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

07/16/2018 12:09 PM

Victor Villasenor

Austin Jonas

None

ethnicity

gender

ssn

badge

Hispanic

Male

1810

Yes

Job Classification

Union Member?

Apprentice?

Period

Asbestos Worker

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

07/08/2018

07/11/2018

8.00

22.00

Pay Type

Pay Day

deductions

OSHA

Debit

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Scraper

Shovel

Power Tools

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

No

No

Yes

54.00

Other Work?

Other Training?

Experience

Certifications

Supervisor

None

0.00

Supervisor cert

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature