Worker Interview - DSA

Worker Interview

General Information

Project Name: Sharpstown High School - HISD

Prime Contractor: ICI Construction

Subcontrctor: Cherry Moving Co. dba Cherry Demolition

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/24/2018 02:11 PM

Trevor Harris

Austin Jonas

None

ethnicity

gender

ssn

badge

Black

Male

1098

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Unskilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/01/2018

05/23/2018

10.00

12.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

Yes

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Saw Saw

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

Yes

Yes

57.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Asbestos Awareness

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature