Local 350 JATC Apprentice Monthly Work Report

Apprentice ID Number*
IBEW Card Number*
Name*
First Last
Email*
Last Day of THIS Report Period*
MM slash DD slash YYYY
Period
Employer*
Hours Breakdown

Enter the Number of Actual Clock Hours (Including Overtime) for Each Category Worked This Month.
Project Layout and Planning
Underground Installations
Thinwall Conduit Raceway Systems
Rigid Conduit Raceway Systems
Installing Services
Floor Duct Installation
Motor Control Center Installation
Installing, Splicing, & Terminating Wires & Cables
Cable Tray Installation
Lighting System Installation
Testing & Troubleshooting Feeders, Motors & Branch Circuits
Fire Alarm Installation
Motor Installation
Control System Installation
Installing & Programming Programmable Logic Controllers
Installing Instrumentation & Process Control Systems
Security System Installation
Installing Sound & Communication Systems
Installing & Terminating Transformers
Installing Fiber Optic Cable
Welding & Brazing
Service & Troubleshooting
Material Handling & Pre-Fabrication
Other Specialized Area
Total number of hours you worked this month
Of the total number of work hours that were available to you, indicate the number of hours you DID NOT work
Indicate below the reason(s) and number of hours for absenteeism. Show hours for ALL that apply:
Illness, Medical, or Injury
Personal
Scheduled Vacation
Consent*
I agree that all data entered on this form is accurate and answered to the best of my abilities.