WAGE RATE INSPECTION - New Jersey
NEW JERSEY DEPARTMENT OF TRANSPORTATION
WAGE RATE INSPECTIONS
SEE REVERSE SIDE FOR INSTRUCTIONS
|Route and Section |Federal Project No. |DP No. |Date |
|or Description | | | |
| | | | |
|PART 1 |PART 2 |PART 3 |PART 4 |
|EMPLOYEE’S NAME, ADDRESS AND |EMPLOYER’S NAME |Hourly Rate of Pay |Fringe Benefits Paid in “Cash” or to |CLASSIFICATION OF |N.J. Dept of L. & I. Wage Rate |
|SOCIAL SECURITY NUMBER |(Company’s Name) | |“Plan” |WORK PERFORMED | |
| | | | | | |
| |
NOTE DISCREPANCIES AND CORRECTIVE ACTION ON REVERSE SIDE
INSTRUCTIONS
PART 1
Ask the employee the following and show his answers.
His name, address and social security number
His employer’s name (Contractor’s or Company’s name)
His hourly rate of pay and overtime rate of pay
Whether his fringe benefits are paid to him in “cash” or are paid to a “plan”.
PART 2
Show the complete classification for the work the employee is actually performing. (Check the
wage rate decisions for a listing of the various crafts and classifications.)
PART 3
Show the prevailing wage rate and overtime rate for the classification as shown in the New Jersey
Department of Labor & Industry’s Prevailing Wage Rates promulgated for the project.
Show the minimum wage rate for the classification as shown in the Wage Determination Decision of
the Secretary of Labor, U.S. Department of Labor, if a decision has been included in the Supplementary
Specifications.
PART 4
If the submissions of payrolls are required, show the wage rate, overtime rate (if the employee worked
overtime) and the classification as shown on the payroll for the date of the interview.
EACH PART SHALL BE SIGNED BY THE ENGINEER OR TECHNICIAN COMPLETING EACH PART.
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