Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Index of Forms and Documents Page 7-i

CHAPTER 7

INDEX OF COMPLIANCE FORMS & DOCUMENTS

Table of Contents

7.1 ALPHABETICAL LIST OF FORMS & DOCUMENTS 7.2 NUMERICAL LIST OF FORMS

Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Alphabetical List of Forms and Documents Page 7-1-1

Section 7.1

ALPHABETICAL LIST OF FORMS AND DOCUMENTS (On-The-Job Training Monthly Time Reports Excluded

Document Title (Alphabetical List)

FDOT Form # or website

Program Area

Workbook Section

Additional Classification Request Form 700-010-07 Wages & Payrolls 6.3

Additional Federal Wage Rate Decisions (for posting) 700-010-67 EEO-Project 4.2 Banking Certificate of Training 275-021-03 OJT 5.7 Certif. of Non Segregation & Non Discrimination 275-030-13 EEO-Co. 3.6-7 Commercially Useful Function DBE Monitoring Report 275-021-18 DBE 2.7 Contractors Annual July EEO Report 275-021-08 EEO-Project 4.4 Contractors Company Wide EEO Report 275-021-07 EEO-Co. 3.4 Contractors Past Performance Rating 700-010-25 General 1.6.4 Contractors Project EEO Report 275-010-12 EEO-Project 4.5 Contractor's Recruitment Report 275-021-21 EEO-Co. 3.5 Daily-Weekly Training Report for On the Job Trainees 275-021-12 OJT 5.6 DBE Bid Package Information 275-030-11 DBE 2 DBE/AA Plan 275-030-11B DBE 2.3 DBE Trucking Certification 275-030-13 DBE 2.7

EEO Is the Law (poster) FDOT EO website EEO-Project 4.2

EEO/AA Policy and Plan FDOT EO website EEO-Co. 3.2

Employee Interview Report -Labor/EEO 700-010-63 EEO-Project & Wages 6.4

Employee Rights under Davis Bacon FDOT EO website EEO-Project 4.2

Federal Aid Projects: Summary Employment Data for July 275-020-01 EEO-Project 4.4

Florida Law Prohibits Discrimination (poster) FDOT EO website EEO-Project 4.2

Inspection Report for Job Site Bulletin Board 275-021-10 EEO-Project 4.2

Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Alphabetical List of Forms and Documents Page 7-1-2

7.1

ALPHABETICAL LIST OF FORMS AND DOCUMENTS (On-The-Job Training Monthly Time Reports Excluded

Document Title (Alphabetical List)

FDOT Form # or website

Program Area Workbook Section

Job Safety & Health-Its the Law-OSHA (poster) FDOT EO website EEO-Project 4.2

Notice Employee Polygraph Protection (poster) FDOT EO website EEO-Project 4.2

Notice FHWA Highway Construction FDOT EO website EEO-Project 4.2

Notification for Use of Temp. Employ./Day Laborers 275-021-15 General 1.7.5 Notification to FDOT Of EEO Officer 275-021-13 EEO-Co. 3.2.5 On-the-Job Training Schedule 275-020-96 OJT 5.3 On-the-Job Training Trainee Interview 275-021-02 OJT 5.4

Payroll Violation 700-010-59 Wages & Payrolls 6.6

Poster of EEO Policy and Officers 275-020-28 EEO-Project 4.2 Proficiency Record for On-the-Job Training 275-021-01 OJT 5.5 Project Personnel EEO Meeting Record 275-021-06 EEO-Project 4.3 Project Request for New OJT Classification 275-021-14 OJT 5.1 Record of Superv . & Office Personnel EEO Meeting 275-021-05 EEO-Co. 3.3

Trainee Enrollment & Notice of Personnel Action 275-020-08 OJT 5.4

Trucker Observation & Verification 700-010-61 Wages & Payroll 6.6.10

Wage and Hour Record 700-010-69 Wages & Payrolls 6.5

Wage Determination Appeal Process (Poster) FDOT EO website EEO-Project 4.2

Wage Determinations USDOL website Wages & Payrolls 6.2

Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Numeric List of Forms and Documents Page 7-2-1

Section 7.2

NUMERIC LIST OF FORMS AND DOCUMENTS DOT Form # or website

Form or Document Name Program Area

Workbook Section

275-010-12 Contractors Project EEO Report EEO-Project 4.5 275-020-01 Federal Aid Projects: Summary Employment Data

for July EEO-Project 4.4

275-020-02 Trenching Machine Operator OJT 5.1, 5.6 275-020-04 Asphalt Luteman Raker OJT 5.1, 5.6 275-020-08 Trainee Enrollment & Notice of Personnel Action OJT 5.4 275-020-09 Concrete Curb/Sidewalk Machine Operator OJT 5.1, 5.6 275-020-13 Erosion Control Specialist OJT 5.1, 5.6 275-020-17 Earth Wall Erector OJT 5.1, 5.6 275-020-18 Antenna & Transmission Line Installer/Tester OJT 5.1, 5.6 275-020-19 Roller Operator (Rough or Finish) OJT 5.1, 5.6 275-020-20 Front End Loader Operator 1CY (+ or -) OJT 5.1, 5.6 275-020-22 Ironworker, Reinforcing -Hwy/Bridge OJT 5.1, 5.6 275-020-23 Scraper/ Pan Operator OJT 5.1, 5.6 275-020-24 Form/Curb and Gutter Builder (Structures) OJT 5.1, 5.6 275-020-25 Grade Checker OJT 5.1, 5.6 275-020-26 Asphalt/Bridge Deck Screed Operator OJT 5.1, 5.6 275-020-27 Concrete Finisher ( Highway) OJT 5.1, 5.6 275-020-28 Poster of EEO Policy and Officers EEO-Project 4.2 275-020-29 Carpenter-Highway or Bridge OJT 5.1, 5.6 275-020-30 Pipe layer OJT 5.1, 5.6 275-020-31 Backhoe Operator OJT 5.1, 5.6 275-020-35 Painter, Highway or Bridge OJT 5.1, 5.6 275-020-37 Asphalt Distributor OJT 5.1, 5.6 275-020-38 Asphalt Paving Machine Operator OJT 5.1, 5.6 275-020-39 Asphalt Plant Drier Operator OJT 5.1, 5.6 275-020-44 Equipment Maintenance Technician OJT 5.1, 5.6 275-020-45 Motor Grader Operator OJT 5.1, 5.6 275-020-46 Milling Machine Operator OJT 5.1, 5.6 275-020-47 Concrete Paving Finishing Machine Operator OJT 5.1, 5.6 275-020-48 Concrete Paving Machine/Spreader Operator OJT 5.1, 5.6 275-020-60 Tractor Operator OJT 5.1, 5.6 275-020-64 Stone and Aggregate Spreader Operator OJT 5.1, 5.6 275-020-65 Sign Erector OJT 5.1, 5.6 275-020-67 Pile driver OJT 5.1, 5.6 275-020-70 Pile driver Leadsman OJT 5.1, 5.6

Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Numeric List of Forms and Documents Page 7-2-2

7.2

Numeric List of Forms and Documents (Continued )

FDOT Form # or website

Form or Document Name Program Area

Workbook Section

275-020-71 Mixer Operator OJT 5.1, 5.6 275-020-75 Mason OJT 5.1, 5.6 275-020-77 Landscape Worker OJT 5.1, 5.6 275-020-79 Instrument Person OJT 5.1, 5.6 275-020-80 Ironworker, Structural Hwy/ Bridge OJT 5.1, 5.6 275-020-81 Guardrail Erector OJT 5.1, 5.6 275-020-88 Crane, Clamshell, Backhoe, Derrick,

