The Form Chro Cc 257 is an important form for businesses to complete when hiring new employees. This form helps businesses keep track of employee hires and terminations, as well as other important information about their employees. Completing this form correctly is crucial for ensuring that your business is in compliance with state and federal laws. Here's what you need to know about the Form Chro Cc 257. Form Chro Cc 257 - What You Need to Know About This Important Hiring Form | Business Compliance Academy https://www.businesscomplianceacademy.com/blog/form-chro-cc-257-what-you-need-to-know/ The Form Chro Cc 257 is an important form for businesses to complete when hiring new employees. This form helps businesses keep track of employee hires and terminations, as well as other important information about their employees. Completing this form correctly is crucial for ensuring that your business is in compliance with state and federal laws. Here's what you need to know about the Fo
Question | Answer |
---|---|
Form Name | Form Chro Cc 257 |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | chro, form, CPW, FEIN |
Commission on Human Rights and Opportunities |
|
|
|
1. MONTHLY |
|
PROJECT AREA (MSA): |
|
|
|
3. PROJECT AAP GOALS |
|
4. REPORTING PERIOD |
|||||||||||||||||
Contract Compliance Unit |
|
|
|
|
|
EMPLOYMENT |
|
____________________________ |
|
MINORITY: ___________ |
|
FROM: |
|
|
|
||||||||||||||
|
|
21 Grand Street |
|
|
|
|
|
UTILIZATION REPORT |
|
FEMALE:_____________ |
|
12/1/2011 |
|
||||||||||||||||
|
Hartford, CT 06106 |
|
|
|
|
|
(FORM chro |
2. EMPLOYER'S FEIN NO. |
|
|
TO: |
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3/7/2012 |
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
PROJECT NAME: |
|
Stable Work 2904 |
|
|
|
|
|
|
|
NAME AND LOCATION OF CONTRACTOR (submitting report): |
|
STATE AWARDING AGENCY: |
|||||||||||||||||
CONTRACT NUMBER: 001 |
|
|
|
|
|
|
|
|
|
Points North (CPW Sample Reports) 371 Canal Park Dr Hartford, CT 06106 |
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
5. |
|
|
|
6. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT |
|
|
|
|
|
|
|
9. |
|
|
|
10. |
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
CONSTRUCTION |
|
|
6a. |
|
|
6b. |
|
|
6c. |
|
6d. |
|
|
6e. |
|
|
7. |
|
8. |
|
TOTAL |
|
TOTAL |
||||||
TRADE |
|
CLASSIFICATION |
|
TOTAL |
|
|
BLACK |
HISPANIC |
ASIAN OR |
|
AMERICAN |
|
|
|
|
NUMBER OF |
|
NUMBER OF |
|||||||||||
(please identify) |
|
|
HOURS |
|
|
(Not of |
|
|
|
PACIFIC |
|
INDIAN OR |
|
MINORITY |
FEMALE |
EMPLOYEES |
|
MINORITY |
|||||||||||
|
|
BY TRADE |
|
|
Hispanic |
|
|
|
ISLANDERS |
|
ALASKAN |
|
|
PERCENT |
PERCENT |
|
|
|
|
EMPLOYEES |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
Origin) |
|
|
|
|
|
|
NATIVE |
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
M |
|
F |
|
M |
|
F |
M |
F |
M |
F |
|
M |
F |
|
|
|
|
M |
|
F |
|
M |
F |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Laborer |
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
Apprentice |
16 |
|
|
|
|
|
|
|
|
|
16 |
|
|
|
|
|
|
100.00 % |
0.00 % |
1 |
|
0 |
|
1 |
|
0 |
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
16 |
|
|
|
|
|
|
|
|
|
16 |
|
|
|
|
|
|
100.00 % |
0.00 % |
1 |
|
0 |
|
1 |
|
0 |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operator |
|
Journey Worker |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
1 |
|
0 |
|
0 |
|
0 |
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
1 |
|
0 |
|
0 |
|
0 |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
TOTAL JOURNEY WORKERS |
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
1 |
|
0 |
|
0 |
|
0 |
|||
TOTAL APPRENTICES |
16 |
|
|
|
|
|
|
|
|
|
16 |
|
|
|
|
|
|
100.00 % |
0.00 % |
1 |
|
0 |
|
1 |
|
0 |
|||
TOTAL TRAINEES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
GRAND TOTAL |
|
|
34 |
|
|
|
|
|
|
|
|
|
16 |
|
|
|
|
|
|
47.06 % |
0.00 % |
2 |
|
0 |
|
1 |
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
11. COMPANY OFFICIAL'S SIGNATURE AND TITLE |
|
|
|
|
12. TELEPHONE NUMBER (Including area code) |
|
13. DATE SIGNED |
|
|
PAGE |
|
|
|
||||||||||||||||
|
|
|
Human Resources Manager |
|
|
|
775 111 1111 |
|
|
|
|
|
|
|
3/7/2012 |
|
|
1 |
|
OF |
2 |
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Addenda # A |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Form CHRO |
Commission on Human Rights and Opportunities
Contract Compliance Unit
21 Grand Street
Hartford, CT 06106
1.MONTHLY EMPLOYMENT
UTILIZATION REPORT (FORM chro
PROJECT AREA (MSA):
____________________________
2.EMPLOYER'S FEIN NO.
3.PROJECT AAP GOALS MINORITY: ___________
FEMALE:_____________
4.REPORTING PERIOD
FROM: 12/1/2011
TO: 3/7/2012
PROJECT NAME: |
Stable Work 2904 |
|
|
|
NAME AND LOCATION OF CONTRACTOR (submitting report): |
|
STATE AWARDING AGENCY: |
||||||||||
CONTRACT NUMBER: 001 |
|
|
|
|
Points North (CPW Sample Reports) 371 Canal Park Dr Hartford, CT 06106 |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
||||||||
5. |
|
|
6. WORK HOURS OF WORKERS (OTHER THAN TRADE WORKERS) EMPLOYED ON PROJECT |
|
9. |
|
10. |
|
|||||||||
ON SITE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL |
|
6a. |
|
6b. |
|
6c. |
|
6d. |
|
6e. |
|
7. |
8. |
|
TOTAL |
|
||
PERSONNEL |
|
|
|
|
|
|
|
|
|||||||||
(OTHER THAN |
|
|
TOTAL |
|
BLACK |
HISPANIC |
ASIAN OR |
AMERICAN |
|
|
NUMBER OF |
NUMBER OF |
|||||
TRADE WORKERS) |
|
HOURS |
|
(Not of |
|
|
|
PACIFIC |
INDIAN OR |
MINORITY |
FEMALE |
EMPLOYEES |
MINORITY |
||||
(please identify |
|
BY TRADE |
|
Hispanic |
|
|
ISLANDERS |
ALASKAN |
PERCENT |
PERCENT |
|
|
EMPLOYEES |
||||
|
|
|
|
Origin) |
|
|
|
|
|
NATIVE |
|
|
|
|
|
|
|
specific job title) |
|
|
|
|
|
|
|
|
|
|
|
M |
F |
M |
F |
||
|
M |
F |
M |
F |
M |
F |
M |
F |
M |
F |
|
|
|||||
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Laborer |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
24 |
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
1 |
0 |
0 |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Electrician |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13 |
|
13 |
|
|
|
|
|
|
100.00 % |
100.00 % |
0 |
1 |
0 |
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
24 |
13 |
13 |
35.14 % |
35.14 % |
1 |
1 |
0 |
1 |
GRAND TOTAL WORKERS |
|
|
|
|
|
|
|
|
11. COMPANY OFFICIAL'S SIGNATURE AND TITLE |
12. TELEPHONE NUMBER (Including area code) |
13. DATE SIGNED |
PAGE |
Human Resources Manager |
775 111 1111 |
3/7/2012 |
________OF________ |
Commission on Human Rights and Opportunities |
|
|
|
1. MONTHLY |
|
PROJECT AREA (MSA): |
|
|
|
3. PROJECT AAP GOALS |
|
4. REPORTING PERIOD |
||||||||||||||||||
Contract Compliance Unit |
|
|
|
|
|
EMPLOYMENT |
|
____________________________ |
|
MINORITY: ___________ |
|
FROM: |
|
|
|
|||||||||||||||
|
|
21 Grand Street |
|
|
|
|
UTILIZATION REPORT |
|
FEMALE:_____________ |
|
12/1/2011 |
|
||||||||||||||||||
|
Hartford, CT 06106 |
|
|
|
|
(FORM chro |
2. EMPLOYER'S FEIN NO. |
|
|
TO: |
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3/7/2012 |
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
PROJECT NAME: |
|
Stable Work 2904 |
|
|
|
|
|
|
NAME AND LOCATION OF CONTRACTOR (submitting report): |
|
STATE AWARDING AGENCY: |
|||||||||||||||||||
CONTRACT NUMBER: 001 |
|
|
|
|
|
|
|
|
Points North (CPW Sample Reports) 371 Canal Park Dr Hartford, CT 06106 |
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
5. |
|
|
|
6. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT |
|
|
|
|
|
|
|
9. |
|
|
|
10. |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
CONSTRUCTION |
|
|
6a. |
|
|
6b. |
|
|
6c. |
|
6d. |
|
|
|
6e. |
|
|
7. |
|
8. |
|
TOTAL |
|
TOTAL |
||||||
TRADE |
|
CLASSIFICATION |
|
TOTAL |
|
|
BLACK |
HISPANIC |
ASIAN OR |
|
AMERICAN |
|
|
|
|
NUMBER OF |
|
NUMBER OF |
||||||||||||
(please identify) |
|
|
|
HOURS |
|
|
(Not of |
|
|
|
|
PACIFIC |
|
INDIAN OR |
|
MINORITY |
FEMALE |
EMPLOYEES |
|
MINORITY |
||||||||||
|
|
BY TRADE |
|
|
Hispanic |
|
|
|
ISLANDERS |
|
ALASKAN |
|
|
PERCENT |
PERCENT |
|
|
|
|
EMPLOYEES |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
|
|
|
|
|
|
|
|
Origin) |
|
|
|
|
|
|
|
NATIVE |
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
M |
|
F |
|
M |
|
F |
M |
F |
M |
|
F |
|
M |
F |
|
|
|
|
M |
|
F |
|
M |
F |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Journey Worker |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apprentice |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trainee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL JOURNEY WORKERS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
TOTAL APPRENTICES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
TOTAL TRAINEES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GRAND TOTAL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
11. COMPANY OFFICIAL'S SIGNATURE AND TITLE |
|
|
|
|
12. TELEPHONE NUMBER (Including area code) |
|
13. DATE SIGNED |
|
|
PAGE |
|
|
|
|||||||||||||||||
|
|
|
Human Resources Manager |
|
|
|
775 111 1111 |
|
|
|
|
|
|
|
3/7/2012 |
|
|
2 |
|
OF |
2 |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Addenda # A |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Form CHRO |
Commission on Human Rights and Opportunities
Contract Compliance Unit
21 Grand Street
Hartford, CT 06106
1.MONTHLY EMPLOYMENT
UTILIZATION REPORT (FORM chro
PROJECT AREA (MSA):
____________________________
2.EMPLOYER'S FEIN NO.
3.PROJECT AAP GOALS MINORITY: ___________
FEMALE:_____________
4.REPORTING PERIOD
FROM: 12/1/2011
TO: 3/7/2012
PROJECT NAME: |
Stable Work 2904 |
|
|
|
NAME AND LOCATION OF CONTRACTOR (submitting report): |
|
STATE AWARDING AGENCY: |
||||||||||
CONTRACT NUMBER: 001 |
|
|
|
|
Points North (CPW Sample Reports) 371 Canal Park Dr Hartford, CT 06106 |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
||||||||
5. |
|
|
6. WORK HOURS OF WORKERS (OTHER THAN TRADE WORKERS) EMPLOYED ON PROJECT |
|
9. |
|
10. |
|
|||||||||
ON SITE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL |
|
6a. |
|
6b. |
|
6c. |
|
6d. |
|
6e. |
|
7. |
8. |
|
TOTAL |
|
||
PERSONNEL |
|
|
|
|
|
|
|
|
|||||||||
(OTHER THAN |
|
|
TOTAL |
|
BLACK |
HISPANIC |
ASIAN OR |
AMERICAN |
|
|
NUMBER OF |
NUMBER OF |
|||||
TRADE WORKERS) |
|
HOURS |
|
(Not of |
|
|
|
PACIFIC |
INDIAN OR |
MINORITY |
FEMALE |
EMPLOYEES |
MINORITY |
||||
(please identify |
|
BY TRADE |
|
Hispanic |
|
|
ISLANDERS |
ALASKAN |
PERCENT |
PERCENT |
|
|
EMPLOYEES |
||||
|
|
|
|
Origin) |
|
|
|
|
|
NATIVE |
|
|
|
|
|
|
|
specific job title) |
|
|
|
|
|
|
|
|
|
|
|
M |
F |
M |
F |
||
|
M |
F |
M |
F |
M |
F |
M |
F |
M |
F |
|
|
|||||
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Laborer |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
24 |
|
|
|
|
|
|
|
|
|
0.00 % |
0.00 % |
1 |
0 |
0 |
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Electrician |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13 |
|
13 |
|
|
|
|
|
|
100.00 % |
100.00 % |
0 |
1 |
0 |
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
24 |
13 |
13 |
35.14 % |
35.14 % |
1 |
1 |
0 |
1 |
GRAND TOTAL WORKERS |
|
|
|
|
|
|
|
|
11. COMPANY OFFICIAL'S SIGNATURE AND TITLE |
12. TELEPHONE NUMBER (Including area code) |
13. DATE SIGNED |
PAGE |
Human Resources Manager |
775 111 1111 |
3/7/2012 |
________OF________ |