Worker Interview - DSA

Worker Interview

General Information

Project Name: Wilson Montessori School - HISD

Prime Contractor: Drymalla Construction Co. Inc.

Subcontrctor: Top Notch Cabinet Installations Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/27/2018 12:04 PM

Daniel stevens

Victor Bowen

Biweekly pay

ethnicity

gender

ssn

badge

White

Male

=CHAR(048)&CHAR(048)&20

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Semi Skilled/Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

04/07/2018

06/26/2018

10.00

10.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Knife

Drills

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

35.00

Other Work?

Other Training?

Experience

Certifications

None

None

2.00

Fork

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature