Worker Interview - DSA

Worker Interview

General Information

Project Name: Pilgrim Academy - HISD

Prime Contractor: DT Construction, LP

Subcontrctor: Texas Commercial Finishes, Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/03/2018 01:57 PM

Eduardo Rubio

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

3586

No

Job Classification

Union Member?

Apprentice?

Period

Painter

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/23/2018

05/02/2018

10.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Roller

Broom

Spray Gun

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

16.00

Other Work?

Other Training?

Experience

Certifications

None

None

26.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature