Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: J.M. Maly, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/26/2018 09:18 AM

Robert Barrientos

Austin Jonas

Paid every other week

ethnicity

gender

ssn

badge

Hispanic

Male

=CHAR(048)&464

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/26/2018

06/26/2018

10.00

15.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hand Tools

Grinder

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

18.00

OSHA 10, safety ladder, etc basics

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature