QCare Check In Out – Qasya Diagnostic Services

Staff Name *

Area of Responsibility

Check In/ Out TypeSelect your current status (e.g. Check In, Out, Lunch, Duty, etc.)

Employee ID *

Late Reason

Early/ Late Check Out Reason (approval by whom)

Have you Informed Management

Location

Purpose of Offsite Duty

Assigned/ Request by whom

Trip Location

Trip DurationOnly in days (e.g trip is 2 weeks do input 14)

Trip Purpose

Isolation PeriodOnly in days (e.g isolation are 4 days do input 4)

Reason for Isolation

Isolation Date Coveragedd/mm/yyyy - dd/mm/yyyy

Approval (by whom and date)

Isolation Status

Reduced working hours

Approval (by whom and date)

Remarks

Reason/ Purpose

Time Frame

Approval Authority

Recurring/ One-Time

Work Location