Worker Interview - DSA

Worker Interview

General Information

Project Name: Yates High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Ford Audio - Video Systems, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/11/2018 11:11 AM

Samuel Welchel

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

2033

Yes

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/04/2018

06/09/2018

9.00

17.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Snips

Hand Tools

Knife

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

Yes

44.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Firestop hilts, boom, manlift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature