Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: SS Construction Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/02/2018 11:45 AM

Paulino Uriostegui Rios

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

9087

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/28/2018

05/01/2018

8.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Tuesday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

16.00

Other Work?

Other Training?

Experience

Certifications

None

None

12.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature