Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: KenMor Electric Company, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/17/2018 10:48 AM

Alfredo Diaz

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

5035

Yes

Job Classification

Union Member?

Apprentice?

Period

Electrician Apprentice

No

Yes

5

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/18/2018

05/08/2018

8.00

22.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Channel Locks

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

No

40.00

Other Work?

Other Training?

Experience

Certifications

No

None

10.00

License for electrician

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature