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Załącznik Nr 1 |
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KARTA EWIDENCJI CZASU PRACY |
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Rok |
2012 |
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miesiąc |
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Wrzesień |
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Planowana miesięczna norma czasu pracy |
151:40 |
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Nazwisko Imię |
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XXX |
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Miesięczny limit godzin dyżurowych* |
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Opt-out (TAK/NIE) |
TAK |
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Jednostka zatrudniająca |
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USK |
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Stanowisko |
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lekarz stażysta |
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Wymiar czasu pracy |
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pełny wymiar czasu pracy |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
18 |
19 |
20 |
21 |
22 |
23 |
24 |
25 |
26 |
27 |
28 |
29 |
30 |
Razem |
Dzień tygodnia |
Sb |
Nd |
Pn |
Wt |
Śr |
Czw |
Pt |
Sb |
Nd |
Pn |
Wt |
Śr |
Czw |
Pt |
Sb |
Nd |
Pn |
Wt |
Śr |
Czw |
Pt |
Sb |
Nd |
Pn |
Wt |
Śr |
Czw |
Pt |
Sb |
Nd |
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Nominalny czas pracy/grafik/ |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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151:40 |
Godziny faktycznie przeprac. |
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7:35 |
7:35 |
7:35 |
7:35 |
17:40 |
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7:35 |
7:35 |
7:35 |
7:35 |
17:40 |
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7:35 |
7:35 |
7:35 |
7:35 |
17:40 |
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7:35 |
7:35 |
7:35 |
7:35 |
17:40 |
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192:00 |
W tym godz. normalne |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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7:35 |
7:35 |
7:35 |
7:35 |
7:35 |
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151:40 |
Godz.nadliczbowe razem |
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Godz. nadl. z dopł.50% |
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Godz. nadl.z dopł.100% |
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Godz. nocne |
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Godz. świąteczne |
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Inne |
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Czas nieprzepracowany |
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Zwoln. lek.chor (C) dni |
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Zas. opiekuńczy (K) godz. |
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Urlopy-macierzyński(M) dni Urlop Ojcowski (T) dni |
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Urlop wychow.(Wych) godz. |
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Urlopy wypocz. (W) dni |
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Urlopy szkol. (S) godz. |
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inne nieobecności płatne/P/ dni |
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Urlop Okol. (O) godz. |
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Nieobecności dni |
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niepłatne (B) godz. |
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Nieobecności dni |
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Nieusprawiedliwione (N) godz. |
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DYŻURY FAKT.PRZEPR.RAZEM- godz.dyż.-125% stawki godz. zasadn. wynag. miesięcznego |
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10:05 |
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10:05 |
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10:05 |
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10:05 |
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40:20 |
* dot. osób, które nie podpisały klauzuli opt-out |
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DATA I PODPIS KIEROWNIKA ROZLICZAJĄCEGO CZAS PRACY |
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DATA I PODPIS PRACOWNIKA, KTÓREGO KARTA DOTYCZY |
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