Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: MGC Millwork

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/18/2018 10:57 AM

Ernesto Villarreal

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

9229

No

Job Classification

Union Member?

Apprentice?

Period

Mill Wright

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2018

05/17/2018

8.00

23.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Hand Tools

Drills

Electrical

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

Yes

48.00

Other Work?

Other Training?

Experience

Certifications

None

None

30.00

Ladders/Forklift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature