Each compliance personnel numbers his or her reports sequentially starting with 001 for the first report of each fiscal year. FY Enter the last two digits of the current Fiscal Year. A Fiscal Year begins on 1 July and ends on 30 June of the following year.
Employer Enter the name and address of the employer inspected.
Management Officials Contacted Enter the name and job title of each employer, or employer's representative, contacted and indicate whether they were present at the Opening Conference, the walkaround and the Closing Conferences. Union Representatives Contacted Enter the name, job title, affiliated labor union name and telephone number of each labor union representative contacted, and indicate whether they were present at the Opening Conference, the Walkaround and the Closing Conference. Dates Indicate the dates of the Opening Conference, any subsequent visits to the worksite, and the date of the Closing Conference. If no experience modification rate documentation is available, or the employer has no rating from its insurer, then the employer shall be considered to have an experience modification rate of 1.1 or greater. Opening Conference Check the Items covered during the Opening Conference.