Information
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Reference (Job number / DS4 / Date)
Weekly Timesheet / Exposure Record / Mask Check Record
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Name:
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Employee Number:
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Week End Date:
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Week Number:
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Monday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Tuesday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Wednesday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Thursday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Friday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Saturday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Sunday
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Job number, Site, Product and Work carried out:
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Exact times worked From
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Exact times worked To
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Total Hours Worked
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Time Exposed
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Exposure
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Daily masks checks complete
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Basic Pay
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Bonus
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Expenses
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Supervisors signature
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Employee signature
