Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: CMC Ultd.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/12/2018 10:20 AM

Matthew Cook

Victor Bowen

None

ethnicity

gender

ssn

badge

White

Male

2513

No

Job Classification

Union Member?

Apprentice?

Period

Metal Building Assembler

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/12/2018

06/12/2018

8.00

13.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hammer

Hand Tools

Power Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Fall

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature