Human Resources and Skills Development Canada
Symbol of the Government of Canada

Administration and Enforcement Procedures - Fair Wages and Hours of Labour Act and Regulations

OPD 870
Effective May 2005


APPENDIX J

Return to Table of Contents

CONSTRUCTION SITE INSPECTION INFORMATION SHEET –
FEDERAL CONSTRUCTION CONTRACTS

1.  Date of inspection or complaint:  
2. (a)  Contracting Authority and Contract No. (b)  Expiry date of contract
3.(a)  Employer (b)  Name of main contractor (if different from 3.(a))
4. (a)  Work site location (b)  Applicable Schedule
5.  Inspection is a result of: (a)  Business plan ____
(b)  Spontaneous action ____
(c)  Single complaint ____
(d)  Request of contracting authority ____
(e)  Third party information ____
6.  Third party information received from: (include a description of party's association with contract or workers)
Date information provided:________________
7.(a)  Number of workers affected: (b)  Total arrears calculated:
8.  Inspection worksheet:
Occupation title
(show apprenticeship and level, if applicable)
No. of workers
Range of hourly rates
Schedule rate
       
       
       
       
       
       
       
       
       
       
9.  Action:
(a)  None____  (b)  Verbal payment request____  (c)  AVC____  (d)  Letter of Determination____