Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Southwest Electrical Contracting Services

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/18/2018 10:49 AM

Mary Ann Cook

Austin Jonas

None

ethnicity

gender

ssn

badge

White

Female

3178

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Installer/Mechanic

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/01/2018

05/17/2018

8.00

25.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Drills

Screwdriver

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

No

40.00

Other Work?

Other Training?

Experience

Certifications

Foreman

None

17.00

Nine

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature