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 11:13 AM

James McCormick

Lionel Blackwell

None

ethnicity

gender

ssn

badge

White

Male

=CHAR(048)&462

Yes

Job Classification

Union Member?

Apprentice?

Period

Electronic Data

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/01/2001

06/05/2001

9.00

20.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Channel Locks

Clamps

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

18.00

Other Work?

Other Training?

Experience

Certifications

None

None

3.00

Scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature