BROWE CONSTRUCTION COMPANY, INC.
CONSTRUCTION QUALIFICATION INFORMATION

Full Name[text name] Email: [email email-772]

1. Do you have concrete experience?[select experience “Select” “Yes” “No”]
2. How many years of experience, and what type of concrete work? [textarea cexpericeandwork]
3. Would you consider yourself a concrete finisher?[select finisher “Select” “Yes” “No”]
4. On a scale of 1 to 10, 10 being the best, how would you grade yourself as a finisher? [select scale “1” “2” “3” “4” “5” “6” “7” “8” “9” “10” “more than 10”]
5. Have you ever finished curb & gutter?[select curb “Select” “Yes” “No”]
6. Can you stick it?[select stick “Select” “Yes” “No”]                       Can you pull it? [select pull “Select” “Yes” “No”]
7. You will be required to run a 90 lb. pneumatic jackhammer and pick up large pieces of concrete. Are you physically able to do this type of work? [select jackhammer “Select” “Yes” “No”]
8. Do you have any experience driving a two-ton dump truck with manual shift, cargo van, box truck, or any truck of any size? (no CDL required) [select twoton “Select” “Yes” “No”]
9. Do you have any experience operating machinery like an excavator, backhoe, or skid steer? [select macinery “Select” “Yes” “No”]
10. Is there anything else that you would like the interviewer to know?

[textarea anythingelse]

Browe Construction Company, Inc.
Job Description

Essential Functions

(Essential functions, as defined under the Americans with Disabilities Act, may include the following tasks, knowledge, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by positions in this class. It does not imply that all positions within the class perform all of the duties listed, nor does it necessarily list all possible duties that may be assigned. Management reserves the right to add or change duties at any time.)

Operate a dump truck, crew truck, and other equipment (No CDL required)
Assist team members with barricading, proper signing, and safety procedures
Pick up and transport refuse and debris
Excavate and fill trenches and ditches
Ability to shovel dirt or stone for extended periods of time
Ability to lift heavy objects
Perform strenuous physical labor under adverse weather conditions
Must be able to lift, push, pull or carry heavy objects (up to 75 lbs) on a regular basis
Physically strenuous and may involve frequent stooping, kneeling, bending, and lifting
Ability to stand for long periods of time (up to 8 hours per day flagging traffic)
Ability to reach above shoulder height and below the waist on a frequent basis
Requires good manual dexterity (hand, hand with arm, two hands) and multi-limb coordination
Requires use of hands to grasp, lift, handle, carry or feel objects on a frequent basis

Knowledge, Skills and Abilities

Perform a variety of tasks in the installation, preparation, maintenance and repair of concrete structures
Some knowledge of proper use of equipment, materials and supplies used in concrete construction work helpful
Some knowledge of traffic control and work zone standards helpful
Some knowledge of first aid and applicable safety precautions helpful
Ability to use motorized equipment and tools properly and safely
Ability to use various hand and power tools, including but not limited to, jack hammers
Ability to understand, follow and transmit written and oral instructions
Ability to complete daily activities according to work schedule
Ability to maintain a clean job site: pick up tools and equipment and secure job site each day
Ability to produce high quality work, safely and productively
Ability to meet attendance schedule with dependability and consistency

Education, Training and Experience

Any combination of education and experience that demonstrates the knowledge and ability to perform the work helpful

Work Context and Requirements

Regularly work near moving mechanical parts and in outside conditions that include inclement weather, varying temperatures, extreme heat and humidity
Occasional work at night is required
Occasional work out of town is required that could involve extended overnight stays
Ability to comply with all safety standards and procedures
Ability to wear personal protective equipment is required (including but not limited to; steel toe shoes, safety glasses, hearing protection, hardhat, vest, etc.)
Maintain work records, daily reports, written reports, and vehicle and equipment usage documents
Ensure that proper safety and incident reporting procedures are followed

IF THERE ARE ANY ABOVE STATED REQUIREMENTS THAT YOU CAN NOT PERFORM, PLEASE LIST AND EXPLAIN THEM BELOW:
[textarea requirelist]

I attest that I have read and agree to the above terms of the job description. By signing this, I declare that I am able to complete all above tasks and do not have any physical restrictions or limitations that limit me from performing all tasks.

Full Name:  [text fullname] Date: [date todaycon]