Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Ruppert

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/12/2018 09:55 AM

Steven Cade

Austin Jonas

Foreman

ethnicity

gender

ssn

badge

Black

Male

9650

No

Job Classification

Union Member?

Apprentice?

Period

Landscape Laborer Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

06/27/2018

07/11/2018

11.00

18.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Shovel

Power Shovels

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

45.00

Other Work?

Other Training?

Experience

Certifications

Skidstill

None

6.00

Certified Operator

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature