HomeMy Public PortalAboutBlank WF Utilization Report_0 (2)
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K5 Form
Monthly Employment Utilization Report in Compliance with Executive Order 11246, Sec. 203 for the U.S. Department of Labor
3. Current Goals
4. Reporting Period
5. Name and Address of Company Reporting:
Note: Summarize all employees reported on this form by Name, Job Category, Race, Sex, Apprentice Program if applicable
List Worksite Addresses/Location
From:
To:
Contract No:
Attach Additional Sheets with this information
TOTAL FEDERAL & NON-FEDERAL CONSTRUCTION WORK HOURS
Classifications
Total All Employees
Total Minorities
Hispanic
Asian or Pacific Islander
American Indian or Alaskan Native
Minority and Female Percentages of # of Employees *
Minority and Female Percentages of Hours **
Professional Staff
Male
Female
% Minority
% Female
Laborers
Apprentice Hours
Pipe Fitters
Totals
Worker Hours
Telephone #:
* Females are only counted once. Minority females are included in the minority percentage.
** Minority females are counted twice, once as a female and once as a minority. If an apprentice or OTJ moves to a journeyman they will be counted under both categories.
Black (Not of Hispanic Origin)
White (Not of Hispanic Origin)
Preparer: Name and Title:
Date Prepared:
Number of Workers
Number of Minorities
Number of Females
Minority % (hours)
Female % (hours)
Minority Hours
Female Hours
Minority %
Female %
Brick Layer
Roofer
Painter
Sheet Metal Worker
Sprinkler Fitter
Fore/Journeyman Hrs
# Fore/Journeymen
Operators
# of Apprentice(s)
Minority
Female
Boiler Maker
Cement Finisher
Electrician
Iron Worker
Carpenter
Cement Mason
Misc.