Worker Interview - DSA

Worker Interview

General Information

Project Name: Garden Oaks Montessori - HISD

Prime Contractor: B3Ci (JV BETWEEN BALFOUR BEATTY & 3Ci CONSTRUCTION)

Subcontrctor: Prism Electric, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/07/2018 12:40 PM

Hoang Thach

Victor Bowen

None

ethnicity

gender

ssn

badge

Asian

Male

4828

No

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

4

Start Date

Last Work Date

Hours Last Worked

Pay Rate

11/15/2017

05/04/2018

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Power Tools

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature