Overtime Request Form (Site)

Overtime work will not be compensated unless this form is filled out and submitted prior to the commencement of the overtime. It must be sent before the
end of regular working hours at the construction site. Please email it to assconstruction25@gmail.com and dial 0918-947-3572 to confirm receipt of the
email.

Project Information
Date of Request Project Name Site Location ID (For Manager)
12/18/23 ILOCOS SUR NATIONAL HIGHSCHOOL VIGAN CITY PID0007-Ilocos
NHS_20231213

Overtime Work Information

Date(s) of Proposed Overtime: 12/18/23
Total Hours of Overtime Requested: 3 hours
Start and End Time of Overtime: 3:00 pm to 6:00 pm
Reason for Overtime (Detailed Description):
Concreting of Isolated Footing GL C,6
Concreting of Footing Tie Beam
Concreting of Pedestal

Tasks and Objectives

Breakdown of Overtime Activities (Attach diagrams or sketches on a separate sheet if necessary):

Concreting of Isolated Footing GL C,6

Concreting of Footing Tie Beam
Concreting of Pedestal

List of Employees Involved in Overtime Work (Attach an extra sheet if more space is required):
# Name Position # Name Position
1 Engr. Calimlim Proj. Engineer 13 Rod Carpenter
2 Salvador Foreman 14 John Paul Labor
3 Pablo Pison Operator 15 John Lloyd Labor
4 Jeboy Equipment Spt. 16 Rustom Labor
5 Shalmar BH Operator 17 Jerry S. Carpenter
6 Robert Loader Optr 18 Roger Labor
7 Rennel Driver 19 Mario S. Carpenter
8 Mike BH Operator 20 Dario Carpenter
9 Dave Labor 21 Benjie Labor
10 Carlo Labor 22 Hernan Labor
11 Robinson Carpenter 23
12 Daryll Carpenter 24

Acknowledgment Supervisor/Manager Approval

I hereby acknowledge that the above information is To be filled out by Supervisor/Manager:
accurate, and I have read and understood the Approval Status: ☐ Approved ☐ Denied
company's overtime policy. I commit to effectively
utilize the overtime period for the tasks stated above. Comments (If any):

Requested By (Name): Engr. I. Calimlim

Position/Title: Project Manager