Worker Interview - DSA

Worker Interview

General Information

Project Name: HSPVA - HISD

Prime Contractor: McCarthy Building Company

Subcontrctor: Webster Rigging

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/12/2018 10:33 AM

Keith Webster

Austin Jonas

None

ethnicity

gender

ssn

badge

White

Male

5810

No

Job Classification

Union Member?

Apprentice?

Period

Laborer-Skilled

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

10/01/2018

07/11/2018

8.00

45.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

No

Yes-30

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Power Tools

Tape Measure

Hand Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

No

40.00

Other Work?

Other Training?

Experience

Certifications

None

None

20.00

Equipment, forklift, scissor lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature