OPD 870
Effective May 2005
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 ____ |
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| 6. Third party information received from: (include a description of party's association with contract or workers) Date information provided:________________
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| 7.(a) Number of workers affected: | (b) Total arrears calculated: | ||
| 8. Inspection worksheet: | |||
| Occupation title (show apprenticeship and level, if applicable) |
No. of workers
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Range of hourly rates
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Schedule rate
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| 9. Action: (a) None____ (b) Verbal payment request____ (c) AVC____ (d) Letter of Determination____ |
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