Worker Interview - DSA

Worker Interview

General Information

Project Name: Wharton K-8 Dual Language Academy - HISD

Prime Contractor: DivisionOne Construction, LLC

Subcontrctor: EVYS Electric, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/11/2018 04:48 PM

Mario Martinez

Victor Bowen

none

ethnicity

gender

ssn

badge

Hispanic

Male

3670

No

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

1

Start Date

Last Work Date

Hours Last Worked

Pay Rate

03/06/2018

05/10/2018

2.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Screwdriver

Tape Measure

none

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

48.00

Other Work?

Other Training?

Experience

Certifications

none

none

1.00

none

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature