Worker Interview - DSA

Worker Interview

General Information

Project Name: Worthing High School (Phase II) - HISD

Prime Contractor: Prime Contractors Inc

Subcontrctor: Fresno Texas Terrazzo, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/16/2018 10:12 AM

Antonio Castaneda

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&879

No

Job Classification

Union Member?

Apprentice?

Period

Terrazzo Grinder

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/07/2018

05/15/2018

10.00

15.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Grinder

Trowel

Hammer

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

60.00

Other Work?

Other Training?

Experience

Certifications

None

None

15.00

None

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature