Local 12 Weekly Time Record — Editable Version (V2.4 — Sunday Restored)

Local 12 Time Record

LOCAL 12 WEEKLY TIME RECORD — EDITABLE VERSION (V2.4)

International Union of Operating Engineers • Local 12 • Weekly Employee Time Record

Employee Name:

Month:

Year:

Address:

Week of (Start):

Pay Period End:

Phone / Email:

Member / Class:

SECTION 1 — DISPATCH / EMPLOYER INFORMATION (All fields editable)

Employer / Hiring Company:

Labor Classification:

Wage Scale:

Subsistence:

Report Date / Time:

Employer Address:

City / State / ZIP:

Dispatch Date:

Open / Requested:

Office Contact (Name / Phone):

Office Email:

Foreman / Supervisor (Name / Phone):

Foreman Email:

SECTION 2 — WEEK AT A GLANCE (JOB / PROJECT REFERENCE)Fill once each week — one line per day

SECTION 3 — DAILY TIME RECORD (Monday–Sunday)Hours calculate automatically

Day	Date M/D	STRAIGHT TIME (ST)		OVERTIME (OT)		DOUBLE TIME (DT)		Total	Conditions Weather	Safety Meeting ✓	WORK PERFORMED / MATERIALS / NOTES / DELAYS / INSTRUCTIONS / SAFETY / OTHER
Day	Date M/D	ST Hours	ST Notes	OT Hours	OT Notes	DT Hours	DT Notes	Total	Conditions Weather	Safety Meeting ✓
Mon								0.00
Tue								0.00
Wed								8.00			Excavate Trench for Electrical
Thu								8.00			Excavate Trench for Electrical
Fri								8.00			Excavate Trench for Electrical - Helped Robert with fitting pipe & wall mount
Sat								0.00
Sun								0.00
WEEKLY TOTALS		24.00		0.00		0.00		24.00

NOTES

EMPLOYEE SIGNATURE:

Date:

I certify these hours are accurate.