Wage & Hour Break Violation Log PDF (Free Template)
Track missed meal and rest breaks with shift details in a printable PDF log.
Published December 3, 2025
If you were denied meal or rest breaks, keeping a dated log helps HR, labor agencies, or attorneys understand the pattern. This free PDF log captures shift hours, missed breaks, and notes in one download.
When to use this
- You regularly miss meal or rest breaks and need documentation for HR or a labor complaint.
- You want a clear record before speaking with a wage-and-hour attorney.
- You need to show dates, shift hours, and what happened for a retaliation or unpaid wage claim.
How to do it (fast)
- Open /tools/wage-hour-break-violation-log-pdf.
- Enter your name, employer, and work location.
- Add each shift with the date, hours, and whether the meal or rest break was missed.
- Add notes about what happened or impacts, then download the PDF.
Why this helps
- Creates a timestamped record you can share with HR, agencies, or attorneys.
- Keeps details consistent so you remember who was involved and what was missed.
- Downloads privately as a PDF so you control where it is stored.
Related tools
- Employer Retaliation Incident Log PDF
- Unpaid Wage Dispute Log PDF
- Workplace Harassment Incident Log PDF
Not legal advice. Courts set their own rules. Keep your original records.