Clothing and Knitting Sector

READ THIS FIRST

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WHAT IS THE PURPOSE OF THIS FORM?

This form is a record of each days work.

WHO FILLS IN THIS FORM?

The employee.

WHERE DOES THIS FORM GO?

To the employer.

INSTRUCTIONS

The driver must deliver a copy of this form to the employer within 24 hours of the completion of the work to which the form relates.

NOTE

The employer must keep this form for a period of three years from the date of its delivery to him.

This is only a model and not a prescribed form. Completing a document in another format containing the same information is sufficient compliance with clause 27.

Name of employer

................................................

Name of driver

....................................................

Date

...................................................................

Registration number of vehicle

..............................

Time of starting work

...........................................

Time of finishing work

...........................................

Number of hours worked

......................................

Meal interval from

...............

to

.........................

Particulars of any accident or delay

.........................

............................................................................

............................................................................

............................................................................

............................................................................

Name(s) of employee(s) accompanying driver

............................................................................

............................................................................

............................................................................

...........................................

...........................

Signature of driver

Date