Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Surname
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First Name
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Date
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Absence
- Annual Leave
- Personal Sick Leave
- Carer's Sick Leave
- Leave without pay
- Compassionate Leave
- Community service/Jury service
- Paternity/Maternity Leave
- Special responsibility / Make up time / Other
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Please provide comments to allow the facilitation of approval, and to validate the type of absence indicated
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First date of Absence
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Last day of Absence
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Employee Signature
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Office Use Only
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Comments
- Medical Certificate Requested
- Statutory declaration of further evidence requested
- Medical certificate received
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Absence Approved
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Absence Not Approved
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Absence Approval Pending
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Signed by direct Manager/Supervisor
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Date
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Signed by Senior Management (if required)
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Date
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Signed by form processor
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Date
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Office Calendar updated
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Form copy given to staff member
