Worker Interview - DSA

Worker Interview

General Information

Project Name: Askew Elementary School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Building Concrete Solutions LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/05/2018 05:34 PM

Armando Martinez

Victor Bowen

none

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Concrete Finisher/Cement Mason

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/04/2018

06/04/2018

10.00

16.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Grinder

Scraper

Floats

none

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

none

none

10.00

scissor boom

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature