Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: CFI Mechanical Inc

Interview Detail

Date

Worker Name

Auditor Name

Remarks

06/27/2018 02:12 PM

Marco Zavala

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

3323

No

Job Classification

Union Member?

Apprentice?

Period

Pipe Fitter

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

02/06/2018

06/26/2018

8.00

20.83

Pay Type

Pay Day

deductions

OSHA

Debit

Thursday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Hand Tools

Channel Locks

Level

Tape measure

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

5.00

Boom lift, cpr, firewatch, etc

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature