Contractor'S Lpa Construction-Site Inspection printable pdf download

Contractor’s

Federal-Aid Construction Projects

LPA Construction-Site Inspection

Equal Opportunity Inspection

Contractor’s Name __________________________________________

Date of visit ______________

Signature of Inspector________________________________________

SC File No. ______________

Title of Inspector ___________________________________________

___ Yes

___ No

1. Are all fifteen (15) posters listed below and a copy of the minimum wage rates displayed in an

externally visible place on the job site? Location_______________________________

If “No,” state

OSHA Job Safety and Health – English (OSHA

action taken

EEO is The Law – English (OFCCP 1420)

3165-12-06R)

OSHA Job Safety and Health –Spanish (OSHA

EEO is The Law – Spanish (OFCCP 1420)

3165-12-06R)

Employee Rights Under FMLA –English (WHD

Notice (Title 18, U. S. Code) (FHWA 1022)

1420)

Employee Rights Under FMLA – Spanish (WHD

Employee Rights (FLSA) – English (WHD 1088)

1420)

Employee Rights (FLSA) – Spanish (WHD 1088)

Polygraph Protection Act – English (WH 1462)

Employee Rights – Davis Bacon Act – English (WH 1321)

Polygraph Protection Act – Spanish (WH 1462)

Employee Rights – Davis Bacon Act –Spanish (WH

Federal Minimum Wage – English (WH 1284)

1321)

Minimum Wage Regulations

Federal Minimum Wage – Spanish (WH 1284)

(from original contract)

Know Your Rights Under the Recovery Act

(must be posted for American Recovery and Reinvestment Act (ARRA) projects only)

___ Yes

___ No

FOR PRIME CONTRACTOR ONLY: EEO Policies for ALL active subcontractors are displayed in an externally visible

place on the job site. (List each subcontractor)

If “No,” state

action taken

___ Yes

___ No

FOR ALL CONTRACTORS: EEO Policy is displayed in an externally visible place on the job site.

If “No,” state action

taken

___ Yes

___ No

I found no segregated areas on this job site.

If “No,” state action taken

___ Yes

___ No

I found no racially or sexually discriminating signs, words, or drawings on this jobsite, including recreational areas, break

areas, or restroom facilities, if they apply.

If “No,” state action taken

___ Yes

___ No

The restrooms and changing areas have no “peepholes” and can be locked from the inside.

If “No,” state action taken

Total Number of port-a-johns inspected:____

___ Yes

___ No

I saw no visible evidence that employee working conditions or facilities demonstrate discriminatory treatment of jobsite

personnel.

If “No,” state action taken

___ Yes

___ No

I have asked employees if they have any discrimination complaints, and they have all answered “no.”

If “No,” state action

taken

___ Yes

___ No

I have discussed with the Project Manager any EEO concerns that were raised as a result of this inspection.

If “Yes,”

explain results

Please write any additional comments on the back of the form

Revised 02/14

Contractor'S Lpa Construction-Site Inspection

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