Form FHWA 1391: Federal-Aid Highway Construction Contractors Annual EEO Report

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FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT													OMB NO. 2125-0019 Report For July ____________ 19__
1. CHECK APPROPRIATE BLOCK Contractor Subcontractor		2. NAME AND ADDRESS OF FIRM						3. FEDERAL-AID PROJECT NUMBER						4. TYPE OF CONSTRUCTION
5. COUNTY AND STATE		6. PERCENT COMPLETE			7. BEGINNING CONSTR. DATE				8. DOLLAR AMOUNT OF CONTRACT				9. ESTIMATED PEAK EMPLOYMENT
													Month and Year (a)			Number of Employees (b)
10. EMPLOYMENT DATA
Table A															Table B
Job Categories	Total Employees		Total Minorities		Black (Not Of Hispanic Origin)		Hispanic		American Indian Or Alaskan Native		Asian Or Pacific Islander		White (Not Of Hispanic Origin)		Apprentices		On The Job Trainees
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F
OFFICIALS (Managers)
SUPERVISORS
FOREMEN / WOMEN
CLERICAL
EQUIPMENT OPERATORS
MECHANICS
TRUCK DRIVERS
IRONWORKERS
CARPENTERS
CEMENT MASONS
ELECTRICIANS
PIPEFITTERS
PAINTERS
LABORERS, SEMI-SKILLED
LABORERS, UNSKILLED
TOTAL
Table C
APPRENTICES
ON THE JOB TRAINEES
11. PREPARED BY: (Signature and Title)			DATE				REVIEWED BY: (Signature and Title of State Highway Official)								DATE
This report is required by law and regulation (23 U.S.C. 140a and 23 CFR Part 230). Failure to report will result in noncompliance with this regulation.

Form FHWA-1391 (Rev. 3-92)
PREVIOUS EDITIONS ARE OBSOLETE
*U.S. GPO: 1992-312-673/62903