PSC Form 4-1-OvertimeForm
PSC Form 4-1-OvertimeForm
NOTE: - Unsocial hours (Column (b)) means: 1800 hrs to 06.00 hrs
Monday to Friday and any hours worked on Saturday, Sunday and
Public Holidays.
Hours Worked
Date Day of Start and Finish Time (a) In (b) In (c) Total
Week Normal Unsocial hours
Hours Hours Worked
(a) +(b)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Hours Worked in Month (a) (b) (c)
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PSC FORM 4-1
NOTE
Staff who are employed on regular alternating or regular rotating night shifts and are in receipt of
a Shiftwork Allowance are not entitled to unsocial hours payments for any standard hours
worked i.e. within the first 8 hours each day of the shift.
If employed on a regular rotating or regular rotating night shift, please specify the start and finish
times of the shift/s worked this month and the applicable dates:
Start: Finish: Dates: From: To:
Start: Finish: Dates: From: To:
Start: Finish: Dates: From: To:
SIGNATURES NAMES
DATE:
SUPERVISOR: NAME:
DATE:
MANAGER: NAME:
DATE:
DIRECTOR: NAME:
DATE:
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