Employee Absence Reporting Rules

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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: Print name:

15th March 2007

CIRO D’AMATO

ABSENCE RECORD SHEET Name: W eek No.

Continuo us Days

Start Date of Record: Mo n

Tue

We d

Th u

Fri

Location: Sat

Su n

Total Days Sick

Reason Given

Actio n 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 Rules Followed: Interviewer:

Notes:

Action Agreed/Taken:

Yes/No

Current Lost Time Rate: Number of Periods of Absence in past 6 months:

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