM/YYYY NO. OF DAYS TO DD/MM/YYYY NO. OF HOURS TO DD/MM/YYYY NO. OF DAYS
(MM/DD/YYYY) (DD/MM/YYYY) (DD/MM/YYYY) (DD/MM/YYYY) TO BE IN/OUT IN/OUT IN HOURS

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL SICK DAYS THIS MONTH 0 TTL HOSPITALISED DAYS 0 TTL TIME OFF HOURS 0 TTL ABSENT DAYS 0 TTL HRS LOST DUE TO TARDINESS 0

TOTAL NORMAL HOURS WORKED DURING A DAY/SHIFT 8 HOURS Note 1 EMPLOYEE SALARY
TOTAL HOURS LOST THIS MONTH 0 HOURS HOURLY RATE $0.00 Note 3:
TOTAL WORKING DAYS THIS MONTH 26 DAYS Note 2
TOTAL WORKING HOURS THIS MONTH 208 HOURS
PERCENTAGE OF MANHOUR LOST 0%
MANHOUR COST TO THE COMPANY $0.00

Note 1: Key in number of hours per workday or shif

Note 2: Key in number of working days in the month
Note 3: Ordinary Hourly Rate is based on Basic Salary divide by 26 days times 8 hours per days. If you use a different formula adjust it accordingly.