Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Meredith Environmental, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/18/2018 01:52 PM

Melvin Ortega

Austin Jonas

No

ethnicity

gender

ssn

badge

Hispanic

Male

2379

No

Job Classification

Union Member?

Apprentice?

Period

Asbestos Worker

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/08/2018

05/17/2018

9.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Monday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Hammer

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

Yes

45.00

Other Work?

Other Training?

Experience

Certifications

Foreman

None

16.00

Asbestos license, mold

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature