Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: McCorvey Sheet Metal Works, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/04/2018 10:57 AM

Francisco zuniga coronado

Victor Bowen

No

ethnicity

gender

ssn

badge

Hispanic

Male

9662

No

Job Classification

Union Member?

Apprentice?

Period

Sheetmetal Worker-Ductwork

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/01/2018

05/31/2018

8.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Drills

Snips

Screwdriver

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

32.00

Other Work?

Other Training?

Experience

Certifications

No

Ac

2.00

No

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature