Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Rhodes Drywall & Paint

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/03/2018 11:23 AM

Gilberto Garcia

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1355

No

Job Classification

Union Member?

Apprentice?

Period

Painter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2018

05/02/2018

8.00

18.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Roller

Paint brush

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

20.00

Other Work?

Other Training?

Experience

Certifications

None

None

40.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature