HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Wages and Fringe Benefits Survey
Company Information
Business Name
City
County
City
State
Who would be the primary contact person/number to be contacted within your business
concerning business or economic development assistance?
Contact Name
Title
Phone Number
Email
City
Zip Code
State
Product/Operation of Company:
Construction
Manufacturing
Agricultural
Wholesale Trade
Distribution/Warehousing
Mining
Research/Development
Utilities
Retail Trade
Professional, Scientific, or
Technical
Educational
Finance,
Insurance,Real Estate
Healthcare, Social Services
Transportation
Public Administration
Waste Management
Other:
Other
How long has the company been in the community?
Contact Person
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Contact Name
Title
Phone Number
Email
Total Full-Time
Employment:
# of Full-Time
Hourly
Employees:
# of Full-Time
Salaried
Employees:
# of Part-Time
Employees:
# of Temporary
Employees:
Is the company unionized?
Yes
No
If yes:
% of workers in union:
Name of union:
During the next 12 months, is a change in employment anticipated?
Increase
Stable
Decrease
During the past 12 months, was there a change in employment levels?
Increase
Stable
Decrease
Total annual
payroll:
Percentage Full-time
payroll:
Percentage Parttime payroll:
Percentage Temp
payroll:
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Number of shifts:
Does the company offer shift premiums?
Yes
No
How much are the shift premiums?
How much does the company pay for overtime?
How do you chiefly recruit your workers?
Word of Mouth
Newspaper Ads
Internet
Radio/TV
Walk-Ins
Staffing/Temp Service
Referrals
Job Board/Sign
Trade Journals
Colleges
Recruiters
State Agency
Job Fairs
Networking
Union Hall
Social Media
Does the company perform any of the following?
Pre-employment Drug Testing
Random Drug Testing
Suspicion/Cause Drug Testing
Post-Accident Drug Testing
Return-to-Work Drug Testing
Criminal Background Check
Drivers License Check
Nicotine Check
What is the ethnic diversity of your workers? (please use percentages)
HOURLY
White:
Black/African Native
American:
American
Asian:
Hispanic/Latino: Native
Hawaiian/Other
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Indian/Alaska
Native:
SALARIED
White:
Black/African Native
American:
American
Indian/Alaska
Native:
Pacific
Islander:
Asian:
Hispanic/Latino: Native
Hawaiian/Other
Pacific
Islander:
EMPLOYER RATINGS
Please provide your judgment relative to:
Please rate the following:
Availability of:
Excellent
Good
Fair
Poor
Availability of Skilled Workers
Availability of Unskilled Workers
Availability of Professional Workers
Availability of Technical Workers
Productivity - Hourly Workers
Productivity - Salaried Workers
Reliability - Hourly Workers
Reliability - Salaried Workers
Attitudes - Hourly Workers
Attitudes - Salaried Workers
Reading Skills - Hourly Workers
Reading Skills - Salaried Workers
Writing Skills - Hourly Workers
Writing Skills - Salaried Workers
Math Skills - Hourly Workers
Math Skills - Salaried Workers
Teamwork - Hourly Workers
Teamwork - Salaried Workers
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Please rate the following educational institutions in terms of delivering the skills that are needed
for area workers:
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Local Public Schools
Local Trade Schools
Local Community Colleges
Please rate the workforce on the following factor:
Substance Abuse - Hourly Workers
Substance Abuse - Salaried Workers
For the following ratings, "Low" is 0-4%; "Moderate" is 5-10%; High is 11% or above.
Low
Moderate
High
Turnover - Skilled Hourly
Turnover - Unskilled Hourly
Turnover - Salaried Workers
Tardiness - Skilled Hourly
Tardiness - Unskilled Hourly
Tardiness Salaried Workers
Absenteeism - Skilled Hourly
Absenteeism - Unskilled Hourly
Absenteeism -Salaried Workers
HOLIDAYS - HOURLY WORKERS:
How many paid holidays are allowed per year for hourly employees?
