Worker Interview - DSA

Worker Interview

General Information

Project Name: Bellaire High School - HISD

Prime Contractor: Turner Construction Company

Subcontrctor: Jimerson Underground, Inc.

Interview Detail

Date

Worker Name

Auditor Name

Remarks

07/16/2018 11:49 AM

Miguel Trejo

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

1234

Yes

Job Classification

Union Member?

Apprentice?

Period

Equipment Operator-Heavy Equip

Yes

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/27/2018

07/13/2018

8.00

21.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

Yes-10

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Boom Lift

Forklift

Power Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

46.00

Other Work?

Other Training?

Experience

Certifications

None

None

17.00

Boom lift, forklift, scissor lift, etc

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature