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Report on the Implementation of Compressed Work Week
BWC flexible work arrangement report form for the implementation of compressed work week
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Intramuros, Manila
NOTICE
IMPLEMENTATION OF COMPRESSED WORKWEEK
Name of Establishment:___________________________________________
Address:__________________________________________________ ______
Telephone:_____________Fax:____________E-mail:____________________
Nature of Business:___________________ Years in Operation:____________
Contact Person:__________________________________________________
Name of Union, (if any):___________________________________________
Total Number of Employees:_________Male_________Female____________
Reasons for CWW:
______ Increased production requirements
______ Cost-cutting in utilities consumption
______ Enhance competitiveness
______ Requested by workers
______ Others________________________________________
Total No. of Employees under CWW scheme:______Male _____Female_____
Previous Work Schedule Prior to Adoption of Compressed Workweek:
No. of Days/Week ______________________
No. of Hours/Day ______________________
Compressed Workweek Schedule
WORK DAYS/
WEEK
WORK
HOURS/DAY
MEAL
PERIODS/DAY
REST
PERIODS/DAY
TOTAL
Date of Effectivity of Compressed Workweek:__________________________
Date of Expiration of Compressed Workweek:__________________________
We hereby certify that the compressed workweek scheme indicated was
undertaken by virtue of an express and voluntary agreement of majority of
the employees or their duly authorized representatives. Our agreement was
arrived at through (
) a provision in the collective bargaining agreement;
(
) a meeting of the labor-management council; (
) referendum;
(
) established participatory mechanism [brief description] on ( date )
at (
place ).
We further certify that our safety committee or ( name of OSH organization)
or (OSH practitioner), with license no. __________________ has issued on
( date ) the appropriate certification guaranteeing that the extended work
hours is within threshold limits or tolerable levels of exposure, as prescribed
in existing safety and health standards.
EMPLOYEE REPRESENTATIVE
EMPLOYER REPRESENTATIVE
_______________________
Print name above signature
________________________
Print name above signature
Date___________________