(seq. 64)

GRADE DAILY REPORT

Department .................. Date .................
Officer: ......................... Hours: A.M. ............ PM. ...........
.....................................

Number full time helpers assigned to Dept: ..................
Absent from work:
Name: Reason:
...................................................................................
Count at night: ....................................
(North Wing: count of mothers in isolation: .....................
In bed for medical attention: ..........................................
.......................................................
In room to rest: ...............................
.......................................................
In room for punishment: .................
.......................................................