WORK SKILLS REPORT

Work Report Form 2016 for Download and Print

Month of Work Skills Form:
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General Construction
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Demolition / Excavation-Grading-Backfilling-Compaction

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Elevation Control - Measurement- Grade Checking-Lay-Out

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Underground Utility Lines / Trenching-Shoring / Pipelaying

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Concrete Formwork

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Concrete Placement/Finishing / Asphalt Paving

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Unloading-Stockpiling-Distribution of Materials / Mixing of Materials / Clean-Up

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Tools & Equipment
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Electric-Gasoline-Pneumatic Power Tools

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Power Equipment

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Scaffolding

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Cutting Torch / Welding

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Safety
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Work Zone Safety-Flagging-Traffic Control

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Asbestos-Lead-Rad-Hazardous Waste Abatement

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Selection-Use of Personnel Protective Equipment / Material Safety Data Sheets / Safety-Health Regulations

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TOTAL HOURS PER DAY

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APPRENTICE Enter Apprentice Name SSN: Enter SSN in the format XXX-XX-XXXX TOTAL HOURS FOR THE MONTH Enter hours
ADDRESS: Enter Address CITY: Enter City STATE: Enter State
Zip Code: Enter Zip Code WAGE RATE AT END OF MONTH($):  Enter Wage
DATE FORM COMPLETED: Enter Date
CONTRACTOR:  Enter Contractor JOB LOCATION AT END OF MONTH:  Enter Job Location Email address: Enter Email
CELL PHONE Enter Cell Phone in the format: (XXX)XXX-XXX Okay to send TEXT to CELL?
Ok to text?
HOME PHONE: Enter Home Phone in the format: (XXX)XXX-XXX
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SIGNATURE: Enter Signature to agree with terms and conditions Did you attend this months Union Meeting?
Did you attend last meeting?

LABORERS' LOCAL 42

301 South Ewing Avenue
St. Louis, MO 63103
Phone: 314.531.1187
Email: laborers@local42.us
Website: www.local42stl.com

LABORERS' LOCAL 110

4532 South Lindbergh Boulevard
St. Louis, MO 63127
Phone: 314.892.0777
Email: cmeier@lu110.com
Website: www.lu110.com

LABORERS' LOCAL 660

2633 West Clay Street
St. Charles, MO 63301
Phone: 636.946.8766
Email: ll660@laborers660.org


 

LABORERS' LOCAL 662

209 Flora
Jefferson City, MO 65101
Phone: 573-635-1441
Email: ll662@mchsi.com


 

LABORERS' LOCAL 840

10760 County Road 2000 (North Y)
Rolla, MO 65401
Phone: 573.364.3928
Email: local840@fidnet.com

LABORERS' LOCAL 955

409 Vandiver Drive, Building 5
Suite 100
Columbia, MO 65202
Phone: 573.499.3720
Email: laborers955@gmail.com

LABORERS' LOCAL 1104

773 Enterprise
Cape Girardeau, MO 63703
Phone: 573.334.7722
Email: local@laborers1104.org