Go Digital Timesheet Version 3.0

Timesheet Submission Date 时间表提交日期

Worker ID Code 员工代码

Worker's Name 员工姓名

First Name 名字Last Name 姓氏

Reference Code 参考码

LOCATED IN YOUR JOB CONFIRMATION NOTICE 请查询您的工作确认信息

Client ID Code 客户代码

eg. SMIJOH 例如: SMIJOH

Client's Name 客户姓名 (If this is OAC duties, input Given Name=OAC, Surname= SSF)

Given Name(s) 名字Surname 姓氏

Client/Site Address 客户地址 (OAC staff only- input SSFVIC OAC or SSFNSW OAC)

Street Address 街道名称

Street Address Line 2

City 城市State 州

Post Code 邮编

Service Date 服务日期

Day 星期

Start Time 开始时间 - End Time 结束时间 (e.g. 10:00AM - 02:00PM)

Hour 时 Minutes 分

AM/PM Option

Until

Hour Minutes

AM/PM Option

Total 0.0

Time (previously known as end time)

Hour 时 Minutes 分

AM/PM Option

Hours worked 工作时长 (inc. break taken)

Auto filled 根据开始结束时间自动计算

Any Breaks taken (minutes.)

Kms Travelled during the job 工作期间行驶公里数 (DO NOT INCLUDE KMs FROM YOUR HOME to the WORKSITE or KMs FROM OTHER WORKSITES)

"SSF Supplied" Tools or Equipment used for the job:

Other 其它

Tasks, Duties Or Jobs Performed (Please select) 执行的任务、职责或工作（请选择）

If your performed duties are not listed above, please specify below in writing 如果您执行的工作未在上述提及，请在下方详细说明:

Supporting Documentation (HANDWRITTEN Timesheets, Job Completion Confirmations, Approved Work Orders, Other accompanying evidence of work completed, staff expense payment receipts, e.g. parking ticket receipts) 支持文件（手写时间表、工作完成确认书、批准的工单、其他已完成工作的随附证据、员工费用付款收据，例如停车罚单收据）

CUSTOMER AGREEMENT & DECLARATION 客户协议和声明 (If OAC staff- input ACCEPT):

*By ACCEPTING the customer/client declaration as follows, I acknowledge and confirm the following: 通过接受客户声明，我承认并确认以下陈述： The Staff/Contractor from SSF Services Pty Ltd to be referred to as 'SSF' below: SSF有限公司的员工承接者以下简称SSF: (1) Completed all tasks as agreed to prior to the job commencement as well as complied with SSF and authorised partner’s service policy and procedures; 完成所有事前约定的工作并遵守SSF和授权第三方的服务政策和章程； (2) Carried out their duties in a safe and controlled risk environment; 在安全和风险得到控制的环境执行他们的任务； (3) Not breached any legislative requirements in the applicable jurisdiction whilst performing the services; 在提供服务期间，不违反任何在司法管辖范围内适用的法律要求； (4) I agree to be billed for the above recorded services as quoted and approved by the SSF Services Coordination team. 我同意被付予按照 SSF 服务协调团队的报价和批准为上述服务记录的费用。

CUSTOMER SIGNATURE (or Client Nominee Representative) 客户签名 (OAC staff- Self Sign):

ASSIGNED WORKER AGREEMENT & DECLARATION: 派遣员工协议和声明

*By ACCEPTING this agreement and declaration, I acknowledge and agree to the following: All information provided in this timesheet submission is true and correct. Abide by any required legislative requirements in the jurisdiction I trade in. Adhered to Work Health & Safety guidelines as per updated State government and Federal government orders. Completed all tasks associated with my shift assignment. Complied with all site operating procedures, company policies, legislative requirements, and charged the hours and pay as APPROVED by SSF Services Pty Ltd. Adhered to the operating policies and procedures as required by SSF Services Pty Ltd. Understand that SSF Services Pty Ltd reserves the right to claim back or demand a refund of service fees should it find that any of the information provided are misleading, cannot be justified, lacks supporting documentation, contravenes the company operating policies & procedures, and/or carried out unapproved services such as not supplying proof of qualifications to professionally perform a service. As a sub-contractor, I understand that I indemnify SSF Services Pty Ltd should there be any claims against SSF Services Pty Ltd in the event of loss, damages or any other liabilities that arises from negligence, not following required policies or procedures, not adhering to guidelines, requests, rules, processes and any directives communicated by SSF Services Pty Ltd authorised representatives including managers and directors. 通过接受这份协议和声明，我承认并且同意以下陈述：提交时间表中所提供的信息是真实以及准确的。交易中我遵守任何相关的法律要求。遵守每个州政府和联邦政府最新指示的工作场所的健康和安全指南（Work Health & Safety guideline）。完成与我分派工作相关的所有任务。遵守全部所在场合的行动章程，公司规定，法律要求，和按小时数收费并且费用得到SSF服务有限公司的同意。清楚了解SSF服务有限公司有权收回或要求退回服务费用，当发现任何提供信息存在误导，理由不正当，缺少证明文件，违反公司执行政策和章程，和/或者执行未经批准的服务例如没有提供资格证明进行专业服务。作为分包商，我清楚了解当发生由失职，未遵守政策或章程要求，没有遵守指南，需求，规定，流程和由SSF服务有限公司权授权代表（包括经理和董事）发出的任何指令而引起的事件，并且导致任何对SSF服务有限公司造成损失和赔偿，我保证对SSF服务有限公司的损失做出相应的赔偿。

Assigned Worker Signature 员工签名

Shift Notes/ Report (include comments for Service Coordinator/ Manager) 轮班说明/报告（包括对护理经理/服务协调员的评论）

Did an incident occur on site or was there an issue that needs to be reported? 工作期间有任何事件需要汇报的吗？

If YES, please fill the INCIDENT REPORT here
如果有，请点击这里填写事件报告

Date & Time STAMP 日期和时间戳

Submission Location 提交地点

以上条文与细则之中、英文版本若有任何歧义或抵触，一概以英文版本为准，SSF Services Pty Ltd 保留最终解释权

SSF Services Pty Ltd reserves the right to adjust the reported work hours at its discretion in order to reflect a true and fair view of the job completed as well as to propose an objectively fair payment for work performed. Any proposed changes will be applied upon settling with a mutual agreement between the worker(s) and the client(s) involved in the service provision.

Go Digital Timesheet 工作时间表