Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

EXPLANATION FOR FAILURE TO LOG IN OR/AND OUT

Date Filed: ______________________


Name of Employee: _______________________________Contact Number/s: ____________
Department: ________________________________

Unit: __________________________

Please check one of the following:


[ ] Failure to Log In
[ ] Failure to Log In and Out

[ ] Failure to Log Out

Date of Failure to Log In or/and Out: ____________________________________


(Please attached photocopy of logbook)
Reason/s:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________.
___________________________________________
Signature of Employee

ACTION TAKEN
[ ] Approved
[ ] Disapproved because
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________ .
____________________________
Signature over printed name/Date
Immediate Superior
Distribution of copies: 1st Employee; 2nd ER; 3rd Compensation and Benefits

You might also like