On-The-Job Training Employer Checklist Template (Page 2 of 2) in pdf

On-The-Job Training Employer Checklist Template Page 2

Assurances & Compliance Items

Do you have a payroll system which records all pay checks and amount?

_____Yes _____No

Can you verify wage payments quickly on-site?

_____Yes _____No

If no to either, how will wages be verified for OJT payment?

_____________________________________________________________________________

What is your Worker’s Compensation carrier (or equivalent system)?

_____________________________________________________________________________

Will OJT Trainees be covered?

_____Yes _____No

Are any of the jobs considered for an OJT “independent contractors” or not employed by your firm

during the entire training period?

_____Yes _____No

Are any of these jobs covered by a collective bargaining unit? _____Yes _____No

If yes, obtain and attach a “concurrence letter” from the union(s).

Are any employees on lay-off currently?

_____Yes _____No

Are there any outstanding wage and hour, health and safety, or discrimination complaints or adverse

decisions?

_____Yes _____No

Has your company relocated from another area in the U.S. within the last 120 days, leaving any

workers behind?

_____Yes _____No

What percentage of previous Trainees, over the last two (2) years, have completed training and bee

retained by your firm? Number of OJTs______ Number retained_______

_______%retained

If the retention percentage is below 75%, what improvements are planned

________________________________________________________________________________

I certify that the above information is, to the best of my knowledge, true and correct:

________________________________________

Print Name & Title

________________________________________

Employer’s Authorized Representative Signature

________________________________________

Approved by: CCJFS Signature

_____________________________________________

Print Name & Title

Crawford County Job & Family Services, Jobs Plus, 225 E. Mary Street, Bucyrus, Ohio 44820

On-The-Job Training Employer Checklist Template Page 2