Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: McCorvey Sheet Metal Works, LP

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/02/2018 10:29 AM

Juan Melo

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

2617

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/02/2018

06/29/2018

8.00

15.00

Pay Type

Pay Day

deductions

OSHA

Debit

Thursday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

No tools yet

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

44.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Ladder, scissor lift, etc

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature