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Industrial Action / Sympathy Stoppage Report Form
Category
One
Two
Three
Four
Date Action Commenced
Date Action Concluded (If Known)
Did action result in a STRIKE?
Yes
No
Site
Employer(s)
Site Workforce Representative
Accredited Shop Steward
Employee Representative
None
Type of Action
Reason(s) for Action
Steps Taken By Trade Union
Steps Taken By Employer
Eventual Outcome
Number of Employees Involved In Action
Cumulative Hours Lost
Additional Notes
Submitted By
Membership Number
Submit
