HomeMy WebLinkAbout0850-72_Highland Haven Development Sewer Project - RDA_12.1• STATEOf CAUfCRNIA -
DEPARTMENT OF TRANSPOSTATION
EMPLOYEE INTERVIEW:
LABOR COMPLIANCE AND
EQUAL EMPLOYMENT OPPORTUNITY
FORM MC-a1 UREV. I/I4)
Cart No.
Fed. No.
Description
I.. TO BE FILLED IN BY INTERVIEWER (Data may be obtained from payroll records or. during source document review)
0,9 Employe*, Nam. "a I e r Qa �� � Y labor classification /' it It4'ir
Minimum Baso Wage Per Contract: Base Rate Fringe Benefits
Minimum Base Wo Per Payroll (if available): Base Rat.
Employ.n C.. • Co v...s C b .
Fringe Bsn.fib
Primo Contractor on the Project S o..w. Q.
IV SAMI. e0 sTATO
Work Being Performed at Time of Interview
2. QUESTIONS TO BE ASKED Of EMPLOYE
A. How Tong have you worked for your present employer? Z- i `1 a s How long on the project?
B. Describe the type of work you have been doing during the past weekS e w a-w— Q QL 1 i, e Co
w tis _
2 ..o ee.kS
C. What is your wage.? Base Rate 1 9+ Fringe Benefits c&
Z
D. Do you work overtime? ® Frequently 0 Seldom 0 None
E. ; Are you paid time and one-half for overtime? i Q- 5 If no, explain
(Compare to payroll if available)
F. Do you keep a record of the hours you work? Y c S
G. Has the contractor discussed labor Compliance with you?
't 4-g Did he or she direct your attention to the required posters on
the project? N b Haw you seen those posters? 4 c s If no, explain P o sic,- s o., V. e-• 4..1- c o.v..c.,� 3
arcj„t t'I,erC •l,.)e• Se.C. 4-1,tw e.VCr.j c c p11
H. Are you awaro of the Contractor's EEO policies? Yc5 Does the Contractor hold regular EEO meetings? No
How often? • Who conducts the meetings?
Who is the EEO Officer for your employer? rn 1 jet. \34' 1 5‘1-e.r
Who is the EEO Officer for the project? hrll <<e- P-F isVe
I. Has your employer informed you of upgrading and training possibilities ' Please explain
J. Are you interested in training for higher skill work classifications?
3. ADDITIONAL QUESTIONS FOR OWNER OPERATORS
A. Eou1PMENT DESCItIrnoN
1 I TRCK UUCENSEi Na •
TRUCK (CAL-T) NO.
NOURLY RATE IFIR.LY OPERATED ANO MAINTARMKA
s
RARE EQUIPMENT RATE
S
E. ON WHAT 00 YOU IAMB YOUR EQUIPMENT RENTAL RATE?
HOURLY 0
WEEKLY 0 MONTHLY M
C. DO YOU OWN THE
EQUIPMENT
MAY I Sidi YOUR CERTIFICATE OP OWNERSHIP?
IRMTl11NEWE1 NOTE RIOONp1
LEGAL OWNER
REOIITERED OWNER
4. EMPLOYEE COMMENTS
A. 00 YOU HAVE ANY COMMENTS OR COMPLAINTS ADOUT WAGES OR EEO POLICIES/ Eel SPEGPIC:
S. INTERVIEWER'S COMMENTS
INTEIWIEVy
%M 2.et►5IC4�
DATE
0" 9 IBIESIOQNT ENWN LA"frt ��YSICI� ° Z /1 J l
1989-3
DIRECTIONS TO INTERVIEWER
1. Fill in Section 1 ' from payroll records, if available, after interview.
2. Fill in Section 2 completely. (Does not apply to owner operators)
3. Fill in Section 3 completely.
4. Employee comments optional in Section 4.
5. Interviewer comments on findings and recommends further actions to be taken. Attach
additional, sheets if necessary.
•
EXHIBIT 15-1b
1989-3