Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Precision Demolition, LLC

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/02/2018 03:03 PM

Mauro Fernandez

Lionel Blackwell

None

ethnicity

gender

ssn

badge

Hispanic

Male

8890

Yes

Job Classification

Union Member?

Apprentice?

Period

Laborer-Semi Skilled/Helper

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/23/2018

06/29/2018

25.00

14.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Tape Measure

Saw Saw

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

25.00

Other Work?

Other Training?

Experience

Certifications

None

None

1.00

Loader

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature