Get Monthly Report For Ojt

Michigan Department of Transportation 0125 04/2001 MONTHLY OJT PILOT PROGRAM REPORT AND TRAINING LOG This is a federally mandated program required by 23 CFR 230 Code of Regulations. Failure to fulfill this requirement may result in the Contractor being found in noncompliance. Failure to resolve the non-compliance may lead to a reduction in the Contractor s prequalification rating pursuant to the Administrative Rules Governing the Prequalification of Bidders for Highway and Transportation Construction Work DISTRIBUTION ORIGINAL - MDOT OEO/LANSING OFFICE ELIGILIBILITY REQUIREMENTS FOR OJT PARTICIPANTS COPY - RESIDENT/PROJECT ENGINEER The person cannot have experience in the training program he/she will be training in COPY - CONTRACTOR cannot be an immediate relative of his/her employer and must be at least eighteen 18 years of age cannot have a college degree or be on summer leave/vacation from a college program cannot be in his/her fourth year of apprenticeship unless the person has completed his/her third year of apprenticeship with the same contractor. INSTRUCTIONS Contractor complete and submit form to Michigan Department of Transportation Office of Equal Opportunity Business Services Section P. O. Box 30050 Lansing MI 48909. Provide a copy to the Resident/Project Engineer and retain a copy for your records. Please fill out one form for each trainee. Trainees cannot be placed on a project prior to training plan approval* PLEASE CHECK ONE RESIDENT/PROJECT ENGINEER CONTRACTOR Name Address JOB LOCATION TYPE OF WORK Contractor Subcontractor CONTROL SECTION/JOB NO. IF MDOT PROJECT PLEASE PROVIDE THE FOLLOWING INFORMATION PROJECT START DATE FEDERAL NO. NAME OF TRAINEE SOCIAL SECURITY NO. ADDRESS PHONE PROJECT COMPLETION DATE ETHNIC GROUP SEX TRAINEE S PAY RATE Asian Hispanic Male Black Native American Female Caucasian DOES TRAINEE HAVE A COPY OF APPROVED TRAINING PROGRAM HAS TRAINEE REVIEWED PROGRAM REQUIREMENTS Other MDOT STANDARD TRAINING PROGRAM Construction Craft Laborer Painter Cement Mason Equipment Operator CONTRACTOR-DESIGNED APPROVED TRAINING PROGRAM Ironworker Carpenter Yes No APPROVED UNION TRAINING PROGRAM Apprenticeship Name of program Year of apprenticeship Total hours of program Approved transfer hours NOTE Only complete if trainee has worked previously on a different project in the same training program. Clear Form FOR EACH ACTIVITY TOTAL NUMBER OF PROGRAM HOURS ACTIVITIES FROM APPROVED PROGRAM Week 1 Week 2 Week 3 Week 4 Attach additional sheet if more space is needed* TOTAL HOURS EARNED THIS MONTH COMMENTS PREPARED BY Signature and Title of Contractor s Representative DATE TRAINEE SIGNATURE NOTE Fill this section out when Training Program has been completed* Final monthly report should be submitted within 10 days of completion* DATE TRAINING WAS COMPLETED. Failure to fulfill this requirement may result in the Contractor being found in noncompliance. Failure to resolve the non-compliance may lead to a reduction in the Contractor s prequalification rating pursuant to the Administrative Rules Governing the Prequalification of Bidders for Highway and Transportation Construction Work DISTRIBUTION ORIGINAL - MDOT OEO/LANSING OFFICE ELIGILIBILITY REQUIREMENTS FOR OJT PARTICIPANTS COPY - RESIDENT/PROJECT ENGINEER The person cannot have experience in the training program he/she will be training in COPY - CONTRACTOR cannot be an immediate relative of his/her employer and must be at least eighteen 18 years of age cannot have a college degree or be on summer leave/vacation from a college program cannot be in his/her fourth year of apprenticeship unless the person has completed his/her third year of apprenticeship with the same contractor. INSTRUCTIONS Contractor complete and submit form to Michigan Department of Transportation Office of Equal Opportunity Business Services Section P.