If hourly employees work on holidays, what is the pay rate?
HOLIDAYS - SALARIED WORKERS:
How many paid holidays are allowed per year for salaried employees?
SICK LEAVE - HOURLY EMPLOYEES:
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Does the company offer paid sick leave to hourly employees?
Yes
No
When are hourly employees eligible for paid sick leave?
How many days per year are allowed?
Can sick leave be carried over?
Yes
No
Does the company pay for unused sick leave?
Yes
No
SICK LEAVE - SALARIED WORKERS:
Does the company offer paid sick leave to salaried employees?
Yes
No
When are salaried employees eligible for paid sick leave?
How many days per year are allowed?
Can sick leave be carried over?
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Yes
No
Does the company pay for unused sick leave?
Yes
No
VACATION BENEFITS
HOURLY WORKERS:
Does the company offer paid vacation to hourly employees?
Yes
No
When are hourly employees eligible for paid vacation?
Days vacation time BEFORE 1 year of employment:
Days vacation time AFTER 1 year of employment:
Days vacation time after 5 years of employment:
Days vacation time after 10 years of employment:
Can vacation time be carried over?
Yes
No
Does the company pay for unused vacation time?
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Yes
No
VACATION - SALARIED WORKERS
Does the company offer paid vacation to salaried employees?
Yes
No
Days vacation time BEFORE 1 year of
employment:
Days vacation time AFTER 1 year of
employment:
Days vacation time after 5 years
of employment:
Days vacation time after 10 years of
employment:
Can vacation time be carried over?
Yes
No
Does the company pay for unused vacation time?
Yes
No
ADDITIONAL PAID LEAVE
Are employees given additional paid leave for any of the following? (Please check all that
apply.)
HOURLY
Paid Maternity/Paternity
Paid Jury Duty
Paid Court Appearances
Paid Bereavement
Paid Military Duty
Paid Personal Days
Paid Birthdays
Family Leave (Critical Illness)
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
SALARIED
Paid Maternity/Paternity
Paid Jury Duty
Paid Court Appearances
Paid Bereavement
Paid Military Duty
Paid Personal Days
Paid Birthdays
Family Leave (Critical Illness)
FINANCIAL PLANS/ALLOWANCES
Are any of the following financial plans offered to employees? (Please check all that apply.)
HOURLY
401K
403B
Bonus, Annual
Bonus, Attendance
Bonus, Monthly
Bonus, Production/Incentive
Bonus, Quarterly
Bonus, Safety
Childcare Assistance
Credit Union
ESOP/ESPP
Health Savings Plan/FSA
IRA/SEP
Pension Plan
Profit Sharing Plan/Gainsharing
Savings Plan
Stock Purchase/Stock
Options
TFP (Thrift Savings Plan)
Tuition Reimbursement
SALARIED
401K
403B
Bonus, Annual
Bonus, Attendance
Bonus, Monthly
Bonus, Production/Incentive
Bonus, Quarterly
Bonus, Safety
Childcare Assistance
Credit Union
ESOP/ESPP
Health Savings Plan/FSA
IRA/SEP
Pension Plan
Profit Sharing
Plan/Gainsharing
Savings Plan
Stock Purchase/Stock
Options
TFP (Thrift Savings Plan)
Tuition Reimbursement
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Are any of the following types of benefits/allowances offered to employees? (Please check all
that apply.)
HOURLY
Business Travel/Mileage
Cell Phone
EAP (employee
assistance plan)
Eyewear Discount
Identity Theft
Legal
Prescription Drug Card
Supplemental Life Insurance
Uniform Discount
Transportation
SALARIED
Business Travel/Mileage
Cell Phone
EAP (employee
assistance plan)
Eyewear Discount
Identity Theft
Legal
Prescription Drug Card
Supplemental Life Insurance Uniform Discount
Transportation
INSURANCE - HOURLY WORKERS
If insurance is provided for hourly employees, please indicate percentage of premium paid by
the company.
Health insurance - employees
Health insurance - dependents
Dental insurance - employees
Dental insurance - dependents
Vision insurance - employees
Vision insurance - dependents
Life insurance - employees
Life insurance - dependents
Accidental Death/Dismemberment insurance employees
Accidental Death/Dismemberment insurance dependents
Short-term disability - employees
Short-term disability - dependents
Long-term disability - employees
Long-term disability - dependents
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
INSURANCE - SALARIED WORKERS
If insurance is provided for salaried employees, please indicate percentage of premium paid by
the company.
Health insurance - employees
Heath insurance - dependents
Dental insurance - employees
Dental insurance - dependents
Vision insurance - employees
Vision insurance - dependents
Life insurance - employees
Life insurance - dependents
Accidental Death/Dismemberment insurance employees
Accidental Death/Dismemberment insurance dependents
Short-term disability - employees
Short-term disability - dependents
Long-term disability - employees
Long-term disability - dependents
Wages
The following page deals with wages for hourly and salaried workers. For hourly workers,
please provide entry and average wages as well as the number of employees in each job
classification. For salaried workers, please provide average annual salary and number of
employees. To produce as accurate a report as possible, it is very important that all information
be entered. For job classifications in your company that are not listed on the form, try to match
them with one of the listed titles, if at all possible. This will help ensure that your data is
included in the survey results. However, there is additional space for industry-specific jobs if
needed.
Job Title
Entry
Wage
Per
Hour
(Hourly
Employe
es)
Average
Wage
Per
Hour
(Hourly)
Number of
Employees
(Hourly)
Average
Annual
Salary
(Salaried)
Number of
Employees
(Salaried)
Accountant
Accounting Clerk
Accounting Manager
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Accounts Payable Clerk
Accounts Receivable Clerk
Administrative Assistant
Assembler - Electrical
Assembler - General
Assistant
Assurance/Inspection
Building & Grounds
Buyer/Purchaser
Carpenter
Chief Executive Officer
Chief Financial Officer
Chief Operating Officer
CNC Operator
Computer Operator
Computer Programmer
Computer Technician
Credit Manager
Customer Service
Customer Service Manager
Data Entry Operator
Database Administrator
Dispatcher
Drafter (CAD)
Driver/Courier
Electrician
Engineer
Engineering Manager
Engineering Technician
Estimator
Executive Assistant
Expeditor
File Clerk
Foreman
Fork Lift Operator
General Laborer
General Manager
General Office
Heavy Equipment
Help Desk Operator
Human Resources
Human Resources
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Inventory Analyst
Inventory/Stock Clerk
IT Specialist
Janitor
Line Supervisor/Foreman
Machine Operator, no Setup
Machine Operator, with Setup
Maintenance
Maintenance Mechanic
Maintenance-General
Maintenance-Helper
Manager
Marketing Assistant
Marketing Manager
Materials Handler
Network Administrator
Nurse
Office Manager
Operator
Packer/Picker
Painter
Payroll Clerk
Payroll Supervisor
Planner
Plant Controller
Plant Manager
Project Manager
Quality
Quality Manager
Receptionist/Switchboard
Representative
Retail Sales
Sales Manager
Secretary - Executive
Secretary - General
Security Guard
Shipping/Receiving Clerk
Software Developer
Systems Analyst
Tool & Die Maker
Truck Driver - Heavy
Truck Driver -Light
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HCEDP | http://hcedp.surveyskills.com/surveys/wages-and-benefits-survey/ 2014
Vice President
Warehouse Manager
Warehouse Supervisor
Warehouse Worker
Welder
Didn’t see a job listed? Feel free to add below:
Job Title
Entry Wage
Per Hour
(Hourly
Employees)
Average
Wage
Per
Hour
(Hourly)
Number of
Employees
(Hourly)
Average
Annual
Salary
(Salaried)
Number of
Employees
(Salaried)
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