Dragline , Shovel Operator OJT 5.1, 5.6

275-020-89 Concrete Paving Sub Grade Operator OJT 5.1, 5.6 275-020-93 Bulldozer Operator OJT 5.1, 5.6 275-020-94 Traffic Signalization Installer/Mechanic OJT 5.1, 5.6 275-020-96 On-the-Job Training Schedule OJT 5.3 275-020-98 Traffic Control Specialist OJT 5.1, 5.6 275-021-01 Proficiency Record for On-the-Job Training OJT 5.5 275-021-02 On-the-Job Training Trainee Interview OJT 5.4 275-021-03 Banking Certificate of Training OJT 5.7 275-021-05 Record of Superv & Office Personnel EEO

Mtg EEO-Co. 3.3

275-021-06 Project Personnel EEO Meeting Record EEO-Project 4.3 275-021-07 Contractors Company Wide EEO Report EEO-Co. 3.4 275-021-08 Contractors Annual July EEO Report EEO-Project 4.4 275-021-10 Inspection Report for Job Site Bulletin Board EEO-Project 4.2 275-021-12 Daily-Weekly Training Report for On the Job

Trainees OJT 5.6

275-021-13 Notification to FDOT Of EEO Officer EEO-Co. 3.2.5 275-021-14 Project Request for New OJT Classification OJT 5.1 275-021-15 Notification for Use of Tem Emplymnt

Agency/Day Laborers General 1.7.5

275-021-16 Sound Wall Erector OJT 5.1, 5.6 275-021-17 Sweeper Operator OJT 5.1, 5.6 275-021-18 Commercially Useful Function DBE

Monitoring Report DBE 2.7

275-021-19 Electronics Installer OJT 5.1, 5.6 275-021-20 Asphalt Shuttle Buggy Operator OJT 5.1, 5.6 275-021-21 Contractor's Recruitment Report EEO-Co. 3.5

Florida Department of Transportation January 2014 EEO Construction Contract Compliance Workbook Chapter 7: Index of Forms and Documents

Numeric List of Forms and Documents Page 7-2-3

7.2

Numeric List of Forms and Documents (Continued)

Workbook Section

Form or Document Name Program Area

Workbook Section

275-021-22 Pavement Marking Machine Operator OJT 5.1, 5.6 275-030-10 Bid Opportunity List DBE 2.4 275-030-11B DBE/AA Plan DBE 2.3 275-030-13 Certif. of Non Segregation & Non

Discrimination EEO-Co. 3.6, 3.7

275-030-14 DBE Trucking Certification DBE 2.7.6 700-010-07 Additional Classification Request Form Wages & Payrolls 6.3 700-010-25 Contractors Past Performance Rating General 1.6.4 700-010-59 Payroll Violation Wages & Payrolls 6.6 700-010-61 Trucker Observation & Verification Wages & Payroll 6.6.10 700-010-63 Employee Interview Report -Labor/EEO EEO-Project &

Wages 6.4

700-010-67 Additional Federal Wage Rate Decisions (for posting)

EEO-Project 4.2

700-010-69 Wage and Hour Record Wages & Payrolls 6.5 FDOT EO website EEO Is the Law (poster) EEO-Project 4.2 FDOT EO website EEO/AA Policy and Plan & Desig of EEO

Ofcr EEO-Co. 3.2

FDOT EO website Florida Law Prohibits Discrimination (poster)

EEO-Project 4.2

FDOT EO website Employee Rights under Davis-Bacon (poster)

EEO-Project 4.2

FDOT EO website Job Safety & Healt-Its the Law-OSHA (poster)

EEO-Project 4.2

FDOT EO website Notice Employee Polygraph Protection (poster)

EEO-Project 4.2

FDOT EO website Notice FHWA Highway Construction EEO-Project 4.2 FDOT EO website Wage Determination Appeal Process

(Poster) EEO-Project 4.2

FDOT EO website Whistleblowerss Know Your Rights ( ARRA only) (poster)

EEO-Project 4.2

FDOT EO website Your Rights Under the Family & Medical Lv Act of 1993

EEO-Project 4.2

USDOL website Wage Determinations Wages & Payrolls 6.2