Name of Student: ________________________ Training Station: ___________________ 

Week Beginning: ________________________ Occupation: _______________________ 
 
DAILY WORK ACTIVITIES 
(To be filled out following an afternoon’s work)   
 
Helped  Did Job  No. of Hrs. 
Date/Mon  Work Activities 
on Job  Myself  Worked 
 
 
       
 
 
Helped  Did Job  No. of Hrs. 
Date/Tue  Work Activities 
on Job  Myself  Worked 
 
 
       
 
 
Helped  Did Job  No. of Hrs. 
Date/Wed  Work Activities 
on Job  Myself  Worked 
 
 
       
 
 
Helped  Did Job  No. of Hrs. 
Date/Thu  Work Activities 
on Job  Myself  Worked 
 
 
       
 
 
Helped  Did Job  No. of Hrs. 
Date/Fri  Work Activities 
on Job  Myself  Worked 
 
 
         
 
Helped  Did Job  No. of Hrs. 
Date/Sat  Work Activities 
on Job  Myself  Worked 
 
 
       
 
 
 
                                                                                           Total number of hours worked:
__________ 
  
Certified by: 
 
 
________________________________ 
       (Signature over Printed Name) 
  
 
 
________________________________ 
       (Designation/ Position)