Information
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Conducted on:
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Reporting Manager's Name:
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Personal Details
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RSA Name:
Lateness Details
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Date of lateness
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Scheduled shift:
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Time arrived at work
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Leadership Notified?
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If yes, please provide date and time:
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Please detail the reason for lateness choosing from the list of reasons:
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If other, please state reason:
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RSA to sign to confirm all details above:
Signature's
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Leader to sign to confirm all details above: