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)
12/19/23 ILOCOS SUR NATIONAL HIGHSCHOOL VIGAN CITY PID0007-Ilocos
NHS_20231213

Overtime Work Information

Date(s) of Proposed Overtime: 12/19/23
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 Columns at Lot 16 (5 sets of Column)
Concreting of Columns at Lot 15 ( 2 sets of Column)
Concreting of Isolated Footing

Tasks and Objectives

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

Concreting of Columns at Lot 16 (5 sets of Column)

Concreting of Columns at Lot 15 ( 2 sets of Column)
Concreting of Isolated Footing

List of Employees Involved in Overtime Work (Attach an extra sheet if more space is required):
# Name Position # Name Position
1 Engr. Jefferson Proj. Engineer 14 Michael Labor
2 Maricel Admin Staff 15 Bong Carpenter
3 Garry Foreman 16 Joseph Steelman
4 Pablo Pison Operator 17 Jerry B. Steelman
5 Jeboy Equipment Spt. 18 Nonoy Steelman
6 Shalmar BH Operator 19 Pedro Steelman
7 Robert Loader Optr 20 Tony Steelman
8 Rennel Driver 21 Rowel A. Labor
9 Mike BH Operator 22 Marius Steelman
10 Danilo Carpenter 23 Oliver Labor
11 Joshua Carpenter 24 Jordan Labor
12 Jason Carpenter 25 Rovic Labor
13 Renold Carpenter 26 Gelo Labor

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. J. Antonio

Position/Title: Project Engineer