Index

EMPLOYEE ABSENCE REPORTING

RULES
1. If you are going to be absent from work for any reason, you must
contact your manger by telephone as soon as possible before
your start time (or such other time as may be specified by
management).

2. Your manager’s telephone number is: 0207 408

6116/6138
3. You are required to explain your reason for absence and your
likely date of return to work. Your manager may ask some
additional questions at this point.

4. If you cannot provide your manager with a date of return, or in

case of extended absence, the Manager may ask you to make
telephone contact again so that your progress can be monitored.

5. On return to work, and prior to the commencement of your shift,

you must report to your manager and complete a Self
Certification Form or provide a Doctor’s Certificate. Your
manager will also request that you participate in a Return to
Work Interview. You are expected to fully co-operate with this
process.

6. Company sick pay is a benefit of employment with the company.

Your manger may withhold sick pay in circumstances where the
absence reporting procedure has not been followed.

Acceptance Slip

I have received a copy of the Absence Reporting Rules. These have

been explained to me and I understand them. I also understand
that failure to comply with these rules may result in disciplinary
action being taken against me.

Signed:

Date: 15th March 2007

Print name: CIRO D’AMATO

 ABSENCE RECORD SHEET
Name: Start Date of Location:
Record:
W Total Actio
Continuo Mo We Th Su Reason
eek Tue Fri Sat Days n
us Days n d u n Given
No. Sick Taken
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
Total

NOTE: This Absence Record Sheet should be used for detailing all
absence (including holidays/authorised/unauthorised/paid/unpaid
leave). The Sheet can hold information for six months. A record
sheet should be completed for every employee.
 Index

RETURN TO WORK INTERVIEW

RECORD

Name: First Day of Absence:

Date: Duration of Absence:

Absence Reporting
Yes/No Current Lost Time Rate:
Rules Followed:
Number of Periods of
Interviewer: Absence
in past 6 months:

Notes:

Action Agreed/Taken: