Labor Standards Monitoring Form

Grantee:  	

Grant Number:  	

Prepared by:  	

Date Prepared:  	

Project Name:  	

		Comments	
Labor Standards Administration	

1.	a)   Who requests the wage determination?		
	b)   Who conducts the employee interviews?		
	c)   Who receives and reviews the payroll and
verification of wages?		
Contract / Pre-Construction	

2.	a)   Type of construction (e.g. streets, water,
rehabilitation etc.?)		
	b)   Name of Contractor:		
	c)    Bid opening date:		
	d)   Contract award date:		
	e)   Contract amount:		
	f)	Are Labor Standards provisions in the
contract?		
	g)   Is the wage decision in the contract? If
yes, list the decision number(s):		
	h)   Does the file contain certification of
contractor eligibility?		
	i)	Are minutes of the pre-construction
conference on file?		
	j)	Date of the start of construction:		
	k)   Has the recipient notified REDD of the start of
construction?		
Payroll / Employee Interview Review	

3.	a)   How often were employee interviews conducted by the grantee?		
	b)   Were a representative number of trades
covered?		
	c)    Are payrolls submitted weekly?		
	d)   Are payrolls numbered?

	e)   Are payrolls signed by the employer or
authorized representative?		
	f)	Are any workers paid as apprentices or
trainees? If yes, does the file contain
appropriate apprentice/trainee registration records?		
	g)   Were additional classifications
necessary?		
	h)   Is payroll review correspondence in the
file?		
Worker Sample 1
(Provide specific explanations for any NO answers to questions f – i)	

4.	a)   Payroll Number:		
	b)   Employee Name:		
	c)    Rate Paid:		
	d)   Classification:		
	e)   Decision Rate:		
	f)	Is the rate paid equal to or more than the
wage rate on the wage decision for the
classification?		
	g)   Did the employee work more than 40
hours in the week? If yes, was the correct
overtime paid?		
	h)   Are all payroll deductions permissible
under Labor Standards regulations?		
	i)	Is there an employee interview for this
employee? If yes, does the interview
verify the correct work classification?		
Worker Sample 2
(Provide specific explanations for any NO answers to questions f – i)	

5.	a)   Payroll Number:		
	b)   Employee Name:		
	c)    Rate Paid:		
	d)   Classification:		
	e)   Decision Rate:		
	f)	Is the rate paid equal to or more than the
wage rate on the wage decision for the
classification?		
	g)   Did the employee work more than 40
hours in the week? If yes, was the correct
overtime paid?		

	h)   Are all payroll deductions permissible
under Labor Standards regulations?		
	i)	Is there an employee interview for this
employee? If yes, does the interview
verify the correct work classification?		
Worker Sample 3
(Provide specific explanations for any NO answers to questions f – i)	

6.	a)   Payroll Number:		
	b)   Employee Name:		
	c)    Rate Paid:		
	d)   Classification:		
	e)   Decision Rate:		
	f)	Is the rate paid equal to or more than the
wage rate on the wage decision for the
classification?		
	g)   Did the employee work more than 40
hours in the week? If yes, was the correct
overtime paid?		
	h)   Are all payroll deductions permissible
under Labor Standards regulations?		
	i)	Is there an employee interview for this
employee? If yes, does the interview
verify the correct work classification?		
Site Visit	

7.	a)   Is the type of construction consistent with
the contract documents and wage decisions?		
	b)   Is the wage decision posted at the site of
work in a prominent place readily accessible to workers?		
	c)   Is Publication WH-1321 Notice to
Employees posted? If yes, does it contain name and telephone number to contact if proper wages are not paid?		

*List or attach supporting documentation or notate items reviewed to support work performed where deemed necessary for all questions listed above.

_________________________________________	        _______________________
Grantee Representative				                    Date

____________________________________	          ___________________
Grant Management Representative				 Date