NEW YORK STATE DEPARTMENT OF TRANSPORTATION



NEW YORK STATE DEPARTMENT OF TRANSPORTATION

MONTHLY TRAINING PROGRESS REPORT | |

| LOCATION (County) _______________ CONTRACT D ________ AGREEMENT D _______ PERIOD ________ (Mo/Yr) |

|I. NAME OF ( CONTRACTOR OR ( CONSULTANT |1A. ADDRESS |

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| |1B. TELEPHONE ( ) |

|2. NAME OF ( APPRENTICE ( TRAINEE ( M ( F |2A. ADDRESS |

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| |2B. TELEPHONE ( ) |

|3. SOCIAL SECURITY NUMBER |4. EMPLOYEE STATUS {Check One} |

| |( NEW HIRE ( UPGRADE ( RE-HIRE |

|5. ETHNIC GROUP DESIGNATION {Check One} |

|( BLACK ( HISPANIC ( ASIAN ( NATIVE AMERICAN ( OTHER |

|6. JOB CLASSIFICATION CODE __________ |7. DATE |8. DATE |

|(See Instructions for Codes) |STARTED: __________ |COMPLETED: __________ |

|6A. LOCAL/SPONSOR _____________________ | | |

|9. TERMINATION (If Training was Terminated Prior to Completion of Approved Program Explain Reason for termination in Comments Section) |

|( SEASONAL LAYOFF ( TEMPORARY LAYOFF ( CONTRACT COMPLETED ( DISMISSAL |

|10. HISTORY (ATTACH MONTHLY WORK HOURS DETAIL SHEET) | |

|TOTAL REQUIRED TRAINING PROGRAM _______ HRS | |

|PREVIOUS TRAINING RECEIVED: _______ HRS |CLASS HOURS _______ |

|TRAINING PROVIDED THIS PERIOD: _______ HRS |REMAINING TO COMPLETE: _______ |

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|TRAINEE EVALUATION: | |

|ATTENDANCE |PUNCTUALITY |

| ( REGULAR ( IRREGULAR | ( REGULAR ( IRREGULAR |

|QUALITY OFWORK |OVERALL PERFORMANCE |

| ( HIGH | ( OUTSTANDING |

| ( SATISFACTORY | ( SATISFACTORY |

| ( NEEDS IMPROVEMENT | ( MARGINAL |

| ( UNSATISFACTORY | ( UNSATISFACTORY |

|PROGRESS ON TRAINING PROGRAM | |

| ( AHEAD OF SCHEDULE | |

| ( ON SCHEDULE | |

| ( BEHIND SCHEDULE | |

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|COMMENTS | |

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|I HAVE READ AND UNDERSTAND THE ABOVE REPORT |

|TRAINEE/APPRENTICE SIGNATURE: _____________________________ |DATE: __________ |

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|REPORT PREPARED BY: _________________________________ |DATE: __________ |

|Supervisor of Trainee/Apprentice | |

|REPORT REVIEWED BY: _________________________________ |DATE: __________ |

|Signature of NYSDOT Representative | |

PURPOSE

The Monthly Training Progress Report is prepared by the contractors/subcontractors, and consultants/subconsultants to document the progress of apprentice/trainees in completing their respective training programs, covering the various phases of the training activity. The completed report is used to monitor contract compliance with the Training Special Provisions.

SUBMISSION

The contractor/consultant shall complete and submit the signed original and one signed copy to the EIC by the 15th of the following month.

(1) When Training program begins. If the individual is an apprentice, attach the NYSDOL Apprentice Agreement (Form AT 401) with the first AAP26.

(2) When training ends e.g. seasonal layoff, project completed, dismissal, temporary layoff, etc.

(3) Attach the Monthly Work Hours Detail Sheet.

The supervisor of the apprentice/trainee shall complete the report, discuss it with apprentice/trainee, and then sign. The apprentice/trainee shall review and sign the report.

The EIC will:

(1) Check the report for accuracy/completion:

a. Training hours, race, sex, etc.

b. If comments are written that the EIC agree with the comments.

(2) EIC will sign both complete reports if he/she agrees. If EIC disagrees, reports will be return to Contractor/Consultant for corrections.

(3) Keep one of the complete report for the contract records.

(4) Submit one of the completed report to the Regional Office by the 20th of the month.

DIRECTIONS FOR COMPLETING FORM

Agreement D# is applicable to consultant agreement. Contract D# refers to construction contracts. If both consultant agreement and construction contract numbers are applicable, (e.g. A CI Agreement with a trainee) enter both.

1. Check Contractor or Consultant and enter name.

1A. Address of Contractor/Consultant

1B Telephone number of Contractor/Consultant

2. Enter Name of apprentice/ trainee, check apprentice or trainee and check male or female

2A. Address of apprentice/ trainee (May be contractor’s address if the individual desires.)

2B Telephone number of apprentice/ trainee

3. Social Security number of apprentice/ trainee

4. Employee Status – Check New Hire, Upgrade, or Re-hire

5. Ethnic group designation - (indicate Which Group)

6. Indicate job classification code using the codes listed below (e.g. for carpenter enter CP).

LAB Laborer

OP Equipment Operator

SV Surveyor Surveyor Assistant, Rodperson and all related crafts (not Licensed Surveyor )

TD Truck Driver

IW Ironworker

CP Carpenters Carpenters include lathers, dockbuilders and all related crafts.

MS Mason Masons include cement masons, bricklayer, concrete finisher, and all related crafts.

PT Painter

EL Electrician

6A. If Union Local enter number (e.g. L123), if Open Shop Association enter OSA and if a contractor enter C.

7. Start date of training on this contract.

8. Date training on this contract is completed.

9. Check appropriate box and give explanation in comments section.

10. History (self explanatory)

COMMENTS - Indicate any issue, concerns etc., not indicated on form.

Trainee/apprentice signature (self explanatory)

Report prepared by, this signature shall represent the supervisor of the trainee/apprentice and preparer of this report.

Reviewed by (self explanatory)

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