Overnight Employee Check In

Overnight Employee Check In
Employees must remain awake, alert, and attentive at all times while on duty, including during overnight hours. To ensure the client’s safety, employees are required to perform a visual check to verify the client’s well-being at least every two hours throughout the night.

Definitions: Overnight - between the hours of 12am and 5am

Procedures: Employees will attest that they are awake and alert by completing this Overnight Check In form at the following intervals
- 1am - Between 12:45am and 1:15am
- 3am - Between 2:45am and 3:15am
- 5am - Between 4:45 and 5:15am
If you are unable to complete a check in for any reason, including a technical issue with the form, you must call 267-547-0310 to check in verbally.

If you do not check in, we may call you to verify that you are awake. It is very important that you answer this call.
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Client's First Name
Client Status

AwakeAsleep
Your Name

First NameLast Name
Your Email
example@example.com
Note:
Optional
I acknowledge and agree to abide by this policy and attest that I am awake and alert.
I acknowledge and agree to abide by this policy and attest that I am awake and alert.
Should be Empty: