7.5.4.3
Employee Late/Missed Meal Break
Late or Missed Meal Break
The Employee Late Meal Break/Missed Meal Break form is used to document any instance where an employee was entitled to a meal break but either took one after the five-hour mark or did not take one at all. This form is used if the employee is not covered under the On-Duty Meal Period Waiver.
The supervisor must determine whether the employee was provided the opportunity to take at least a 30-minute meal break within the required timeframe.
If the employee was provided the opportunity to take their meal break but did not take it or took it late, fill out the “Missed/Late Meal Break – Employee Choice” section of the form.
If the employee was not provided the opportunity to take their meal break on time or at all, fill out the “Missed/Late Meal Break – Employer Required” section of the form.
The employee and the supervisor should both sign the form and scan or deliver it to their manager. Once the manager signs it it should be delivered to the HR department.
References